Weisman C S
Department of Behavioral Sciences and Health Education, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD.
Public Health Rep. 1987 Jul-Aug;102(4 Suppl):147-51.
Although much research has been carried out on communication between health care providers and patients, relatively few studies have investigated the effects of patient or provider gender on the communication process or its outcomes. Women use health services more than men and are more likely than men to report being influenced by health information in the media. No studies are available showing that physicians hold biases about male and female patients that translate into different communication patterns with each sex. Recent studies of verbal communication between patients and primary health care physicians show that female patients tend to ask more questions than men. Evidence that physicians are more likely to withhold information from female patients is not conclusive. Some evidence has been found that female physicians interrupt their patients less often than male physicians, provide more verbalizations of empathy, and provide clearer explanations in response to patients' concerns. Female physician-patient dyads might be expected to improve communication under certain circumstances.
尽管在医疗服务提供者与患者之间的沟通方面已经开展了大量研究，但相对较少的研究调查了患者或医疗服务提供者的性别对沟通过程及其结果的影响。女性比男性更多地使用医疗服务，并且比男性更有可能报告受到媒体健康信息的影响。目前没有研究表明医生对男性和女性患者持有偏见，并转化为与不同性别的患者采用不同的沟通模式。最近关于患者与初级医疗保健医生之间言语沟通的研究表明，女性患者往往比男性提出更多问题。医生更有可能对女性患者隐瞒信息的证据并不确凿。有证据表明，女医生比男医生更少打断患者，能更多地表达同理心，并针对患者的担忧提供更清晰的解释。在某些情况下，女性医生与患者的配对可能会改善沟通。
