An Exploration of Clinician Perceptions of Patient Economic Status and Plan of Care: A Codman Card Study
Materials and Methods
This study was conducted using 12 first year medical students at Dartmouth Medical School. Access to 12 Upper Valley clinicians was granted though the DMS-On Doctoring Course, where they spent an afternoon with a local preceptor during a week in mid-December. At this time, Codman cards were used to collect information about individual patient encounters to include:
Age, sex, primary care clinician, type of visit, source of payment, diagnosis, number of medications taken, clinician’s knowledge of the patient, their perception of the patient’s economic status, how they came to that conclusion, whether participating in this study influenced their decisions, and if the clinician’s perception of the patient’s economic situation today altered plan of care, and if so how.
The Fisher’s Exact Test (online calculator: graphpad.com) was utilized to compute independence at a 0.05 significance level. The null hypothesis was rejected for all values less than 0.05. Four independence tests were ran comprising of: (1) source of payment vs. care handling; (2) perceived socioeconomic status vs. care handling, (3) visit-type vs. care handling; and (4) perceived socioeconomic status vs. source of payment.
Click on any of the sections below to view more of the Codman Card Study.
Background
Purpose
Materials and Methods
Patient Population
Results
Discussions and Conclusion
Future Research
Works Cited
Preceptors in Participating Clinics
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