Patients’ preferences regarding physicians’ gender: a clinical center cross-sectional study

Dagostini, Carolina Matté; Bicca, Yan de Assunção; Ramos, Miguel Bertelli; Busnello, Sabrina; Gionedis, Murillo Cesar; Contini, Natália; Falavigna, Asdrúbal

doi:10.1590/1516-3180.2021.0171.r1.08062021

Cited by 6 publications

(2 citation statements)

References 27 publications

(54 reference statements)

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“…We also found that male and female patients did not differ significantly in their perceptions of overall diversity in orthopaedic surgery; however, female patients placed more importance on the gender of their surgeon than their male counterparts and were 5 times as likely to experience difficulty relating to their surgeon. In the context of the existing literature, most patients do not have a preference for a particular gender when choosing a physician 14,15 , but female patients prefer to see a same-gender physician more often than their male counterparts 8 .…”

Section: Discussionmentioning

confidence: 99%

Patient Preferences and Perceptions of Provider Diversity in Orthopaedic Surgery

Chen,

Strony,

Kroneberger

et al. 2023

Journal of Bone and Joint Surgery

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Background: Orthopaedic surgery in the U.S. historically has been among the least demographically diverse specialties in medicine. Currently, limited data exist on how patients perceive diversity within the field and what patients look for when choosing an orthopaedic surgeon. The purpose of this study was to identify specific patient preferences for surgeon demographics and understand patient perceptions of racial and gender diversity in orthopaedic surgery. Methods: Nonconsecutive patients from orthopaedic clinics affiliated with a U.S. academic health system voluntarily completed a 39-item questionnaire that surveyed basic demographic information, perception of diversity, racial and gender preferences during surgeon selection, and perception of health-care inequalities. Bivariate analyses were used to test the association between patient-surgeon demographic variables and ratings of diversity. Multiple regression models were used to identify independent predictors of overall perceived diversity ratings. Results: A total of 349 patients (80.6% White, 17.9% Black, and 1.5% other) were analyzed. Black patients were more likely to experience difficulty relating to their surgeon than White patients (11.48% versus 2.29%; odds ratio [OR], 5.62; 95% confidence interval [CI], 1.55 to 21.1; p = 0.004). Moreover, Black patients were more likely to perceive racial bias from their surgeon than White patients (5.17% versus 0.37%; OR, 14.44; 95% CI, 1.14 to 766.29; p = 0.02). While the level of racial diversity perceived by White patients (2.57 of 10) was significantly higher than that perceived by Black patients (2.10 of 10) (p = 0.001), the absolute difference between these 2 figures was small, suggesting that both groups perceived racial diversity in orthopaedics to be low. White and Black patients differed in their importance ranking of a surgeon’s race (p < 0.0001): Black patients ranked a surgeon’s race with higher importance (mean, 3.49 of 10) when selecting a surgeon compared with White patients (1.45 of 10). Both male and female patients gave relatively low importance rankings for a surgeon’s gender (mean, 1.58 of 10 and 2.15 of 10, respectively, p = 0.02). Conclusions: Patients in this study did not perceive orthopaedic surgery as a diverse field (overall diversity rating, <3 of 10). There were significant racial and gender differences in patients’ preferences for specific physician characteristics when choosing an orthopaedic surgeon, which may help explain some instances of perceived racial bias and difficulty relating to their orthopaedic surgeon.

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Section: Discussionmentioning

confidence: 99%

Patient Preferences and Perceptions of Provider Diversity in Orthopaedic Surgery

Chen,

Strony,

Kroneberger

et al. 2023

Journal of Bone and Joint Surgery

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“…The study reported that patients who favored female doctors did so not just because they felt more comfortable having their sensitive health information examined by a woman doctor, and also found that female doctors tend to be friendlier and more approachable [16]. Even after more than 25 years, the same communication techniques of doctors are still being studied [17]. There is an even greater disparity between expected feminine behavior and the attributes that embody the typical surgeon for females in the medical field.…”

Section: Introductionmentioning

confidence: 99%

Population Preference of Surgeon's Gender for Surgical Care and Their Attitudes Toward Female Surgeons in Taif, Saudi Arabia

Alkhaldi¹,

Alsulaimani²,

Altalhi³

et al. 2022

Cureus

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IntroductionOne contributing factor that has led to a reduction in the number of females entering the profession of surgery is discrimination against female surgeons. Little is known about the practices, attitudes, and perceptions of the Saudi population toward gender discrimination in the field of surgery. The aim of this study was to assess the practices, attitudes, and perceptions of the Taif population in choosing a surgeon based on their gender. Materials and methodsAn online pretested questionnaire was randomly sent to the participants living in Taif city. Collected data were subjected to scrutiny to check participants' study inclusion criteria. All the data were subjected to statistical analysis by an independent biostatistician. Pearson's chi-square test was used to search for a statistically significant association between categorical variables. ResultsAbout 49.5% of the participants preferred a surgeon of the same gender when consulting for a nonemergency visit to a surgery clinic, whereas females significantly preferred a female surgeon (p < 0.001). The most common reason to choose surgeons of the same gender was comfort, followed by ease of talking. About 71.8% of the participants preferred female surgeons for ''sensitive'' surgical cases such as genital, obstetric, or sexual disorders, whereas 12.1% preferred male surgeons. ConclusionFemales have shown progress in the field of surgery, but there is still much to be done to convert the surgical workplace to be more supportive of women so that they contribute their best effort.

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Women in spine surgery: can we change the society?

Nikova,

Vlotinou,

Michalopoulou

et al. 2024

Eur Spine J

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Patients’ preferences regarding physicians’ gender: a clinical center cross-sectional study

Abstract: Patients' preferences regarding physicians' gender: a clinical center cross-sectional study | ORIGINAL ARTICLE

Cited by 6 publications

References 27 publications

Patient Preferences and Perceptions of Provider Diversity in Orthopaedic Surgery

Patient Preferences and Perceptions of Provider Diversity in Orthopaedic Surgery

Population Preference of Surgeon's Gender for Surgical Care and Their Attitudes Toward Female Surgeons in Taif, Saudi Arabia

Women in spine surgery: can we change the society?

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