Is the therapeutic judgment influenced by the patient's socioeconomic status? A factorial vignette survey

Esben Elholm Madsen, Anne-Le Morville, Anette Enemark Larsen, Tina Hansen

    Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review



    Abstract: Background In Denmark patients are entitled to rehabilitation regardless of socio-economic status (SES). During this process therapists have to balance cost effectiveness with providing equal treatment. Aim To investigate whether occupational therapists and physiotherapists were influenced by the patient’s SES. Material and method An experimental factorial vignette survey was used. Four different vignettes describing fictitious patient cases with different SES variables were randomly allocated to therapists working in somatic hospitals. Thereafter, the therapists judged specific clinical situations and general attitudes in relation to the patient’s SES. Chi-square was used to test the statistical association between the variables. Results No statistically significant associations were found between the specific clinical situations and the patient’s SES. A statistical significant association was found between general attitudes and the patient’s SES. Subgroup analysis revealed a statistically significant association between the therapist’s gender, age, and the therapeutic judgement in relation to SES. Conclusion In the specific clinical situations, Danish therapists seem to maintain their professional ethical principles, although they might face ethical dilemmas during their clinical decision-making. In order to prevent and resolve these dilemmas, they have to be made explicit. However, further research on how SES influences the health care professional’s judgement is warranted.
    TidsskriftScandinavian Journal of Occupational Therapy
    Udgave nummer4
    Sider (fra-til)243-252
    Antal sider9
    StatusUdgivet - 2016


    • ergoterapi