General practitioners can evaluate the material, social and health dimensions of patient social status.
OBJECTIVE
To identify which physician and patient characteristics are associated with physicians' estimation of their patient social status.


METHODS
Cross-sectional multicentric survey.


METHODS
Fourty-seven primary care private offices in Western Switzerland.


METHODS
Random sample of 2030 patients ≥ 16, who encountered a general practitioner (GP) between September 2010 and February 2011.


METHODS



METHODS
patient social status perceived by GPs, using the MacArthur Scale of Subjective Social Status, ranging from the bottom (0) to the top (10) of the social scale.Secondary outcome: Difference between GP's evaluation and patient's own evaluation of their social status. Potential patient correlates: material and social deprivation using the DiPCare-Q, health status using the EQ-5D, sources of income, and level of education. GP characteristics: opinion regarding patients' deprivation and its influence on health and care.


RESULTS
To evaluate patient social status, GPs considered the material, social, and health aspects of deprivation, along with education level, and amount and type of income. GPs declaring a frequent reflexive consideration of their own prejudice towards deprived patients, gave a higher estimation of patients' social status (+1.0, p = 0.002). Choosing a less costly treatment for deprived patients was associated with a lower estimation (-0.7, p = 0.002). GP's evaluation of patient social status was 0.5 point higher than the patient's own estimate (p<0.0001).


CONCLUSIONS
GPs can perceive the various dimensions of patient social status, although heterogeneously, according partly to their own characteristics. Compared to patients' own evaluation, GPs overestimate patient social status.
Department of General Practice, University Joseph Fourier, Grenoble, France.
Sophia
S
Chatelard
Vulnerable Population Unit, Department of Ambulatory Care and Community Medicine, University of Lausanne, Lausanne, Switzerland.
Patrick
P
Bodenmann
Vulnerable Population Unit, Department of Ambulatory Care and Community Medicine, University of Lausanne, Lausanne, Switzerland ; Department of Community Medicine and Primary Care, Geneva University Hospitals, Geneva, Switzerland.
Paul
P
Vaucher
Institute of General Practice, University of Lausanne, Lausanne, Switzerland.
Lilli
L
Herzig
Institute of General Practice, University of Lausanne, Lausanne, Switzerland.
Thomas
T
Bischoff
Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Lausanne, Switzerland.
Bernard
B
Burnand
D000328:Adult; D000368:Aged; D005260:Female; D058005:General Practitioners; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D012923:Social Class; D013557:Switzerland