Table 3.
Responses to vignette diagnosis and management questions by patient ethnicity
| Cardiovascular disease vignette | NZ European patient (n = 142) | Māori patient (n = 140) |
Mean difference | p-value |
| Vignette questions | mean (95% CI) | mean (95% CI) | NZE - Māori (95% CI) | |
| Please assess the likelihood that Mr. [Wiremu’s/Williams’] pain is due to coronary artery diseasea | 3.59 (3.41, 3.76) | 3.61 (3.44, 3.77) | − 0.02 (− 0.26, 0.22) | 0.874 |
| Using the information available, what would your recommendation be regarding thrombolysis for Mr. [Wiremu/Williams] when you discuss this case with your consultant?b | 3.26 (3.08, 3.43) | 3.25 (3.09, 3.41) | 0.01 (− 0.23, 0.24) | 0.966 |
| If Mr. [Wiremu/Williams] refuses thrombolysis, how would you describe your subsequent management regarding thrombolysis?c | 3.74 (3.61, 3.87) | 3.59 (3.43, 3.76) | 0.15 (− 0.07, 0.36) | 0.176 |
| Depression vignette | NZ European patient (n = 142) | Māori patient (n = 138) |
Mean difference | p-value |
| Vignette questions | mean (95% CI) | mean (95% CI) | NZE - Māori (95% CI) | |
| Please assess the likelihood that Mr. [Tipene/Stephens’s] symptoms are due to depressiona | 3.89 (3.77, 4.00) | 3.74 (3.61, 3.87) | 0.15 (−0.03, 0.32) | 0.096 |
| Based on the information you have, how would you rate the severity of Mr. [Tipene/Stephens’s] symptoms?d | 2.80 (2.72, 2.87) | 2.88 (2.79, 2.96) | −0.08 (− 0.19, 0.03) | 0.146 |
| What initial management approach would you recommend? (options ranked from 1 to 5)e | ||||
| Encourage self-help strategiesf | 1.36 (1.20, 1.52) | 1.36 (1.19, 1.52) | − 0.01 (− 0.23, 0.22) | 0.955 |
| Refer to social support and counselling services | 3.28 (3.12, 3.44) | 2.99 (2.83, 3.16) | − 0.29 (− 0.52, − 0.06) | 0.012 |
| Recommend anti-depressant treatment | 2.73 (2.57, 2.89) | 3.01 (2.84, 3.17) | 0.28 (0.05, 0.50) | 0.017 |
| Refer to primary care brief intervention serviceg | 3.06 (2.90, 3.22) | 3.01 (2.84, 3.17) | −0.06 (− 0.28, 0.17) | 0.626 |
| Commence anti-depressant and refer to specialist mental health services | 4.56 (4.40, 4.72) | 4.64 (4.48, 4.80) | 0.08 (−0.15, 0.31) | 0.505 |
| Please rate the likelihood that Mr. [Tipene/Stephens] will benefit from your selected initial management approachh | 3.68 (3.56, 3.80) | 3.64 (3.52, 3.77) | 0.04 (− 0.14, 0.21) | 0.684 |
aResponse options (1 = very unlikely (< 20%), 2 = somewhat unlikely (20–40%), 3 = as likely as not (41–59%), 4 = somewhat likely (60–80%), 5 = very likely (> 80%))
bResponse options reverse scored so (1 = would definitely NOT recommend thrombolysis, 2 = would probably NOT recommend thrombolysis, 3 = not sure, 4 = would probably recommend thrombolysis, 5 = would definitely recommend thrombolysis)
cResponse options (1 = I would not try to persuade him any further to 5 = I would try very hard to persuade him)
dResponse options (1 = none-slight, 2 = mild, 3 = moderate, 4 = severe)
e(mean rank, mean rank difference (NZE-Māori)
f(such as exercise, sleeping well, stress reduction, problem solving)
g(approximately 5 sessions of psychological therapy)
hResponse options (1 = very unlikely, 2 = somewhat unlikely, 3 = as likely as not, 4 = somewhat likely, 5 = very likely)