The Prestige of Somatic and Mental Disorders: A Survey Among Health Professionals and a Representative General Population Sample

Pettersen, Gunn; Rosenvinge, Jan H.; Olstad, Reidun

doi:10.2174/1874946100902010023

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…De oppsummerte erfaringene peker også på utfordringer med å kunne utvikle en volumkompetanse. Noen studier kan peke i retning av at helsepersonell både nedprioriterer og har negative holdninger til pasientgruppen (27)(28)(29), men konsekvensene for klinisk praksis er diskutable (30). Med forbehold om mulig selvseleksjon av leger med positive holdninger til pasientgruppen kan resultatene snarere gi et inntrykk av ønsker om å yte bedre proaktive og forebyggende tjenester, mer samarbeid med og konsultativ virksomhet fra spesialisthelsetjenesten, å kunne sette av ekstra tid til hver konsultasjon og å ivareta pasienten over lang tid.…”

Section: Fortolkningunclassified

Allmennlegers erfaringer med pasienter med spiseforstyrrelser

Aalmen¹,

Rosenvinge²,

Holund³

et al. 2020

Tidsskriftet

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Section: Fortolkningunclassified

Allmennlegers erfaringer med pasienter med spiseforstyrrelser

Aalmen¹,

Rosenvinge²,

Holund³

et al. 2020

Tidsskriftet

Self Cite

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“…In general, categories of disease more common in young patients 14,15 ; those allowing for greater demonstration of "power" (e.g., specialist vs. general practitioner) 14 ; those whose treatments do not yield helplessness or dis gurement, 15 and; those that can be resolved or cured, 16 particularly via innovative or advanced technological or surgical interventions 14,17,18 are apportioned greater respect. Lower prestige is conferred on delocalized diseases -that is, those not con ned to a particular location in the body.…”

Section: Introductionmentioning

confidence: 99%

“…Lower prestige is conferred on delocalized diseases -that is, those not con ned to a particular location in the body. 14 In their study, exploring prestige rankings for somatic and mental disorders among health professionals and the general population, Pettersen et al 18 concluded that disorders attributed to imperfect lifestyle choices (rightfully or wrongfully) were allocated less prestige.…”

Section: Introductionmentioning

confidence: 99%

High turnover in clinical dietetics: A qualitative analysis

Hewko

Oyesegun

Clow

et al. 2020

Preprint

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Background: Relationships between dietitians and other healthcare providers can impact the degree to which patient care is collaborative; inefficient communication can lead to suboptimal care. It takes time for multidisciplinary team members to build collaborative, trusting relationships. For this reason, frequent dietitian turnover (or “churn”) is of concern. Consequences include fewer referrals to clinical dietetic services and limited provider continuity. The characteristics of clinical dietetic jobs associated with churn have not been identified. The principal investigator’s professional experience and a review of the literature led us to predict that managers would identify disease prestige as having an impact on churn. In this article, we report the qualitative results of a multi-method study that we conducted to explore: 1) characteristics of clinical dietetic jobs in the public sector associated with the most churn, and 2) consequences of churn on patients and managers of clinical dietitians. Methods: We conducted semi-structured interviews with ten managers of clinical dietitians in the Canadian public health care system. We conducted a thematic analysis that was both inductive and deductive. Results: We identified four themes: i) Avoidable factors that contribute to churn often reflect intersecting human resource management issues; ii) Unavoidable factors that contribute to church frequently result from a decision made by the departing dietitian; iii) High churn in select positions has a disproportionately negative impact on patients served by dietitians in those high churn positions, and iv) Consequences of churn can be long-lasting and result in less efficient dietetic practice and reduced access to medical nutrition therapy. As predicted, prestige was perceived as playing a role in triggering dietitian turnover – however, prestige was more commonly attributed to employment in a respected institution than to providing treatment for a particular disease or condition. Conclusions: Managers of publicly-employed dietitians identified many factors as contributing to churn. Managers observed churn resulting in low provider continuity and limiting patient access to dietitians. More research is needed to better understand factors contributing to churn among Canadian clinical dietitians.Trial Registration: Not applicable.

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Do nurses rate diseases according to prestige? A survey study

Johannessen

Rasmussen

2020

Journal of Advanced Nursing

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AimsTo see whether nurses rate diseases according to prestige and, if so, how their ratings compare to the disease prestige hierarchy previously uncovered among physicians.DesignCross‐sectional survey.MethodsIn 2014, 122 nurses in a continuing education programme for healthcare personnel in Norway rated a sample of 38 diseases according to how prestigious they see these as being among healthcare workers in general.ResultsThe nurses were found to rank myocardial infarction, leukaemia, and brain stroke at the top of the prestige hierarchy and depressive neurosis, anxiety neurosis, and fibromyalgia at the bottom. Their rankings overlap significantly with those previously documented for physicians and suggest that nurses assess the diseases through a ‘cure’ rather than a ‘care’ perspective on health care.ConclusionThe nurses ordered diseases in a prestige hierarchy and their rankings are strikingly like those of physicians. The findings are of significant relevance to nursing practice and set a new course for future research into prestige and nursing culture.ImpactThe findings should encourage nurses – individually and collectively – to reflect on whether and how notions of disease prestige influence their decision‐making. By showing that nurses as well as physicians are able to rate diseases according to prestige, the study suggests new avenues for future disease prestige research.

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The Prestige of Somatic and Mental Disorders: A Survey Among Health Professionals and a Representative General Population Sample

Cited by 3 publications

References 8 publications

Allmennlegers erfaringer med pasienter med spiseforstyrrelser

Allmennlegers erfaringer med pasienter med spiseforstyrrelser

High turnover in clinical dietetics: A qualitative analysis

Do nurses rate diseases according to prestige? A survey study

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