Orzano A J, Cody R P
Somerset Family Practice Residency, NJ, USA.
Fam Med. 1995 Jul-Aug;27(7):440-3.
Female physicians are more likely than male physicians to treat female patients. This study extends the scope of previous studies by scrutinizing gender concordance with specific diagnoses.
A total of 90,407 physician-patient encounters handled by 90 family practice residents from 1984-1993 in an ambulatory care setting were analyzed. In addition to genitourinary problems, the analysis included the 20 most frequently recorded diagnoses.
Patients' encounters with residents differed between male and female residents. Female residents handled more encounters (P < .001) for vaginitis, prenatal care, menstrual disorders, menopausal symptoms, cervicitis, abnormal Pap smear, breast disease, breast lump, and general medical exam (female patient). Female residents handled a greater percentage (P < .001) of female patients within the 20 most frequent diagnoses. There was little difference with male patients.
Gender concordance is suggested between male and female patients with specific diagnoses and their physicians. Educators must balance patient preferences and satisfaction with adequate exposure to the gamut of medical problems.
女医生比男医生更有可能治疗女性患者。本研究通过仔细审查特定诊断的性别一致性，扩展了先前研究的范围。
分析了1984年至1993年期间90名家庭医学住院医师在门诊护理环境中处理的总共90407次医患接触。除了泌尿生殖系统问题外，分析还包括20种最常记录的诊断。
男性和女性住院医师的患者接触情况有所不同。女性住院医师处理阴道炎、产前护理、月经失调、更年期症状、宫颈炎、巴氏涂片异常、乳腺疾病、乳腺肿块和普通体检（女性患者）的接触次数更多（P <.001）。在20种最常见的诊断中，女性住院医师处理的女性患者比例更高（P <.001）。与男性患者的差异不大。
特定诊断的男性和女性患者与其医生之间存在性别一致性。教育工作者必须在患者偏好和满意度与充分接触各种医疗问题之间取得平衡。
