Preventive care for women. Does the sex of the physician matter?

The New England Journal of Medicine
N LurieK Margolis

Abstract

Emphasis on ensuring women's access to preventive health services has increased over the past decade. Relatively little attention has been paid to whether the sex of the physician affects the rates of cancer screening among women. We examined differences between male and female physicians in the frequency of screening mammograms and Pap smears among women patients enrolled in a large Midwestern health plan. We identified claims for mammography and Pap tests submitted by primary care physicians for 97,962 women, 18 to 75 years of age, who were enrolled in the health plan in 1990. The sex of the physician was manually coded, and the physician's age was obtained from the state licensing board. After identifying a principal physician for each woman, we calculated the frequency of mammography and Pap smears for each physician, using the number of women in his or her practice during 1990 as the denominator. Using unconditional logistic regression, we also calculated the odds ratio of having a Pap smear or mammogram for women patients with female physicians as compared with those with male physicians, controlling for the physician's and the patient's age. Crude rates for Pap smears and mammography were higher for the patients of femal...Continue Reading

References

Oct 14, 1992·JAMA : the Journal of the American Medical Association·C M Clancy, C T Massion
Sep 1, 1991·Journal of General Internal Medicine·R N Link, S R Zabar
Nov 1, 1990·Academic Medicine : Journal of the Association of American Medical Colleges·R L Blake
May 1, 1988·Archives of Internal Medicine·R A HaywardC R Corey
May 20, 1988·JAMA : the Journal of the American Medical Association·S Woolhandler, D U Himmelstein

❮ Previous
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Citations

Aug 1, 1994·Journal of Community Health·R E SchoenR L Braham
Aug 1, 1995·Journal of General Internal Medicine·E Hoffman, K Johnson
Jun 1, 1995·Journal of General Internal Medicine·N C DolanW C McGaghie
Sep 1, 1995·Journal of General Internal Medicine·R B BurnsR Hall
Apr 1, 1996·Journal of General Internal Medicine·T B SetoR S Phillips
Jun 23, 2009·Cancer Causes & Control : CCC·Stephen C MeersmanPaul Simon
Jul 27, 2007·Journal of Immigrant and Minority Health·Ethan E BodleRuby T Senie
Apr 4, 2007·Journal of General Internal Medicine·Nancy L KeatingPeter V Marsden
Jan 9, 2009·Journal of General Internal Medicine·Makiko Utsugi-OzakiUNKNOWN MEMO-J Study Group
Apr 24, 2009·Journal of General Internal Medicine·Saul N WeingartLawrence N Shulman
Jan 23, 2010·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Judith M E WalshRena J Pasick
Mar 1, 1995·Obstetrics and Gynecology·S Leader, P J Perales
Jan 1, 1996·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·B A Bartman
Nov 26, 2003·The Journal of Pain : Official Journal of the American Pain Society·Carol S WeisseRachel E Dominguez
Feb 17, 1998·Obstetrics and Gynecology·V L Seltzer
Sep 26, 2003·Preventive Medicine·Karen A Urbanoski
Aug 14, 2003·Patient Education and Counseling·Diane Ruth LauverJeffrey B Henriques
Jun 23, 1998·American Journal of Preventive Medicine·J K Cooper, C M Clancy
Aug 3, 1999·American Journal of Preventive Medicine·K L EdlefsenN Urban
Mar 21, 2000·American Journal of Preventive Medicine·M R AndersenN Urban
Mar 21, 2000·American Journal of Preventive Medicine·P A BellasM Wilkes
Oct 12, 2000·Journal of Clinical Epidemiology·L K MitlerS M Horwitz
Jul 3, 2002·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Sarah Hudson ScholleMelissa McNeil
Nov 30, 2002·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Roger T AndersonFabian Camacho
Jan 24, 1998·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·K J Carlson
Feb 28, 2001·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·R L CookS H Scholle
May 18, 1999·Journal of Pediatric and Adolescent Gynecology·G Hewitt, R T Brown
Aug 16, 2008·Public Health Nutrition·Ban Al-SahabUNKNOWN National Collaborative Perinatal Neonatal Network (NCPNN)
May 21, 1999·Medical Education·M HojatE B Christian
Feb 13, 2001·Medical Education·V Reed, B Buddeberg-Fischer
Jan 20, 1994·The New England Journal of Medicine·L M Lazaron
Sep 3, 2010·The New England Journal of Medicine·Ralph G BrindisDavid C May
May 11, 2013·Health Care for Women International·T Ben MorrisonMark L Wieland
Apr 4, 2000·Journal of Women's Health & Gender-based Medicine·S H ScholleM K McLaughlin
Oct 12, 2000·Journal of Women's Health & Gender-based Medicine·E FrankL Elon
Mar 27, 2001·Journal of Women's Health & Gender-based Medicine·F AhmadI Hyman
Jun 8, 2001·Journal of Women's Health & Gender-based Medicine·S HustonR H Rubin
Sep 26, 2001·Journal of Women's Health & Gender-based Medicine·N MillikenM McLaughlin
Apr 27, 2002·Journal of Women's Health & Gender-based Medicine·Michael ZuckermanHoward Minkoff
Sep 24, 1999·Journal of Women's Health & Gender-based Medicine·J SchmittdielC P Quesenberry
Aug 17, 2006·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Mitchell T HeflinEugene Z Oddone

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