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General practitioners' perspective on poverty: a qualitative study in Montreal, Canada
Christine Loignon1, Thomas Gottin1, Sophie Dupéré2
1Faculty of Medicine, Department of Family Medicine, Université de Sherbrooke, Sherbrooke, Canada.
Family Practice
|October 3, 2017
Summary
General practitioners (GPs) in Canada hold differing views on poverty. Most GPs recognize poverty
Area of Science:
- Sociology of Health
- Medical Education
- Public Health Policy
Background:
- Social inequalities in healthcare are a global issue.
- Physician prejudice towards impoverished patients contributes to healthcare disparities.
- Understanding general practitioners' (GPs) perceptions of poverty is crucial for addressing these disparities.
Purpose of the Study:
- To explore the perceptions of poverty among general practitioners (GPs) who regularly encounter it in their practice.
- To identify how these perceptions influence physician attitudes and patient care.
Main Methods:
- Qualitative study utilizing in-depth, semi-structured interviews with GPs in disadvantaged urban neighborhoods in Montreal, Canada.
- Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis with an inductive and iterative approach.
Main Results:
- Two distinct perceptions of poverty emerged: a global conception, focusing on social determinants (held by the majority), and a moral conception, emphasizing individual responsibility (held by a minority).
- These differing views highlight potential biases influencing physician-patient interactions and healthcare access.
Conclusions:
- GPs' moral judgments and misunderstandings regarding poverty indicate a need for enhanced medical training.
- Integrating the understanding of social determinants of health into medical education is essential for improving healthcare access for impoverished populations.
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