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患者和医疗保健专业人员对结肠镜检查医师和胃肠病医师的性别偏好。

Sex preferences for colonoscopists and GI physicians among patients and health care professionals.

机构信息

Department of Gastroenterology, Phoenix VA Medical Center/Banner Good Samaritan Hospital, Phoenix, Arizona, USA.

出版信息

Gastrointest Endosc. 2011 Jul;74(1):122-127.e2. doi: 10.1016/j.gie.2011.02.014.

DOI:10.1016/j.gie.2011.02.014
PMID:21704811
Abstract

BACKGROUND

There are indications that many women prefer female health care providers.

OBJECTIVE

To determine whether (1) patients and health care professionals have sex preferences for gastroenterologists (for office visit and colonoscopy) and (2) the reasons behind these preferences.

DESIGN

Prospective survey.

SETTING

Patients from primary care clinics at a Veterans Affairs and a community hospital and health care professionals.

PATIENTS

A total of 1364 individuals completed the survey: 840 patients (566 men and 274 women) and 524 health care professionals (211 men and 313 women).

MAIN OUTCOME MEASUREMENTS

Sex preferences for colonoscopists and gastroenterologists at a clinic.

RESULTS

Women had a stronger sex preference (compared with no preference) for an office visit with a gastroenterologist (44.3%) and for a colonoscopist (53%) than men (23% and 27.8% respectively; P < .001). For health care professionals, there was a significant difference in sex preferences for women and men for a gastroenterologist office visit (30.4% vs 17.6%; P < .001) and for a colonoscopist (43.1% vs 26.1%; P < .001). Of all respondents with a sex preference, the most common reason was embarrassment for both office visit and colonoscopy. For all respondents with a sex preference for colonoscopy, a higher level of education was an independent predictor of patients feeling embarrassed (P = .003).

LIMITATIONS

Single city, patient population from only 2 institutions.

CONCLUSIONS

Female patients and female health care professionals have sex preferences in choosing a gastroenterologist for an office visit and colonoscopy, and the reasons for this are significantly influenced by their level of education.

摘要

背景

有迹象表明,许多女性更喜欢女性医疗保健提供者。

目的

确定(1)患者和医疗保健专业人员是否对胃肠病学家(用于门诊和结肠镜检查)有性别偏好,以及(2)这些偏好背后的原因。

设计

前瞻性调查。

地点

退伍军人事务和社区医院的初级保健诊所的患者和医疗保健专业人员。

患者

共有 1364 人完成了调查:840 名患者(566 名男性和 274 名女性)和 524 名医疗保健专业人员(211 名男性和 313 名女性)。

主要观察指标

对诊所胃肠病学家和胃肠病学家的性别偏好。

结果

与无偏好相比,女性对胃肠病学家门诊就诊(44.3%)和结肠镜检查(53%)的性别偏好更强,而男性分别为 23%和 27.8%(P<0.001)。对于医疗保健专业人员,女性和男性对胃肠病学家门诊就诊(30.4%比 17.6%;P<0.001)和结肠镜检查(43.1%比 26.1%;P<0.001)的性别偏好存在显著差异。在所有有性别偏好的受访者中,最常见的原因是在门诊和结肠镜检查时感到尴尬。对于所有对结肠镜检查有性别偏好的受访者,更高的教育水平是患者感到尴尬的独立预测因素(P=0.003)。

局限性

单城市,仅来自 2 家机构的患者人群。

结论

女性患者和女性医疗保健专业人员在选择胃肠病学家进行门诊和结肠镜检查时有性别偏好,而这种偏好的原因受到其教育水平的显著影响。

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