title: Prior doctor shopping resulting from differential treatment correlates with differences in current patient-provider relationships.
abstract: OBJECTIVE
  To determine the prevalence of doctor shopping resulting from differential treatment and to examine associations between this shopping and current primary care relationships.
  
  
  METHODS
  In 2012, a national internet-based survey of 600 adults receiving primary care in the past year with a BMI ≥ 25 kg/m(2) was conducted. Our independent variable was "switching doctors because I felt treated differently because of my weight." Logistic regression models to examine the association of prior doctor shopping with characteristics of current primary care relationships: duration, trust in primary care provider (PCP), and perceived PCP weight-related judgment, adjusted for patient factors were used.
  
  
  RESULTS
  Overall, 13% of adults with overweight/obesity reported previously doctor shopping resulting from differential treatment. Prior shoppers were more likely to report shorter durations of their current relationships [73% vs. 52%; p = 0.01] or perceive that their current PCP judged them because of their weight [74% vs. 11%; p < 0.01] than nonshoppers. No significant differences in reporting high trust in current PCPs were found.
  
  
  CONCLUSIONS
  A subset of patients with overweight/obesity doctor shop resulting from perceived differential treatment. These prior negative experiences have no association with trust in current relationships, but our results suggest that patients may remain sensitive to provider weight bias.
authors.affiliation: Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Gudzune
authors.forename: Wendy L
authors.initials: WL
authors.lastname: Bennett
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Cooper
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Clark
authors.forename: Sara N
authors.initials: SN
authors.lastname: Bleich
mesh_terms: D000328:Adult; D015992:Body Mass Index; D002755:Choice Behavior; D003266:Continuity of Patient Care; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000628:therapy*; D050177:Overweight / Q000628:therapy*; D011369:Professional-Patient Relations; D018570:Risk Assessment