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General hospital psychiatry



The Tackling Inequalities and Discrimination Experiences in health Services (TIDES) study investigates how discrimination experienced by both patients and healthcare practitioners may generate and perpetuate inequalities in health service use. Using questionnaires and in-depth interviews, the study aims to (1) highlight ways in which healthcare practitioners can help reduce discrimination experiences and (2) develop an intervention framework to reduce discrimination in healthcare settings. The TIDES study is funded by the Wellcome Trust.

Why is the TIDES study important?

The TIDES study is important for understanding how differences in social status, such as gender, ethnicity, migration status and social class, can create barriers between patients, providers and healthcare systems. Both patients and healthcare practitioners may experience bias, stereotyping and discrimination. These experiences are likely to have an impact on healthcare practitioners’ job satisfaction and patients’ access to services and quality of treatment. Gaining healthcare practitioners’ perspectives on discrimination experiences will be vitally important for understanding why some patients may receive differential treatment or avoid using health services.  

What does the TIDES study involve?

The TIDES study will involve four interrelated projects.

  • Project 1 will use survey data and electronic health records to investigate inequalities in health service use.
  • Project 2 will use the findings from Project 1 to facilitate conversations with healthcare practitioners about both experiencing and witnessing discrimination to see what impact these experiences have on inequalities in health service use.
  • Project 3 will build on the findings from the first two projects to look at how healthcare practitioners interact with patients in virtual reality environments.
  • Project 4 will involve talking to a range of stakeholders including carers, service users, healthcare practitioners, community members and policy makers about the findings from Projects 1-3. Stakeholders will review evidence, set priorities and develop guidance for an intervention framework to tackle discrimination experiences and inequalities in health service use.

Public engagement

We have planned a number of public engagement events with the Health Inequalities Research Network (HERON) to showcase our findings. Planned events include a second HERON Conference, photography workshops exploring discrimination experiences, as well as research roadshows where we will be presenting findings at various public venues to engage directly with local communities.

Contact: Dr Stephani Hatch

Email: TIDES


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