Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Int J Qual Health Care. 2020 Jun 4;32(4):278-280. doi: 10.1093/intqhc/mzaa027.
In Japan, the heavy workload managed by cardiologists might make it difficult for female cardiologists to work comfortably, and some hospital managers hesitate to employ female cardiologists. Are the clinical outcomes of patients with cardiovascular diseases affected by the cardiologist's gender? In our previous study, the risk of emergency readmission within 30 days after discharge was found to be significantly lower for patients treated by female cardiologists than for those treated by male cardiologists. Compared to male counterparts, female cardiologists were more likely to practice evidence-based and guideline-directed medicine and communicate with other experts, that is, they are better at solving complex problems in the attending doctors' team. In addition, female cardiologists probably maintain more robust physician-patient communication and successfully provide more fine-tuned and patient-centered preventive care than male cardiologists. In Japan, the rate of female doctors 21.1% is the lowest among the rates for the Organization for Economic Co-operation and Development countries. Under such a situation, in our hospital, a representative teaching hospital where female cardiologists constitute larger than other hospitals in Japan, better clinical outcome was observed in the patients treated by female cardiologists over those treated by male cardiologists. Considering the preference of medical management by female cardiologists, an increase in the number of female cardiovascular medicine practitioners is necessary from the perspective of patients' clinical outcomes.
在日本,心脏病专家的工作量大,可能会让女心脏病专家难以舒适地工作,一些医院管理者也犹豫不决,不愿聘用女心脏病专家。心血管疾病患者的临床结局是否会受到心脏病专家性别的影响?在我们之前的研究中,与男性心脏病专家治疗的患者相比,由女性心脏病专家治疗的患者在出院后 30 天内紧急再入院的风险显著降低。与男性同行相比,女性心脏病专家更有可能采用循证和指南导向的医学实践,并与其他专家进行沟通,也就是说,她们更善于解决主治医生团队中的复杂问题。此外,女性心脏病专家可能更善于维持更稳健的医患沟通,并成功地提供更精细、以患者为中心的预防保健,这比男性心脏病专家做得更好。在日本,女医生的比例为 21.1%,在经济合作与发展组织国家中是最低的。在这种情况下,在我们医院,一家代表性的教学医院,女性心脏病专家的比例高于日本其他医院,由女性心脏病专家治疗的患者的临床结局要好于由男性心脏病专家治疗的患者。考虑到女性心脏病专家在医疗管理方面的偏好,从患者临床结局的角度来看,有必要增加女性心血管病从业者的数量。