Gender differences in the practice of adult primary care physicians

Journal of Women's Health
Ann K Boulis, Judith A Long

Abstract

This study investigates how physician gender affects reactions to six model patients. Telephone interviews with 3205 internists and family or general physicians were completed between 1996 and 1997 for the Community Tracking Study. Physicians responded to six vignettes describing model patients with presentations designed to have multiple appropriate treatment plans: a 50-year-old man with a 1-month history of exertional chest pain who may need a referral to a cardiologist, a 60-year-old man with a normal digital rectal examination (DRE) who may benefit from a prostate-specific antigen (PSA) test, a 40-year-old married woman with vaginal itching and discharge who may benefit from an office visit, a 60-year-old man with symptoms of benign prostatic hypertrophy (BPH) who may benefit from a urological consultation, a 35-year-old man with back pain and a new left footdrop who may benefit from an MRI, and a 50-year-old man with elevated cholesterol and no other cardiac risk factors who may benefit from cholesterol-lowering agents. Female physicians are significantly more likely than males to refer a patient with BPH to a urologist (37.5% vs. 24.9%, p < 0.001). Male physicians are significantly more likely to recommend that a woman w...Continue Reading

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Citations

Dec 27, 2008·European Journal of Pain : EJP·Brona M FullenDeirdre A Hurley
Jan 15, 2009·Scandinavian Journal of Public Health·Bibi Hølge-Hazelton, Kirsti Malterud
Nov 11, 2017·Canadian Journal of Kidney Health and Disease·Sharanya RameshSofia B Ahmed
Jan 3, 2013·Medical Education·Alan Bleakley
Aug 19, 2007·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Karolina Kublickiene, Stefan Agewall
Jan 1, 2008·Global Public Health·V Govender, L Penn-Kekana

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