An Exploration of Clinician Perceptions of Patient Economic Status and Plan of Care: A Codman Card Study
Results
- The clinicians based their perception of their patients’ socioeconomic status on:
73% ( n= 36) Prior awareness of the patients’ socioeconomic status
33% (n = 16) Employment status
29% (n = 14) Asking
24% (n = 12) Attire/Appearance
8% (n = 4) No assessment made
6% (n = 3) Age
2% (n = 1) Billing sheet
- Out of all of the patient encounters observed, only 12.2% (n = 6) of the encounters resulted in a change in plan of care . Only 4 – 33.33% – clinicians changed their plan of care.
- If a clinician changed her/his plan of care based on perception of socioeconomic status, the key formative factors for that perception were:
67% (n = 4) Asking
50% (n = 3) Clinician awareness of situation
50% (n = 3) Employment status
17% (n = 1) Attire/Appearance
- No (n = 0) clinician felt that their participation in this study explicitly influenced their treatment plan decisions
- There was a significant (p = 0.0232) difference between visit-type (Acute vs. Non-Acute) and care handling (not shown).
- There was a significant (p = 0.0004) difference between perceived socioeconomic status and source of payment (not shown).
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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