Beck Jennifer J, West Nicole, Jackson Nicholas, Willimon S Clifton, Busch Michael T, Christino Melissa A
From the Orthopedic Institute for Children/UCLA (Dr. Beck and Ms. West); the DGSOM UCLA (Dr. Jackson), Los Angeles, CA; the Children's Heathcare of Atlanta, Atlanta, GA (Dr. Willimon and Dr. Busch); and the Boston Children's Hospital, Boston, MA (Dr. Christino).
J Am Acad Orthop Surg Glob Res Rev. 2021 May 17;5(5):01979360-202105000-00012. doi: 10.5435/JAAOSGlobal-D-21-00069.
Diversity has increased within youth sports. It is unknown whether these demographic or socioeconomic factors affect adolescent patients' and their guardians' preferences of sports medicine physicians and involvement in medial decision making. Demographic and socioeconomic factors may affect adolescent patient and guardian preferences for sports medicine physicians.
Patients, age 10 to 18 years, and their guardians presenting to two sports medicine offices were asked to complete matched, anonymous surveys assessing their preferences for medical decision making, sports medicine physician gender, and personality characteristics. Analysis of demographic and socioeconomic effects on preferences was completed.
Matched survey responses were collected from 353 patients and 325 corresponding guardians. Patient average age was 14.6 years (SD 2.1), with 43% female. Guardian average age was 43.4 years (SD 8.3), with 79% female. For both patients and guardians, the highest valued physician characteristic was being a good listener. Overall, 21% of patients and 17% of guardians reported a physician gender preference that matched the gender of the patient. Among all female patients, 32% preferred a female physician. Among all male patients, 12% preferred a male physician (P < 0.001). Ninety-two percent of patients reported wanting to be involved, and 93% of guardians thought that their child should be involved in the decision-making process. Hispanic, non-White, non-English speaking, government or no insurance, or less than college level of education patients and guardians reported a significantly greater importance of the physician independently determining the treatment plan (P < 0.001).
Demographic and socioeconomic factors do affect adolescent patient and guardian preferences for sports medicine physicians. Young patients have a desire to be included in the medical decision-making process. Female adolescent patients may have a same-gender preference for their sports medicine physician.
This is a prospective, cohort study.
青少年体育运动中的多样性有所增加。目前尚不清楚这些人口统计学或社会经济因素是否会影响青少年患者及其监护人对运动医学医生的偏好以及他们参与医疗决策的情况。人口统计学和社会经济因素可能会影响青少年患者及其监护人对运动医学医生的偏好。
要求年龄在10至18岁的患者及其监护人前往两家运动医学诊所，完成匹配的匿名调查，评估他们对医疗决策、运动医学医生性别和个性特征的偏好。完成了对人口统计学和社会经济因素对偏好影响的分析。
收集了353名患者和325名相应监护人的匹配调查回复。患者的平均年龄为14.6岁（标准差2.1），其中43%为女性。监护人的平均年龄为43.4岁（标准差8.3），其中79%为女性。对于患者和监护人来说，最受重视的医生特征是善于倾听。总体而言，21%的患者和17%的监护人表示医生性别偏好与患者性别相匹配。在所有女性患者中，32%更喜欢女医生。在所有男性患者中，12%更喜欢男医生（P<0.001）。92%的患者表示希望参与其中，93%的监护人认为他们的孩子应该参与决策过程。西班牙裔、非白人、非英语使用者、政府保险或无保险者，或教育程度低于大学水平的患者及其监护人报告称，医生独立确定治疗方案的重要性显著更高（P<0.001）。
人口统计学和社会经济因素确实会影响青少年患者及其监护人对运动医学医生的偏好。年轻患者希望参与医疗决策过程。青春期女性患者可能对其运动医学医生有性别偏好。
这是一项前瞻性队列研究。
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