Evidence map›Paper›PMID 33546681›Full record

Trial reportBMC health services research2021

Physicians' attitudes to disability pension - impact of diagnosis: an experimental study.

Ashley McAllister, Allison Milner, Monika Engblom, Patrick Corrigan, Bo Burström

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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 3 countries.

Ashley McAllisterDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden. ashley.mcallister@unimelb.edu.au.ORCID http://orcid.org/0000-0003-1857-8882
Allison MilnerMelbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Monika EngblomDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Patrick CorriganDepartment of Psychology, Illinois Institute of Technology, Chicago, USA.
Bo BurströmDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SEThe University of Melbourne · AUIllinois Institute of Technology · US

Funding

Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2017-01998
6 · The paper itself

Abstract

backgroundThe purpose of this study is to increase understanding of physicians' attitudes towards disability pension applicants, and the impact of diagnosis. We hypothesize that physicians are more likely to think that patients with physical illnesses should get a disability pension than those with mental illness or alcohol dependence. Disability pension is an important source of income for those unable to work because of a disability and type of diagnosis should not impact accessing these benefits.

methodsWe conducted an experiment with a 2 by 3 factorial structure in Sweden. Each physician was randomly assigned one of six patient vignettes, with the same background description but with a different diagnosis. Each vignette had a diagnosis of either depression, alcohol dependence or low back pain, and was about a man or a woman. Logistic regression was used to examine the odds of a physician reporting that a patient should get a disability pension. Effects are reported in terms of odds ratios (ORs).

results1414 Swedish registered physicians in psychiatry or general practice (24% response rate) completed the survey. Physicians assigned the alcohol dependent vignette had OR 0.45 (95% CI: 0.34 to 0.60) for perceiving that a patient should get a disability pension compared to physicians assigned the low back pain vignette. Physicians assigned the depression vignette had OR 1.89 (95% CI: 1.42 to 2.50) for perceiving that a patient should get a disability pension compared to physicians assigned the low back pain vignette.

conclusionThe patient diagnosis was associated with the physicians' response regarding if the patient should get a disability pension. A physician's perception is likely to impact a patient's access to disability pension.

Indexed as

Persons with DisabilitiesPhysiciansAttitudeFemaleHumansMalePensionsSwedenAlcohol: depression: diagnosisDisability income supportMental health: stigmaSweden

Identifiers

PMID33546681
PMCPMC7863496
OpenAlexW3129169554

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.