Abdellatif Waleed, Ding Jeffrey, Jalal Sabeena, Nguyen Tribesty, Khorshed Dina, Rybicki Frank J, Ali Ismail Tawakol, McInnes Matthew D F, Khan Nadia A, Shah Samad, Khosa Faisal
Radiology Department, University of British Columbia/Vancouver General Hospital, Vancouver, Canada.
Faculty of Science, University of British Columbia, Vancouver, Canada.
J Womens Health (Larchmt). 2020 Nov;29(11):1469-1474. doi: 10.1089/jwh.2019.7852. Epub 2020 Feb 24.
Gender distribution within the managing bodies of the Canadian health authorities has not been studied despite their integral role in the health care system. The purpose of this study is to quantify gender differences and to craft a geographic gender analysis of such distribution. Retrospective data collection of all Canadian health authorities at the provincial, territorial, regional, and first nations levels was conducted. The dependent variable was gender, and other covariates, where applicable, included province/territory, region, leadership position, education (PhD or Master's), honorary degree, and primary occupation. Any member within the executive managing body or board of directors of a Canadian health authority was included, unless their gender could not be determined, in which case they were excluded. Quantitative analysis of the 67 health authorities revealed 1346 individuals with identifiable gender (710 women; 636 men). Thematic distribution showed no significant difference in the gender distribution by provinces/territories (chi square = 14.248; = 0.28), by leadership position (chi square = 1.88; = 0.75), by education (chi square = 1.85; = 0.17), or by primary occupation (chi square = 1.53; = 0.46). The overall number of females exceeded that of males and there were no gender disparities. Critical analysis of probable causes was discussed. Further studies should be conducted to examine the policies and programs within the Canadian health authorities that successfully tackle the retention, recruitment, and promotion of females.
尽管加拿大卫生当局的管理机构在医疗保健系统中发挥着不可或缺的作用，但尚未对其内部的性别分布情况进行研究。本研究的目的是量化性别差异，并对这种分布进行地理性别分析。我们对加拿大省级、地区级、区域级和原住民各级卫生当局进行了回顾性数据收集。因变量是性别，其他协变量（如适用）包括省/地区、区域、领导职位、教育程度（博士或硕士）、荣誉学位和主要职业。加拿大卫生当局执行管理机构或董事会的任何成员均被纳入，除非其性别无法确定，在这种情况下将其排除。对67个卫生当局的定量分析显示，有1346名性别可识别的个体（710名女性；636名男性）。主题分布显示，按省/地区（卡方 = 14.248；P = 0.28）、领导职位（卡方 = 1.88；P = 0.75）、教育程度（卡方 = 1.85；P = 0.17）或主要职业（卡方 = 1.53；P = 0.46）划分的性别分布没有显著差异。女性总数超过男性，且不存在性别差异。我们讨论了对可能原因的批判性分析。应开展进一步研究，以审视加拿大卫生当局内部成功解决女性留用、招聘和晋升问题的政策和项目。
