期刊
PATIENT EDUCATION AND COUNSELING
卷 95, 期 3, 页码 313-318出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2014.03.015
关键词
Physician gender; Patient-centeredness; Patient satisfaction; Gender bias; Outpatient; Inpatient; Emergency room
资金
- Regional Health Enterprise for South-East Norway (Heise Sor-Ost RHF)
Objective: To compare male and female physicians on patient-centeredness and patients' satisfaction in three practice settings within a hospital; to test whether satisfaction is more strongly predicted by patient-centeredness in male than female physicians. Methods: Encounters between physicians (N = 71) and patients (N = 497) in a hospital were videotaped and patients' satisfaction was measured. Patient-centeredness was measured by trained coders. Results: In the outpatient setting, female physicians were somewhat more patient-centered than male physicians; patient satisfaction did not differ. In the inpatient and emergency room settings, female physicians were notably more patient-centered than male physicians; satisfaction paralleled these differences. Nevertheless, there was some, though mixed, evidence that patient-centeredness predicted satisfaction more strongly in male than female physicians, suggesting that patients valued patient-centered behavior more in male than female physicians. Conclusion: Even though satisfaction mirrored the different behavior styles of male and female physicians in the inpatient and emergency room settings, in all settings male physicians got somewhat more credit for being patient-centered than female physicians did. Practice implications: If female physicians do not consistently receive credit for high patient-centeredness in the eyes of patients, this could lead female physicians to reduce their patient-centered behavior. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
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