Mattila-Lindy S, Hemminki E, Malin M, Makkonen K, Topo P, Mäntyranta T, Kangas I
Department of Public Health, University of Helsinki, Finland.
Women Health. 1997;26(3):15-26. doi: 10.1300/j013v26n03_02.
The purpose of this study was to investigate the effect of physicians' gender when sex-specific conditions are being treated in a country where almost half of the physicians are women. Five Finnish surveys originally conducted for other purposes were reanalyzed. Two surveys examined physicians' and medical students' views about hormone therapy during and after menopause, one survey examined medical students' attitudes about medicines, one survey examined physicians' obstetric practices, and one examined contraceptive counselling. All the surveys showed more similarities than differences in the clinical decision-making of women and men physicians. In opinions about menopause the physician's medical specialty was more important than gender. Physicians' obstetrical practices were also similar in five cases out of six, but in one situation where medical factors were not a deciding issue, women physicians acted differently. These results suggest that socialization into the medical profession makes physicians' practices more alike and diminishes gender differences.
本研究的目的是在一个几乎一半医生为女性的国家,调查治疗特定性别的疾病时医生性别的影响。对最初出于其他目的进行的五项芬兰调查进行了重新分析。两项调查研究了医生和医学生对绝经期间及绝经后激素治疗的看法,一项调查研究了医学生对药物的态度,一项调查研究了医生的产科实践,还有一项调查研究了避孕咨询。所有调查显示,男女医生在临床决策方面的相似之处多于差异。在关于绝经的看法上,医生的医学专业比性别更重要。在六例产科实践中,有五例男女医生的做法也相似,但在一个医学因素不是决定性问题的情况下,女医生的行为有所不同。这些结果表明,医学职业社会化使医生的实践更加相似,并减少了性别差异。