性别差异在诊断放射学实践中的体现：一项观察性研究。

Gender Differences in Diagnostic Radiology Practice: An Observational Study.

机构信息

Associate Professor, Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada; Neuroradiologist, Joint Department of Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada.

出版信息

J Am Coll Radiol. 2022 Jan;19(1 Pt A):90-96. doi: 10.1016/j.jacr.2021.09.034. Epub 2021 Nov 9.

DOI:10.1016/j.jacr.2021.09.034

PMID:34767795

Abstract

PURPOSE

To investigate gender differences in diagnostic radiology practice, specifically, the differences in scope of practice, the frequency of consultations to other colleagues, and the error rates.

MATERIAL AND METHODS

A retrospective observational study was performed including radiologists working for a European teleradiology provider between 2013 and 2019. Main outcome measures included the adjusted odds ratio of female gender for reporting cases in more than one subspecialty, the adjusted incidence rate ratio (IRR) of female gender for the count of second opinion requests to other colleagues, and the adjusted IRR of female gender for the count of radiologic errors. Multivariable adjustment was performed for covariates associated with experience, type of cases reported, part- or full-time employment, and reporting speed.

RESULTS

A total of 213 radiologists (36% female) were included in the analysis of gender differences in scope of practice. Female gender was associated with a lower odds of reporting cases in more than one subspecialty with an odds ratio of 0.46 (95% confidence interval, 0.22-0.96). A total of 204 radiologists (36% female) were included in the analysis of gender differences in the count of second opinion requests to colleagues. There was a trend toward an association between female gender and higher odds of requesting a second opinion with an adjusted IRR of 1.6 compared with male gender, but it was not statistically significant (P = .08). A total of 199 radiologists were included (37% female) in the analysis of gender differences in the number of radiologic errors. Female gender was associated with a decrease in the odds of error with an IRR of 0.8 (95% confidence interval, 0.64-0.995).

CONCLUSIONS

Female radiologists tend to have a narrower scope of practice and make fewer mistakes than their male counterparts, even after detailed adjustment for factors that might explain gender differences in scope of practice and errors.

摘要

目的

研究诊断放射学实践中的性别差异，具体而言，研究范围、向其他同事咨询的频率以及错误率的差异。

材料和方法

这是一项回顾性观察研究，纳入了 2013 年至 2019 年期间为一家欧洲远程放射学服务提供商工作的放射科医生。主要观察指标包括报告多个亚专科病例的女性放射科医生的比值比、向其他同事咨询第二意见的女性放射科医生的调整发病率比（IRR）以及放射错误计数的女性放射科医生的调整 IRR。对与经验、报告病例类型、兼职或全职工作以及报告速度相关的协变量进行多变量调整。

结果

共有 213 名放射科医生（36%为女性）纳入了研究范围的性别差异分析。女性报告多个亚专科病例的可能性较小，比值比为 0.46（95%置信区间，0.22-0.96）。共有 204 名放射科医生（36%为女性）纳入了向同事咨询第二意见的次数的性别差异分析。女性请求第二意见的可能性较高，与男性相比，调整后的 IRR 为 1.6，但无统计学意义（P=.08）。共有 199 名放射科医生（37%为女性）纳入了放射错误数量的性别差异分析。女性发生错误的可能性较小，IRR 为 0.8（95%置信区间，0.64-0.995）。