Evidence map›Paper›PMID 25487069›Full record

ArticleHealth services research2015

Does a Physician's Attitude toward a Patient with Mental Illness Affect Clinical Management of Diabetes? Results from a Mixed-Method Study.

Lisa C Welch, Heather J Litman, Christina P C Borba, Brenda Vincenzi, David C Henderson

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Unconscious Bias among Health Professionals: A Scoping Review.International journal of environmental research and public health · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. Quality of diabetes care among patients with schizophrenia. A mixed-methods study.Exploratory research in clinical and social pharmacy · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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 3 institutions in 1 country.

Lisa C WelchTufts Clinical and Translational Science Institute, Tufts Medical Center, Boston, MA.
Heather J LitmanClinical Research Center, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA.
Christina P C BorbaSchizophrenia Clinical and Research Program, Massachusetts General Hospital, Boston, MA.
Brenda VincenziSchizophrenia Clinical and Research Program, Massachusetts General Hospital, Boston, MA.
David C HendersonSchizophrenia Clinical and Research Program, Massachusetts General Hospital, Boston, MA.
Massachusetts General Hospital · USBoston Children's Hospital · USTufts Medical Center · US

Funding

How Does a Psychiatric Comorbidity (Schizophrenia) Affect the Management of DiabeR01MH081824 · NIMH · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, JOHN B · 2009 to 2012
$2.0M
Epidemiological and socio-cultural landscape of schizophrenia in rural EthiopiaK01MH100428 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BORBA, CHRISTINA PAULA CABRAL · 2014 to 2018
$903k
NIMH NIH HHS K01 MH100428NIMH NIH HHS R01 MH081824NIMH NIH HHS R01MH081824
6 · The paper itself

Abstract

objectiveTo determine whether physician's attitudes toward patients with comorbid mental illness affect management of a chronic disease. DATA SOURCE: A total of 256 primary care physicians interviewed in 2010. STUDY

designThis randomized factorial experiment entailed physicians observing video vignettes of patient-actors with poorly controlled diabetes. Patients were balanced across age, gender, race, and comorbidity (schizophrenia with bizarre or normal affect, depression, eczema). DATA COLLECTION: Physicians completed structured and semistructured interviews plus chart notes about clinical management and attitudes. PRINCIPAL

findingsPhysicians reported more negative attitudes for patients with schizophrenia with bizarre affect (SBA). There were few differences in clinical decisions measured quantitatively or in charting, but qualitative data revealed less trust of patients with SBA as reporters, with more reliance on sources other than engaging the patient in care. Physicians often alerted colleagues about SBA, thereby shaping expectations before interactions occurred.

conclusionsResults are consistent with common stereotypes about people with serious mental illness. Vignettes did not include intentional indication of unreliable reporting or danger. Reducing health care disparities requires attention to subtle aspects of managing patients--particularly those with atypical affect--as seemingly slight differences could engender disparate patient experiences over time.

Indexed as

Attitude of Health PersonnelAdultAgedComorbidityDecision MakingDiabetes MellitusFemaleHumansInterviews as TopicMaleMental DisordersMiddle AgedPatient SimulationPhysicians, Primary CareClinical decision makingdiabetesmental illnessstigma

Identifiers

PMID25487069
PMCPMC4545344
OpenAlexW2172108009

What OpenQuestion holds

Textmetadata
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.