The influence of gender on the doctor–patient interaction

Bertakis, Klea D

doi:10.1016/j.pec.2009.07.022

Cited by 241 publications

(198 citation statements)

References 15 publications

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“…In general, women tend to use more health care services than men. 8,9 Further studies need to validate these findings in other clinic populations and examine the content of electronic communications.…”

Section: Discussionmentioning

confidence: 97%

Disparities in Enrollment and Use of an Electronic Patient Portal

et al. 2011

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Section: Discussionmentioning

confidence: 97%

Disparities in Enrollment and Use of an Electronic Patient Portal

et al. 2011

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“…Previously, female physicians were found to engage more in psychosocial issues. 21,22 However, we found that male and female HPs improved similarly in their screening behavior. Perhaps gender differences are becoming less significant as more male HPs accept the importance of psychosocial issues in health care.…”

Section: Discussionmentioning

confidence: 62%

The Safe Environment for Every Kid Model: Impact on Pediatric Primary Care Professionals

et al. 2011

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WHAT'S KNOWN ON THIS SUBJECT:It is well established that risk factors such as maternal depression are prevalent and jeopardize children's health and development. Pediatric primary care offers an opportunity for helping address such psychosocial problems that are connected with child abuse and neglect. WHAT THIS STUDY ADDS:Results of this study indicate that the Safe Environment for Every Kid model helps pediatric health professionals address targeted psychosocial problems. The study is one of the first to examine change in pediatric private practices concerning the management of psychosocial problems. abstract OBJECTIVE: To examine whether the Safe Environment for Every Kid (SEEK) model of enhanced primary care would improve the attitudes, knowledge, comfort, competence, and behavior of child health care professionals (HPs) regarding addressing major risk factors for child maltreatment (CM). METHODS:In a cluster randomized controlled trial, 18 private practices were assigned to intervention (SEEK) or control groups. SEEK HPs received training on CM risk factors (eg, maternal depression). The SEEK model included the parent screening questionnaire and the participation of a social worker. SEEK's impact was evaluated in 3 ways: (1) the health professional questionnaire (HPQ), which assessed HPs' attitudes and practice regarding the targeted problems; (2) observations of HPs conducting checkups; and (3) review of children's medical records. RESULTS:The 102 HPs averaged 45 years of age; 68% were female, and 74% were in suburban practices. Comparing baseline scores with 6-, 18-, and 36-month follow-up data, the HPQ revealed significant (P Ͻ .05) improvement in the SEEK group compared with controls on addressing depression (6 months), substance abuse (18 months), intimate partner violence(6and18months),andstress(6,18,and36months),andintheircomfort level and perceived competence (both at 6, 18, and 36 months). SEEK HPs screened for targeted problems more often than did controls based on observations 24 months after the initial training and the medical records (P Ͻ .001). CONCLUSIONS:The SEEK model led to significant and sustained improvement in several areas. This is a crucial first step in helping HPs address major psychosocial problems that confront many families. SEEK offers a modest yet promising enhancement of primary care.

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“…Interestingly, African American males are less likely to screen when compared with their female counterparts [17]. Given that women access the health care system more frequently than men [14], women may more ready and able to respond to screening messages and recommendations. Of the four studies which specifically examined insurance as a predictor of CRC screening [8,[15][16][17], one stratified according to gender.…”

Section: Discussionmentioning

confidence: 99%

Understanding Gender, Race and Ethnicity in Colorectal Cancer Screening

Fagan¹,

Wender²

2015

Health Care Current Reviews

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MethodsThe authors classify race and ethnicity per US Federal recommendations [5]. The literature search for this review was conducted by a certified medical librarian and based on the strategy used by Vernon [6] in a comprehensive 1997 review of participation in CRC screening. The literature review is current as of October 2014. We began with the MeSH terms, colorectal neoplasms/ di, pc [Diagnosis, Prevention and Control] and mass screening to identify > 130,000 articles. MeSH headings were added to capture gender, race and ethnicity and restricted our review to studies in English and in the United States. Any study that examined an outcome of stool blood Abstract Background: Colorectal cancer (CRC) is the third most common cancer and the third leading cause of cancer death in both men and women in the United States. The overall rate of CRC screening remains unacceptably low. To increase CRC screening rates, populations who are refractory to screening must be identified. Identifying barriers and facilitators of screening specific to these groups will assist the development of targeted interventions to improve CRC screening.Methods: This review synthesizes the published literature regarding the role of gender, race and ethnicity in receiving colorectal cancer screening in the United States. Specifically, this review examines cross-sectional and prospective studies of colorectal cancer screening. These studies provide important data about the impact of race, gender and ethnicity on colorectal cancer screening rates. Results:Female gender and non-white race are not consistent barriers to screening. However, Hispanic ethnicity does seem to consistently confer a barrier to screening. Conclusion:The impact of female gender and non-white race on screening is inconsistent suggesting that other factors (e.g. socioeconomic status, access to care) play a greater role and perhaps that targeted efforts have been effective in addressing disparity. Improved CRC screening rates in these groups can inform approaches to improving rates in other groups, such as Hispanics, who consistently fall behind.

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The influence of gender on the doctor–patient interaction

Cited by 241 publications

References 15 publications

Disparities in Enrollment and Use of an Electronic Patient Portal

Disparities in Enrollment and Use of an Electronic Patient Portal

The Safe Environment for Every Kid Model: Impact on Pediatric Primary Care Professionals

Understanding Gender, Race and Ethnicity in Colorectal Cancer Screening

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