Evidence map›Paper›PMID 24942593›Full record

ArticleObesity (Silver Spring, Md.)2014

Prior doctor shopping resulting from differential treatment correlates with differences in current patient-provider relationships.

Kimberly A Gudzune, Wendy L Bennett, Lisa A Cooper, Jeanne M Clark, Sara N Bleich

Open access · greenAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact, top 78% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Weight bias and health care utilization: a scoping review.Primary health care research & development · 2019
    Article
  10. Characteristics of doctor-shoppers: a systematic literature review.Journal of market access & health policy · 2019
    Article
  11. Needs Assessment for Weight Management: The Learning Health System Network Experience.Mayo Clinic proceedings. Innovations, quality & outcomes · 2018
    Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Kimberly A GudzuneDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Wendy L Bennett
Lisa A Cooper
Jeanne M Clark
Sara N Bleich
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

TRAINING COREP50HL105187 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GOLDEN, SHERITA HILL · 2010 to 2014
$9.8M
Patient-Oriented Research in Cardiovascular DisparitiesK24HL083113 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2006 to 2015
$2.0M
Reducing obesity among public housing residents: an ecological approachK23HL116601 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GUDZUNE, KIMBERLY ANNE · 2013 to 2017
$778k
Racial Disparities in Physician Practice Patterns and Self-Management of ObesityK01HL096409 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BLEICH, SARA NAOMI · 2009 to 2013
$699k
Reducing Cardiovascular Risk in Women with Hypertension or Diabetes in PregnancyK23HL098476 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BENNETT, WENDY LYNET · 2010 to 2014
$697k
NHLBI NIH HHS K01 HL096409NHLBI NIH HHS K01HL096409NHLBI NIH HHS K23 HL098476NHLBI NIH HHS K23HL098476NHLBI NIH HHS K23 HL116601NHLBI NIH HHS K23HL116601NHLBI NIH HHS K24 HL083113NHLBI NIH HHS K24HL083113NHLBI NIH HHS P50HL0105187NHLBI NIH HHS P50 HL105187
6 · The paper itself

Abstract

objectiveTo determine the prevalence of doctor shopping resulting from differential treatment and to examine associations between this shopping and current primary care relationships.

methodsIn 2012, a national internet-based survey of 600 adults receiving primary care in the past year with a BMI ≥ 25 kg/m(2) was conducted. Our independent variable was "switching doctors because I felt treated differently because of my weight." Logistic regression models to examine the association of prior doctor shopping with characteristics of current primary care relationships: duration, trust in primary care provider (PCP), and perceived PCP weight-related judgment, adjusted for patient factors were used.

resultsOverall, 13% of adults with overweight/obesity reported previously doctor shopping resulting from differential treatment. Prior shoppers were more likely to report shorter durations of their current relationships [73% vs. 52%; p = 0.01] or perceive that their current PCP judged them because of their weight [74% vs. 11%; p < 0.01] than nonshoppers. No significant differences in reporting high trust in current PCPs were found.

conclusionsA subset of patients with overweight/obesity doctor shop resulting from perceived differential treatment. These prior negative experiences have no association with trust in current relationships, but our results suggest that patients may remain sensitive to provider weight bias.

Indexed as

Choice BehaviorContinuity of Patient CareProfessional-Patient RelationsAdultBody Mass IndexCross-Sectional StudiesFemaleHumansMaleMiddle AgedObesityOverweightRisk Assessment

Identifiers

PMID24942593
PMCPMC4149586
OpenAlexW2150307214

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.