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A conceptual framework for understanding iatrophobia.

Mara A G Hollander1, Michele G Greene2

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Iatrophobia, the fear of doctors and medical care, is common and impacts health-seeking behaviors. This study proposes a framework to understand its causes and recommends research to address this fear and improve patient outcomes.

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Area of Science:

  • Psychology
  • Medical Sociology
  • Health Services Research

Background:

  • Iatrophobia, the fear of medical care, is prevalent and negatively affects patient behaviors.
  • Existing literature often overlooks the complex origins of iatrophobia.

Purpose of the Study:

  • To establish a conceptual framework for understanding iatrophobia.
  • To categorize the diverse sources of fear contributing to iatrophobia.
  • To propose a research agenda for investigating iatrophobia's impact on healthcare access and outcomes.

Main Methods:

  • Development of a conceptual framework for iatrophobia.
  • Categorization of fear determinants into three primary domains.
  • Identification of research priorities for understanding and mitigating iatrophobia.

Main Results:

  • Iatrophobia determinants include fear of illness/exams, physician reaction, and care barriers.
  • These factors range from individual to systemic influences within the physician-patient relationship.
  • A three-domain categorization of iatrophobia is proposed.

Conclusions:

  • Iatrophobia is a multifaceted phenomenon categorized into three primary domains.
  • Further research is crucial to understand its prevalence, coping mechanisms, and impact on patient outcomes.
  • Addressing iatrophobia is essential for contextualizing barriers to care.