In a study of 574 low-income adults, many felt stigmatized when receiving medical care. This stigma was most often the result of interactions with clinicians that felt demeaning, rather than an internalized sense of shame related to receiving public insurance or charity care.
Experiencing stigma was associated with unmet health needs, poorer perceptions of quality of care, and worse self-reported health.
"Feeling judged by providers was associated with higher reports of unmet physical and mental health needs and declining health, even though people who reported stigma were on average using as much care as those who didn't share this experience," said Dr. Heidi Allen, lead author of the Milbank Quarterly study. "Medicaid or poverty-related stigma can be thought of as a barrier to accessing quality health care, dampening the effect of the resources invested in getting people insured through Medicaid expansions."
Explore further: Class and insurance stigma are barriers to good health care
More information: ALLEN, H., WRIGHT, B. J., HARDING, K. and BROFFMAN, L. (2014), The Role of Stigma in Access to Health Care for the Poor. Milbank Quarterly, 92: 289–318. DOI: 10.1111/1468-0009.12059
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In a study of 574 low-income adults, many felt stigmatized when receiving medical care. This stigma was most often the result of interactions with clinicians that felt demeaning, rather than an internalized sense of shame related to receiving public insurance or charity care.
Experiencing stigma was associated with unmet health needs, poorer perceptions of quality of care, and worse self-reported health.
"Feeling judged by providers was associated with higher reports of unmet physical and mental health needs and declining health, even though people who reported stigma were on average using as much care as those who didn't share this experience," said Dr. Heidi Allen, lead author of the Milbank Quarterly study. "Medicaid or poverty-related stigma can be thought of as a barrier to accessing quality health care, dampening the effect of the resources invested in getting people insured through Medicaid expansions."
Explore further: Class and insurance stigma are barriers to good health care
More information: ALLEN, H., WRIGHT, B. J., HARDING, K. and BROFFMAN, L. (2014), The Role of Stigma in Access to Health Care for the Poor. Milbank Quarterly, 92: 289–318. DOI: 10.1111/1468-0009.12059
Medical Xpress on facebook
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Class and insurance stigma are barriers to good health care
Jun 20, 2014
Some low-income, uninsured and Medicaid patients report feeling stigma when interacting with health care providers, finds a new report in The Milbank Quarterly.
Stigma 'key deterrent' in accessing mental health care
Feb 25, 2014
Mental health stigma is a key factor preventing people from accessing the care they need, according to new research from King's College London.
Stigma as a barrier to mental health care
Sep 05, 2014
Over 60 million Americans are thought to experience mental illness in a given year, and the impacts of mental illness are undoubtedly felt by millions more in the form of family members, friends, and coworkers. ...
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18 million people—have difficulty or get help with daily activities, according to a new study.
Soldiers' use of mental health services up, stigma down, study finds
Jul 18, 2014
(HealthDay)—As war raged in Iraq and Afghanistan, U.S. soldiers almost doubled their use of mental health services—and they felt more comfortable seeking such treatment, according to new research.
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6 hours ago
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Every morning, food samples are laid out on a long table at a pristine laboratory run by a German firm in Singapore—but they're not meant for chefs or gourmets.
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Researcher measures frailty in intensive care units
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