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Variation de prise en charge des patients : discrimination dans les soins et/ou charge de travail élevée

Abstract : The French studies about discrimination in medical settings are focused on the general practitioners’ refusal to provide care depending on the patient’ insurance cover. Anglo-Saxon research examines the differences in care according to the patient’s ethnicity. Burgess (2010) suggests that discriminations in healthcare settings may happen more frequently when health care providers are put under high levels of cognitive load. Research in the fields of occupational psychology and ergonomics indicates that in cases of work overload, workers change their activity. Behavior described as discriminatory might result from regulation mechanisms of work overload regulation mechanisms. Two waves of interviews with healthcare providers (N = 22 for the first time and N = 6 for the second time) point to a link between discrimination and workload. Observations conducted in hospital settings and associated with a questionnaire as well as the NASA-TLX (N = 121) have shown that discriminations in a medical environment are limited. They are only related to the interpersonal aspect of care: medical acts (examination, care) are properly completed. The variations in the healthcare providers’ behavior occur when dealing with stigmatized patients and patients who are difficult to manage.
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Sandrine Schoenenberger. Variation de prise en charge des patients : discrimination dans les soins et/ou charge de travail élevée. Psychologie. Université de Lorraine, 2012. Français. ⟨NNT : 2012LORR0419⟩. ⟨tel-01754507⟩



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