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Medical decision making among patients with heart failure - does migration background matter?


ABSTRACT: BACKGROUND:Some studies, mainly coming from the U.S., indicate disparities in heart failure (HF) treatment according to migration/ethnicity. However, respective results are inconsistent and cannot be transferred to other health care systems. Thus, we will address the following research question: Are there differences in the diagnosis and management of HF between patients with and without a Turkish migration background in Germany? METHODS:A factorial experimental design with video vignettes was applied. In the filmed simulated initial encounters, professional actors played patients, who consulted a primary care physician because of typical HF symptoms. While the dialog was identical in all videos, patients differed in terms of Turkish migration history (no/yes), sex (male/female), and age (55?years/75?years). After viewing the video, primary care physicians (N =?128) were asked standardized and open ended questions concerning their decisions on diagnosis and therapy. RESULTS:Analyses revealed no statistically significant differences (p 

SUBMITTER: von dem Knesebeck O 

PROVIDER: S-EPMC7488718 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Medical decision making among patients with heart failure - does migration background matter?

von dem Knesebeck Olaf O   Scherer Martin M   Marx Gabriella G   Koens Sarah S  

BMC family practice 20200913 1


<h4>Background</h4>Some studies, mainly coming from the U.S., indicate disparities in heart failure (HF) treatment according to migration/ethnicity. However, respective results are inconsistent and cannot be transferred to other health care systems. Thus, we will address the following research question: Are there differences in the diagnosis and management of HF between patients with and without a Turkish migration background in Germany?<h4>Methods</h4>A factorial experimental design with video  ...[more]

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