How exposure to patient narratives affects stereotyped choices of primary care clinicians.
How exposure to patient narratives affects stereotyped choices of primary care clinicians.
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DOI：
10.1371/journal.pone.0295243
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Schlesinger, Mark J.
中科院分区：
文献类型：
--
作者：
Bhaumik, Deepon;Schlesinger, Mark J.
在本文中，我们研究病人的叙述是否改变了刻板印象对初级保健临床医生的选择的影响：在这种情况下，常见的假设，女医生会更注意与病人的共情关系。1052人被选中从全国代表性的互联网小组参与调查实验。参与者获得了关于12名虚构的初级保健医生的绩效数据，包括一组随机的患者叙事反馈。我们比较了那些重视床边态度并在实验中接触到叙述的参与者与那些重视床边态度但没有接触到叙述的参与者对临床医生的选择。我们估计多变量逻辑回归，以评估是否暴露于病人的意见，“破坏”刻板印象影响医生的选择。那些看到病人评论并且之前报告过关心床边态度的参与者选择女医生的几率比那些没有看到病人评论的参与者高67%，控制叙述本身的内容。当参与者接触到打破性别刻板印象的患者评论时，他们选择女性医生的几率降低了40%。简单地暴露于病人的叙述，不清楚地破坏性别陈规定型观念的可能性增加了选择女性临床医生的关注关系方面的护理。然而，当足够比例的患者评论的内容与刻板印象背道而驰时，即使是少数的叙述也足以扰乱性别期望并改变选择。
In this paper, we examine whether patient narratives alter the impact of stereotyping on choice of primary care clinicians: in this case, the common presumption that female doctors will be more attentive to empathic relationships with patients. 1052 individuals were selected from a nationally representative Internet panel to participate in a survey experiment. Participants were given performance data about 12 fictitious primary care physicians, including a randomized set of narrative feedback from patients. We compared the choice of clinician made by participants who value bedside manner and were exposed to narratives in the experiment, compared to those valuing bedside manner who had not had this exposure. We estimated multivariate logistic regressions to assess whether exposure to patient comments that “disrupt” stereotypes influenced choice of physicians. Participants who saw patient comments and had previously reported caring about bedside manner had a 67% higher odds of choosing a female physician than those participants that did not see a patient comments, controlling for the content of the narratives themselves. When participants were exposed to patient comments that disrupt gendered stereotypes, they had a 40% lower odds of choosing a female physician. Simple exposure to patient narratives that do not clearly disrupt gendered stereotypes increased the likelihood of choosing a female clinician by priming attention to relational aspects of care. However, when the content of a sufficient proportion of patient comments runs counter stereotypes, even a minority of narratives is sufficient to disrupt gendered-expectations and alter choices.
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