Abstract
OBJECTIVE: To assess the association of physician gender with patient ratings of physician care.
DESIGN: Interviewer-administered survey and follow-up interviews 1 week after emergency department (ED) visit.
SETTING: Public hospital ED.
PATIENTS/PARTICIPANTS: English- and Spanish-speaking adults presenting for care of nonemergent problems; of 852 patients interviewed in the ED who were eligible for follow-up, 727 (85%) completed a second interview.
MEASUREMENTS AND MAIN RESULTS: We conducted separate ordered logistic regressions for women and men to determine the unique association of physician gender with patient ratings of 5 interpersonal aspects of care, their trust of the physician, and their overall ratings of the physician, controlling for patient age, health status, language and interpreter status, literacy level, and expected satisfaction. Female patients trusted female physicians more (P=.003) than male physicians and rated female physicians more positively on the amount of time spent (P=.01), on concern shown (P=.04), and overall (P=.03). Differences in ratings by female patients of male and female physicians in terms of friendliness (P=.13), respect shown (P=.74), and the extent to which the physician made them feel comfortable (P=.10) did not differ significantly. Male patients rated male and female physicians similarly on all dimensions of care (overall, P=.74; friendliness, P=.75; time spent, P=.30; concern shown, P=.62; making them feel comfortable, P=.75; respect shown, P=.13; trust, P=.92).
CONCLUSIONS: Having a female physician was positively associated with women’s satisfaction, but physician gender was not associated with men’s satisfaction. Further studies are needed to identify reasons for physician gender differences in interpersonal care delivered to women.
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References
Donabedian A. The Definition of Quality and Approaches to its Assessment. Ann Arbor, Mich: Health Administration Press; 1980.
Sherbourne CD, Hays RD, Ordway L, DiMatteo MR, Kravitz RL. Antecedents of adherence to medical recommendations: results from the Medical Outcomes Study. J Behav Med. 1992;15:447–68.
Marquis MS, Davies AR, Ware JE Jr. Patient satisfaction and change in medical care provider: a longitudinal study. Med Care. 1983;21:821–9.
Ware JE Jr, Davies AR. Behavioral consequences of consumer dissatisfaction with medical care. Eval Program Plann. 1983;6:291–7.
Hall JA, Dornan MC. Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med. 1990;30:811–8.
Hall JA, Irish JT, Roter DL, Ehrlich CM, Miller LH. Gender in medical encounters: an analysis of physician and patient communication in a primary care setting. Health Psychol. 1994; 13:384–92.
Hall JA, Irish JT, Roter DL, Ehrlich CM, Miller LH. Satisfaction, gender and communication in medical visits. Med Care. 1994;32:1216–31.
Hall JA, Roter DL. Patient gender and communication with physicians: results of a community-based study. Womens Health. 1995;1:77–95.
Schmittdiel J, Grumbach K, Selby JV, Quesenberry CP Jr. Effect of physician and patient gender concordance on patient satisfaction and preventive care practices. J Gen Intern Med. 2000;15:761–9.
Bertakis KD, Helms LJ, Callahan EJ, Azari R, Robbins JA. The influence of gender on physician practice style. Med Care. 1995;33:407–16.
Kaplan SH, Gandek B, Greenfield S, Rogers W, Ware JE. Patient and visit characteristics related to physicians’ participatory decision-making style. Results from the Medical Outcomes Study. Med Care. 1995;33:1176–87.
Cooper-Patrick L, Gallo JJ, Gonzales JJ, et al. Race, gender, and partnership in the patient-physician relationship. JAMA. 1999;282:583–9.
Baker DW, Parker RM, Williams MV, Coates W, Pitkin K. Use and effectiveness of interpreters in an emergency department. JAMA. 1996;275:783–8.
Williams MV, Parker RM, Baker DW, et al. Inadequate functional health literacy among patients at two public hospitals. JAMA. 1995;274:1677–82.
Hayes RP, Baker DW. Methodological problems in comparing English-speaking and Spanish-speaking patients’ satisfaction regarding interpersonal aspects of care. Med Care. 1998;36:230–6.
Thom DH, Ribisl KM, Stewart AL, Luke DA. Further validation and reliability testing of the Trust in Physician Scale. Med Care. 1999;37:510–7.
Ware JE, Hays RD. Methods for measuring patient satisfaction with specific medical encounters. Med Care. 1988;26:393–402.
Baker DW, Hayes RP, Fortier JP. Interpreter use and satisfaction with interpersonal aspects of care for Spanish-speaking patients. Med Care. 1998;36:1461–70.
Baker DW, Parker RM, Williams MV, Clark S, Nurss J. The relationship of patient reading ability to self-reported health and use of health services. Am J Public Health. 1997;87:1027–30.
CAHPS 1.0 Survey and Reporting Kit. Rockville, Md: Agency for Health Care Policy and Research; 1998.
Green WH. Econometric Analysis. Upper Saddle River, NJ: Prentice Hall; 1997.
Hall JA, Feldstein M, Fretwell MD, Rowe JW, Epstein AM. Older patients’ health status and satisfaction with medical care in an HMO population. Med Care. 1990;28:261–70.
Marshall GN, Hays RD, Mazel R. Health status and satisfaction with medical care: results from the Medical Outcomes Study. J Consult Clin Psychol. 1996;64:380–90.
Agresti A. Categorical Data Analysis. New York: John Wiley & Sons; 1990.
Hochberg Y. A sharper Bonferroni procedure for multiple tests of significance. Biometrika. 1988;75:800–2.
Roter D, Lipkin M, Korsgaard A. Sex differences in patients’ and physicians’ communication during primary care medical visits. Med Care. 1991;29:1083–93.
Gross DA, Zyzanski SJ, Borawski EA, Cebul RD, Stange KC. Patient satisfaction with time spent with their physician. J Fam Pract. 1998;47:133–7.
Roter DL, Geller G, Bernhardt BA, Larson SM, Doksum T. Effects of obstetrician gender on communication and patient satisfaction. Obstet Gynecol. 1999;93:635–41.
Safran DG, Taira DA, Rogers WH, Kosinski M, Ware JE, Tarlov AR. Linking primary care performance to outcomes of care. J Fam Pract. 1998;47:213–20.
Kerssens JJ, Bensing JM, Andela MG. Patient preferences for genders of health professionals. Soc Sci Med. 1997;44:1531–40.
Morales LS, Cunningham WE, Brown JA, Liu H, Hays RD. Are Latino respondents less satisfied with communication by medical providers? J Gen Intern Med. 1999;14:409–17.
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This research was supported by National Research Service Award (NRSA) 1 T32 HS00046-01 from the Agency for Health Care Policy and Research (AHCPR) (now known as the Agency for Healthcare Research and Quality). Presented at the NRSA Trainees’ Research Conference, June 20, 1998, in Washington, DC. The data used for the analysis are from the Literacy in Health Care study, sponsored by the Robert Wood Johnson Foundation.
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Derose, K.P., Hays, R.D., McCaffrey, D.F. et al. Does physician gender affect satisfaction of men and women visiting the emergency department?. J GEN INTERN MED 16, 218–226 (2001). https://doi.org/10.1046/j.1525-1497.2001.016004218.x
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DOI: https://doi.org/10.1046/j.1525-1497.2001.016004218.x