Female Patients??? Preferences Related to Interpersonal Communications, Clinical Competence, and Gender When Selecting a Physician

Mavis, Brian; Vasilenko, Peter; Schnuth, Rae L.; Marshall, Joseph F.; Jeffs, Madeline Colavito

doi:10.1097/00001888-200512000-00022

Cited by 54 publications

(45 citation statements)

References 18 publications

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“…Consistent with previous research (Christen, et al, 2008; Copeland, Scholle, & Binko, 2003; Howell, et al, 2002; Mavis, Vasilenko, Schnuth, Marshall, & Colavito, 2005), verbal and nonverbal communication were critical to a successful client-provider interaction. English speaking ability of non-native providers was of primary concern.…”

Section: Discussionsupporting

confidence: 83%

What Young African American Women Want in a Health Care Provider

et al. 2010

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The Institute of Medicine’s report on racial and ethnic disparities in health care encourages enhancing patient provider relationships by building trust. We explored factors important to 19–24 year old African American women (N=40) in choosing a health care provider. Eight focus groups were held in seven Ohio counties. Discussion was aided by photographs of client-provider interactions: two African American and two White providers (man or woman in each); in similar settings, attire, and pose; with a young African American woman client. Participants commented on what was happening in the photographs, how the woman felt, and their perceptions of each provider. Fongwa’s Quality of Care model guided analysis. Women providers were favored; race was not of primary concern. Provider proximity, perceived interest, and understandability were persistent preferences. Trust, awareness of body language, interest in client, and clearly conveying information clearly are critical for providers caring for young African American women.

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Section: Discussionsupporting

confidence: 83%

What Young African American Women Want in a Health Care Provider

et al. 2010

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“…[12][13][14] Other demographic characteristics such as ethnicity and age [15][16][17][18][19] may also be important, but questions remain, for example, concerning the relationship between ethnic concordance and outcomes. [20] Patients also consider technical competence and communication style (when relevant indicators are available) [14,21,22] and may value such information above demographic concordance. [23][24][25][26] Policy implications have emerged from this literature, such as the need for more female HCPs, but possible explanations of patient preferences have received less attention (although there are exceptions [8,19]).…”

Section: Introductionmentioning

confidence: 99%

How Patients Choose Acupuncturists: A Mixed-Methods Project

Bishop

Massey²,

Yardley³

et al. 2011

The Journal of Alternative and Complementary Medicine

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Objectives: Patients can have difficulties choosing acupuncturists in the United Kingdom because acupuncturists are not all subject to statutory regulation. Research has identified factors that influence patients' choice of general practitioner. However, how patients choose acupuncturists has not been studied. The aim was to investigate how patients choose acupuncturists and to identify which factors might influence this choice.Design: A mixed-methods design used an exploratory qualitative study followed by a quantitative study. The qualitative study explored patients' experiences of acupuncture. The quantitative vignette study investigated the impact of patient gender and practitioner factors (gender, training location, and qualifications) on choice of acupuncturist.Methods: In the qualitative study, 35 acupuncture patients (recruited through maximum variation sampling from seven clinics and the community) participated in semistructured interviews about their acupuncture experiences. In the quantitative study, 73 participants imagined wanting to consult an acupuncturist for back pain. They rated 8 fictional acupuncturists; ratings were analyzed using analysis of covariance.

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“…10 These behaviours and competencies may become an important area for professional development when it comes to extending future general practice training. 33 Further evaluation of performance in sex-specific questions in other generalist or specialist examinations and the reasons for such differences warrants further study.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…8 The reasons for predilection for a doctor of the same sex are likely to be complex: as well as the perceived practical ease of being examined by someone of the same sex, these may include beliefs about, and preferences for, knowledge, competence, and interpersonal skills. 9,10 Stereotyping of physician attributes by patients may extend to the belief that a doctor of the same sex as the patient will have a significantly greater knowledge of clinical problems specific to that sex. Female patients commonly consult their GP with sex-specific issues, such as breast or gynaecological disease, and male patients may consult with problems such as erectile dysfunction or prostatic disease.…”

Section: Introductionmentioning

confidence: 99%

Comparing performance among male and female candidates in sex-specific clinical knowledge in the MRCGP

Siriwardena

Irish²,

Asghar³

et al. 2012

Br J Gen Pract

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BackgroundPatients often seek doctors of the same sex, particularly for sex-specific complaints and also because of a perception that doctors have greater knowledge of complaints relating to their own sex. Few studies have investigated differences in knowledge by sex of candidate on sex-specific questions in medical examinations. AimThe aim was to compare the performance of males and females in sex-specific questions in a 200-item computer-based applied knowledge test for licensing UK GPs. Design and settingA cross-sectional design using routinely collected performance and demographic data from the first three versions of the Applied Knowledge Test, MRCGP, UK. MethodQuestions were classified as female specific, male specific, or sex neutral. The performance of males and females was analysed using multiple analysis of covariance after adjusting for sex-neutral score and demographic confounders. ResultsData were included from 3627 candidates. After adjusting for sex-neutral score, age, time since qualification, year of speciality training, ethnicity, and country of primary medical qualification, there were differences in performance in sexspecific questions. Males performed worse than females on female-specific questions (-4.2%, 95% confidence interval [CI] = -5.7 to -2.6) but did not perform significantly better than females on male-specific questions (0.3%, 95% CI = -2.6 to 3.2%. ConclusionThere was evidence of better performance by females in female-specific questions but this was small relative to the size of the test. Differential performance of males and females in sexspecific questions in a licensing examination may have implications for vocational and postqualification general practice training. Keywords assessment; general practice; learning; medical education; primary health care; sex.

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Female Patients??? Preferences Related to Interpersonal Communications, Clinical Competence, and Gender When Selecting a Physician

Cited by 54 publications

References 18 publications

What Young African American Women Want in a Health Care Provider

What Young African American Women Want in a Health Care Provider

How Patients Choose Acupuncturists: A Mixed-Methods Project

Comparing performance among male and female candidates in sex-specific clinical knowledge in the MRCGP

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