Zuckerman Michael, Navizedeh Navid, Feldman Joseph, McCalla Sandra, Minkoff Howard
Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York, USA.
J Womens Health Gend Based Med. 2002 Mar;11(2):175-80. doi: 10.1089/152460902753645317.
There has been a reported increase in women's desires to have female medical providers. It is unclear if this finding extends to obstetrician/gynecologists or how important gender is relative to other factors in choosing a provider. This study seeks to address these issues.
In community locations in Brooklyn, New York, 537 women completed a questionnaire regarding demographics, gender of their current provider, and whether they considered age, gender, experience, location, or cost to be the most important factor in choosing an obstetrician/gynecologist. They rated their current experience and the importance of gender using a 10-point Likert scale.
Overall, 61% of participants preferred a female provider. The proportion did not vary with gender of the interviewer or participants' age. A female provider was preferred by 56% of Protestants, 58% of Catholics, and 58% of Jews and by 74% of Hindus and 89% of Muslims (p = 0.02). Regardless of whether a woman preferred a male or a female provider, 38% of participants felt strongly (7-10 on Likert scale) that gender was important. There was no difference in satisfaction with current provider between women who preferred a male or female provider. Gender was as important in choosing an obstetrician as experience or cost. Almost as many women with a female provider indicated a preference for a male (46%) as women with a male provider who preferred a female provider (54%).
A slight majority of these women, particularly those who are Hindu or Moslem or currently use a female, prefer female providers. Only a minority of these women feel strongly about their preference, and women with male providers are as satisfied as are women with female providers. Gender of provider was about as important as a physician's experience in choice of clinician.
据报道,女性希望由女性医疗服务提供者看病的意愿有所增加。目前尚不清楚这一发现是否适用于妇产科医生,以及在选择医疗服务提供者时,性别相对于其他因素的重要性如何。本研究旨在解决这些问题。
在纽约布鲁克林的社区地点,537名女性完成了一份问卷,内容涉及人口统计学信息、她们当前医疗服务提供者的性别,以及她们是否认为年龄、性别、经验、地点或费用是选择妇产科医生时最重要的因素。她们使用10分制李克特量表对自己当前的就医体验以及性别的重要性进行评分。
总体而言,61%的参与者更喜欢女性医疗服务提供者。这一比例不因采访者的性别或参与者的年龄而有所不同。56%的新教徒、58%的天主教徒、58%的犹太教徒、74%的印度教徒和89%的穆斯林更喜欢女性医疗服务提供者(p = 0.02)。无论女性更喜欢男性还是女性医疗服务提供者,38%的参与者强烈认为(李克特量表评分为7 - 10分)性别很重要。在更喜欢男性或女性医疗服务提供者的女性中,对当前医疗服务提供者的满意度没有差异。在选择妇产科医生时,性别与经验或费用同样重要。几乎同样多由女性医疗服务提供者看病的女性表示更喜欢男性(46%),与由男性医疗服务提供者看病且更喜欢女性医疗服务提供者的女性比例(54%)相近。
这些女性中的大多数,尤其是印度教徒或穆斯林女性或当前由女性看病的女性,更喜欢女性医疗服务提供者。只有少数女性对自己的偏好有强烈感受,而且由男性医疗服务提供者看病的女性与由女性医疗服务提供者看病的女性满意度相同。在选择临床医生时,医疗服务提供者的性别与医生的经验同样重要。