Patient and physician gender concordance in preventive care in university primary care settings.

Krähenmann-Müller, Simone; Virgini, Vanessa S.; Blum, Manuel R.; Da Costa, Bruno; Collet, Tinh-Hai; Martin, Yonas; Cornuz, Jacques; Zimmerli, Lukas; Gaspoz, Jean-Michel; Bauer, Douglas C.; Kerr, Eve A.; Aujesky, Drahomir; Rodondi, Nicolas (2014). Patient and physician gender concordance in preventive care in university primary care settings. Preventive medicine, 67, pp. 242-247. Elsevier 10.1016/j.ypmed.2014.08.004

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OBJECTIVE To assess the quality of preventive care according to physician and patient gender in a country with universal health care coverage. METHODS We assessed a retrospective cohort study of 1001 randomly selected patients aged 50-80 years followed over 2 years (2005-2006) in 4 Swiss university primary care settings (Basel, Geneva, Lausanne, Zürich). We used indicators derived from RAND's Quality Assessment Tools and examined percentages of recommended preventive care. Results were adjusted using hierarchical multivariate logistic regression models. RESULTS 1001 patients (44% women) were followed by 189 physicians (52% women). Female patients received less preventive care than male patients (65.2% vs. 72.1%, p<0.001). Female physicians provided significantly more preventive care than male physicians (p=0.01) to both female (66.7% vs. 63.6%) and male patients (73.4% vs. 70.7%). After multivariate adjustment, differences according to physician (p=0.02) and patient gender (p<0.001) remained statistically significant. Female physicians provided more recommended cancer screening than male physicians (78.4 vs. 71.9%, p=0.01). CONCLUSIONS In Swiss university primary care settings, female patients receive less preventive care than male patients, with female physicians providing more preventive care than male physicians. Greater attention should be paid to female patients in preventive care and to why female physicians tend to provide better preventive care.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine
04 Faculty of Medicine > Pre-clinic Human Medicine > CTU Bern
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine

UniBE Contributor:

Krähenmann, Simone Eva; Virgini, Vanessa Sophie; Blum, Manuel; Da Costa, Bruno; Aujesky, Drahomir and Rodondi, Nicolas

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0091-7435

Publisher:

Elsevier

Language:

English

Submitter:

Patricia Rajaonina

Date Deposited:

05 Feb 2015 11:05

Last Modified:

09 Nov 2015 10:49

Publisher DOI:

10.1016/j.ypmed.2014.08.004

PubMed ID:

25117521

Uncontrolled Keywords:

Patient physician gender concordance, Preventive care, Primary health, care Women's health

BORIS DOI:

10.7892/boris.62477

URI:

https://boris.unibe.ch/id/eprint/62477

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