A Comprehensive Assessment of Family Physician Gender and Quality of Care: A Cross-Sectional Analysis in Ontario, Canada

Medical Care
Simone DahrougeJay Mercer

Abstract

Studies evaluating primary care quality across physician gender are limited to primary and secondary prevention. Investigate the relationship between family physician gender and quality of primary care using indicators that cover 5 key dimensions of primary care. Cross-sectional analysis using linked health administrative datasets (April 1, 2008 to March 31, 2010). All family physicians working in the 3 main primary care models in the province of Ontario (Canada), providing general care and having a panel size >1200. Indicators of cancer screening (3), chronic disease management (9), continuity (2), comprehensiveness (2), and access (5). A total of 4195 physicians (31% female) were eligible. Adjusting for provider and patient factors, patients of female physicians were more likely to have received recommended cancer screening (odds ratios [95% confidence interval (CI)] (OR) range: 1.24 [1.18-1.30], 1.85 [1.78-1.92]) and diabetes management (OR: 1.04 [1.01-1.08], 1.28 [1.05-1.57]). They had fewer emergency room visits (rate ratio [95% CI] (RR) range: 0.83 [0.79-0.87]) and hospitalizations (RR: 0.89 [0.86-0.93]), and higher referrals (RR: 1.12 [1.09-1.14]). There was evidence of effect modification by patient gender (female vs. m...Continue Reading

References

Dec 1, 1988·Journal of Health and Social Behavior·S C MartinR M Parker
Aug 1, 1993·Cancer·R Harris, L Leininger
Apr 1, 1997·Journal of Women's Health·S D CassardT L Johnson
Dec 19, 2000·Journal of General Internal Medicine·J SchmittdielC P Quesenberry
Aug 10, 2002·JAMA : the Journal of the American Medical Association·Debra L RoterYutaka Aoki
Mar 18, 2003·Journal of Women's Health·Peter Franks, Klea D Bertakis
Mar 16, 2004·Annual Review of Public Health·Debra L Roter, Judith A Hall
Sep 24, 2004·Annals of Internal Medicine·Wendy Levinson, Nicole Lurie
Jun 29, 2005·Diabetes Care·Catherine KimWilliam H Herman
Aug 10, 2005·Archives of Internal Medicine·John D PietteEve A Kerr
Aug 27, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Emily M Lambert, Eric S Holmboe
Jan 24, 2006·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Teresa ToMarjan Tassoudji
May 22, 2007·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Mohammad M AghaAstrid Guttmann
Jul 17, 2007·Preventive Medicine·Jennifer O'LoughlinIgor Karp
Apr 10, 2008·Journal of Internal Medicine·H K BertholdW Krone
Sep 23, 2008·Journal of Hypertension·Gunilla JournathUNKNOWN Hyper-Q Study Group, Sweden
Apr 14, 2009·Journal of Women's Health·Klea D BertakisRonald M Epstein
May 27, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Richard H GlazierLyn M Sibley
May 8, 2010·Blood Pressure·Gunilla JournathUNKNOWN Hyper-Q and Eko Study Groups, Sweden
Sep 15, 2010·Archives of Internal Medicine·Rachel O ReidAteev Mehrotra
Feb 2, 2011·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·François EisingerJean-François Morère
Nov 17, 2011·Journal of the American Board of Family Medicine : JABFM·Howard K RabinowitzAbbie J Santana
Dec 7, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Simone DahrougeJohn Fletcher
Jul 10, 2012·Patient Education and Counseling·Deborah E JonesLisa A Cooper
Mar 9, 2013·Journal of the American Board of Family Medicine : JABFM·Anthony JerantPeter Franks
Jul 31, 2013·Journal of Health Services Research & Policy·Laura JeffersonMartin Bland
Jun 10, 2014·Canadian Journal of Diabetes·Tara KiranRichard H Glazier

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Citations

Jun 22, 2018·Primary Health Care Research & Development·Alessandra BujaGianfranco Damiani
Apr 11, 2018·Regional Anesthesia and Pain Medicine·Tina L Doshi, Mark C Bicket
Feb 5, 2019·Journal of Occupational Rehabilitation·Shannon E GrayAlex Collie
Apr 17, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Tanya K MeyerAnne Starks Acosta
Jun 3, 2018·Critical Care Nurse·JoAnn Grif Alspach
May 15, 2020·Journal of Women's Health·Sarah E Nocco, Allison R Larson
Aug 4, 2020·Health Affairs·Alex K GertnerMarisa Elena Domino
Apr 16, 2020·Journal of General Internal Medicine·Jeffrey L JacksonCecilia Scholcoff
Jul 15, 2017·Evaluation & the Health Professions·Leslie A HoffmanRichard M Frankel
Jun 9, 2018·Implementation Science : IS·Heather ArmsonSharon E Straus
Mar 4, 2021·Pharmacological Reviews·Franck Mauvais-JarvisJoshua B Rubin
Dec 29, 2020·Gastrointestinal Endoscopy·Pascale AngladeSawsan Abdel-Razig
May 2, 2018·The Journal of the American Osteopathic Association·Maureen E BashaHelen H Baker
Nov 25, 2020·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Mingliang DaiRobert L Phillips
Sep 14, 2021·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Sarah PowerRonit Agid

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