[医生工作的性别特定方面]
[Gender-specific aspects of physicians work].
作者信息
Glaesmer Heide, Deter Hans Christian
机构信息
Abteilung Psychosomatik und Psychotherapie, Universitätsklinikum "Benjamin Franklin", FU Berlin und Graduiertenkolleg "Kostengünstige und bedarfsgerechte Versorgung im Gesundheitswesen" der TU, FU und HU Berlin, Germany.
出版信息
Psychother Psychosom Med Psychol. 2002 Sep-Oct;52(9-10):386-91. doi: 10.1055/s-2002-34292.
OBJECTIVES
The influences of physicians' and patients' gender on the prescription behaviour seems to be important in background of epidemiology, economy and medicine.
METHODS
Dataset of 24 physicians (general and internal medicine) and their 11 322 patients in 1995 and 1996 were examined focusing the prescription of psychopharmaceuticals, analgesics and hypnoticals.
RESULTS
Distinct effects of physicians gender were shown: Male physicians prescribed more frequently drugs in all three groups (p < 0,001). In the prescription of analgesics, male physicians prescribed significantly more daily defined doses (DDD) (p = 0,001). Concerning the patients' gender it was shown, that female patients received psychopharmaceuticals significantly more frequently than male patients.
DISCUSSION
The results point out that there are differences in the prescribing behaviour of psychopharmaceuticals, analgesics and hypnoticals. This surprising result should be taken into consideration in research and training of physicians.
目的
在流行病学、经济学和医学背景下，医生和患者的性别对处方行为的影响似乎很重要。
方法
对1995年和1996年24名医生（全科和内科）及其11322名患者的数据进行了检查，重点关注精神药物、镇痛药和催眠药的处方情况。
结果
显示出医生性别的明显影响：男性医生在所有三组中更频繁地开药（p < 0.001）。在镇痛药的处方中，男性医生开出的每日限定剂量（DDD）明显更多（p = 0.001）。关于患者的性别，结果表明，女性患者比男性患者更频繁地接受精神药物治疗。
讨论
结果指出，在精神药物、镇痛药和催眠药的处方行为上存在差异。这一惊人结果在医生的研究和培训中应予以考虑。
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