Derose K P, Hays R D, McCaffrey D F, Baker D W
Department of Health Services, School of Public Health, University of California-Los Angeles, Los Angeles, CA, USA.
J Gen Intern Med. 2001 Apr;16(4):218-26. doi: 10.1046/j.1525-1497.2001.016004218.x.
To assess the association of physician gender with patient ratings of physician care.
Interviewer-administered survey and follow-up interviews 1 week after emergency department (ED) visit.
Public hospital ED.
PATIENTS/PARTICIPANTS: English- and Spanish-speaking adults presenting for care of nonemergent problems; of 852 patients interviewed in the ED who were eligible for follow-up, 727 (85%) completed a second interview.
We conducted separate ordered logistic regressions for women and men to determine the unique association of physician gender with patient ratings of 5 interpersonal aspects of care, their trust of the physician, and their overall ratings of the physician, controlling for patient age, health status, language and interpreter status, literacy level, and expected satisfaction. Female patients trusted female physicians more (P =.003) than male physicians and rated female physicians more positively on the amount of time spent (P =.01), on concern shown (P =.04), and overall (P =.03). Differences in ratings by female patients of male and female physicians in terms of friendliness (P =.13), respect shown (P =.74), and the extent to which the physician made them feel comfortable (P =.10) did not differ significantly. Male patients rated male and female physicians similarly on all dimensions of care (overall, P =.74; friendliness, P =.75; time spent, P =.30; concern shown, P =.62; making them feel comfortable, P =.75; respect shown, P =.13; trust, P =.92).
Having a female physician was positively associated with women's satisfaction, but physician gender was not associated with men's satisfaction. Further studies are needed to identify reasons for physician gender differences in interpersonal care delivered to women.
评估医生性别与患者对医疗护理评分之间的关联。
由访员进行的调查以及急诊就诊1周后的随访访谈。
公立医院急诊科。
患者/参与者：前来诊治非紧急问题的讲英语和西班牙语的成年人；在急诊科接受访谈且符合随访条件的852名患者中，727名（85%）完成了第二次访谈。
我们分别对女性患者和男性患者进行了有序逻辑回归分析，以确定医生性别与患者对护理的5个人际方面、对医生的信任以及对医生的总体评分之间的独特关联，并对患者年龄、健康状况、语言和口译情况、识字水平以及预期满意度进行了控制。女性患者比男性患者更信任女医生（P = 0.003），并且在花费的时间（P = 0.01）、表现出的关心（P = 0.04）以及总体评价（P = 0.03）方面对女医生的评价更高。女性患者在友好程度（P = 0.13）、尊重程度（P = 0.74）以及医生让她们感到舒适的程度（P = 0.10）方面对男医生和女医生的评分差异不显著。男性患者在护理的所有维度上对男医生和女医生的评分相似（总体，P = 0.74；友好程度，P = 0.75；花费的时间，P = 0.30；表现出的关心，P = 0.62；让他们感到舒适，P = 0.75；尊重程度，P = 0.13；信任，P = 0.92）。
有女医生与女性的满意度呈正相关，但医生性别与男性的满意度无关。需要进一步研究以确定在为女性提供的人际护理中医生性别差异的原因。
