Research - Healthcare Providers

Do we overdramatize family physician burnout? YES

Kay, Margaret (2012). Canadian Family Physician58(7).

The author bases an argument on the premise that family physicians do experience burnout. What she asserts is that it is overdramatized with associations of depression and suicide, and that this further stigmatizes these conditions, as well as (by association), stigmatizes burnout. She points out that research has shown that burnout is more associated with situational or organizational factors, rather than individual ones. Read article here.

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Attitudes towards mental disorders and emotional empathy in mental health and other healthcare professionals

Gateshill, G., Kucharska-Pietura, K., and Wattis, J. (2011). The Psychiatrist (2011), 35, 101-105.

Mental health providers and non-mental health specialized healthcare providers’ attitudes toward people with mental illness were compared. Both groups had generally positive attitudes, although non-mental health providers thought that people with mental illness were more unpredictable and dangerous than mental health providers. Read article here.

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Attitudes of medical professionals towards patients with eating disorders

Fleming, J., Szmukler, G. (1992.) Australian and New Zealand Journal of Psychiatry; 26,3:436-443

352 hospital healthcare providers completed a questionnaire. Patients with eating disorders were seen as responsible for their illness and less liked than patients with schizophrenia. Read abstract here.

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Bias, discrimination, and obesity

Puhl, R, and Brownell, KD (2001). Obesity Research; 9(12):788-805.

The researchers concluded that people with obesity have been stigmatized and sometimes discriminated against because of their weight. They noted that it occurred in three life areas: employment, education, and health care. Read abstract here. 

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The stigma of eating disorders

Gowers SG, Shore A. (1999). International Journal Clinical Practice; 53(5):386-8.

This review explores how the public and healthcare providers stigmatize people with eating disorders, and how this impedes treatment. The authors also explore strategies to reduce stigma to support this population.  Read abstract here.

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Implicit Bias among Physicians and its Prediction of Thrombolysis Decisions for Black and White Patients

Green, A. R., Carney, D. R., Pallin, D. J., Ngo, L. H., Raymond, K. L., Iezzoni, L. I., & Banaji, M. R. (2007). Journal of General Internal Medicine, 22(9), 1231–1238.

This study showed unconscious or implicit racial bias among physicians. The researchers used an internet-based tool comprising a clinical vignette of a patient presenting to the emergency department with an acute coronary syndrome, followed by a questionnaire and three Implicit Association Tests (IATs). Read article here.

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The role of stigma in access to health care for the poor

Allen H1, Wright BJ, Harding K, Broffman L (2014.) The Milbank Quarterly;92(2):289-318.

People who are poor report a negative demeanor from their healthcare providers due to their poverty, rather than an internalized stigma, and it is resulting in unmet health needs, poorer perceptions of quality of care, and worse health across several self-reported measures. Read article here. 

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Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender.

Sabin, J. A., Marini, M., & Nosek, B. A. (2012). PLoS ONE, 7(11).

A subsample of general population survey takers were medical doctors who completed the Weight Implicit Association Test. Their results indicated a strong anti-fat bias. Read article here.

 

 

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Stigmatized Illnesses and Health Care

Sartorius, Norman (2007.) Croatian Medical Journal; 48(3): 396–397.
Dr. Sartorius examines the benefits received by people with disability, and the real costs of related stigma. He then asks about the stigmatizing behavior of  professionals working in healthcare systems and states that they have as much to gain from ending stigma as the individuals experiencing the stigma themselves.  Read article here. 

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Food allergy knowledge, attitudes and beliefs: Focus groups of parents, physicians and the general public

Gupta, RS et al, 2008. BioMed Central Pediatrics, 8:36

The researchers conducted focus groups and concluded that the quality of life for children with food allergy and their families is impacted by the food allergies. Improvement is needed in both knowledge and understanding for physicians and the general public. Read article here.

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Race, socioeconomic status, and health: The added effects of racism and discrimination

Williams, DR (1999.)  Annals New York Academy of Sciences; 896, 173-188.

Racism can negatively impact health for racial minorities due to: racial bias in medical care, stress of discrimination, self-stigma. Lower socio-economic status is an additional burden. Read article here. 

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The impact of stigma in healthcare on people living with chronic illnesses

Earnshaw VA, Quinn DM (2012.) Journal of Health Psychology, 17:157-68. 

The researchers explored the impact of internalized, experienced, and anticipated stigma within healthcare settings on the quality of life of people living with chronic illnesses. They found that participants who internalized stigma accessed healthcare less and experienced a decreased quality of life. Read abstract here. 

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Discrimination in healthcare against people with mental illness.

Thornicroft, G., Rose, D., & Kassa, A. (2007.) International Review of Psychiatry; 19(2): 113–122.

This article explores the association between low rates of help-seeking behavior among people who think they may have a mental illness and negative attitudes among mental health staff. Read article here.

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