Physicians’ information seeking behavior in patients presenting with heart failure symptoms – Does gender of physician and patient matter?

Koens, Sarah; Marx, Gabriella; Gras, Colette; Scherer, Martin; Lüdecke, Daniel; Knesebeck, Olaf von dem

doi:10.1016/j.pec.2020.05.022

Cited by 7 publications

(4 citation statements)

References 27 publications

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“…It was shown that prognosis depends on severity, age and gender of patients, which supports an early diagnosis followed by an early beginning of therapy,18 but little is known about how GPs consider patients’ gender and age during their decision-making processes. In previous analyses, we found that in patients’ medical history, GPs have a greater focus on lifestyle aspects in men than in women which is not in line with current guidelines 19…”

Section: Introductionmentioning

confidence: 69%

“…In previous analyses, we found that in patients' medical history, GPs have a greater focus on lifestyle aspects in men than in women which is not in line with current guidelines. 19 To provide equal care to women and men with HF regardless of their age, insights in how primary care doctors interpret early HF symptoms and signs are needed. In this study, we therefore addressed the following questions: (1) Do GPs suspect HF in patients presenting with typical but ambiguous HF symptoms in general?…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

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Age and gender differences in diagnostic decision-making of early heart failure: results of a mixed-methods interview-study using video vignettes

et al. 2022

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ObjectivesMen and women at any age show similar symptoms and signs of heart failure (HF). Since early HF symptoms are ambiguous, doctors may overlook HF as possible cause and misinterpret the signs. The aim was to analyse differences in general practitioners’ (GPs) HF diagnosis and diagnostic certainty by patient age and gender and to identify reasons for possible differences.DesignFactorial design with video vignettes presenting patients (played by professional actors) with early HF symptoms was used. Video vignettes differed regarding patients’ gender (male/female), age (55 years/75 years) and migration background (no/yes: Turkish), while the dialogue was identical. GPs were asked about possible diagnoses and certainty of diagnoses (quantitative) and to narrate their thoughts on considered diagnoses (qualitative).SettingGeneral practices in northern Germany.Participants128 GPs stratified by gender and length of clinical experience (≤15 years or >15 years).ResultsGPs considered HF more often in women than men (predicted probabilities with 95% CI: 0.83 (0.68 to 0.92) vs 0.63 (0.44 to 0.79), p=0.02), especially in older women compared with younger men (predicted probabilities with 95% CI: 0.89 (0.68 to 0.96) vs 0.52 (0.31 to 0.72), p=0,03). Suspected HF was not reasoned by the patient’s gender and only seldom by the patient’s age, but by reported symptoms. Diagnostic certainty of HF was higher in women than in men (predicted proportions with 95% CI: 0.48 (0.39 to 0.58) vs 0.36 (0.27 to 0.45), p=0.01), with highest certainty in older women and lowest in younger men (0.57 (0.45 to 0.69) vs 0.27 (0.17 to 0.37), p<0.01). GPs explained their certainty referring to both typical HF symptoms and their gut feeling.ConclusionDespite an identical dialogue, the study showed differences by patients’ gender and age in frequency and certainty of HF diagnosis. In order to avoid that GPs overlook or misinterpret early signs of HF, it is important to critically reflect diagnostic decisions and possible social influences.

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Section: Introductionmentioning

confidence: 69%

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Age and gender differences in diagnostic decision-making of early heart failure: results of a mixed-methods interview-study using video vignettes

et al. 2022

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“…Also, Shao et al (2019) established results showing that the role of mobility and reputation in building trust differ across gender. More recently, Koens et al (2020) have presented that the influence of online stimuli on information seeking behavior can be different across gender.…”

Section: Discussionmentioning

confidence: 99%

Establishing Trust in E-Commerce Through Website Design Elements

Shaouf¹

2022

International Journal of Technology and Human Interaction

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It is expected that website design can lead to online trust, although research that systematically examines such a relationship is little. In addition, far too little attention has been paid to understand the effect of website design on e-trust across gender. In this study, therefore, three elements of website design (visual design, information design, and navigation design) are examined for their effect on consumer trust in e-commerce. Using data collected from 532 online shoppers , the overall model was first tested using structural equation modeling (SEM) analysis. The research model was then tested for each gender group separately. The results of the study indicated that website design is an important factor in establishing trust in e-commerce. Our results further revealed that website information design is more important to males than females in forming e-trust, while website navigation design is more important to females than males in forming e-trust. However, website visual design was found to be a key driver of e-trust for both males and females.

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“…Based on experiences in previous projects, we expect a participation rate of at least 50% of the randomly selected practices. 50 This will lead to around 25 practices taking up patient recruitment. Physicians will receive €50 per patient included in the study.…”

Section: Methods and Analysismentioning

confidence: 99%

Social inequalities in aggravating factors of somatic symptom persistence (SOMA.SOC): study protocol for a mixed-method observational study focusing on irritable bowel syndrome and fatigue

2023

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IntroductionSome studies indicate that persistent somatic symptoms (PSS) are more prevalent among individuals with a low socioeconomic status (SES) and a migration background. However, factors explaining social inequalities in PSS are largely unknown. It is expected that aggravating factors of PSS like illness perception, illness beliefs (health literacy, stigma), illness behaviour and health anxiety may play an important role for this explanation. The SOMA.SOC study will examine social inequalities (according to SES and migration) in factors contributing to symptom persistence in irritable bowel syndrome (IBS) and fatigue.Methods and analysisThe project will collect both quantitative and qualitative data. Quantitative data will be gathered via a representative telephone survey in Germany (N=2400). A vignette design will be used depicting patients varying in sex, condition (IBS/fatigue), occupational status (low/high) and migration (yes/no). In the survey, we will assess public knowledge and beliefs (eg, health literacy), attitudes (stigma) and personal experiences with the condition (eg, somatic symptom burden). Complementary, longitudinal qualitative interviews will be conducted with patients (n=32 at three time points, resulting in N=96 interviews) who will also vary according to sex, condition, occupational status and migration. Patients will be recruited from primary care practices in Hamburg. The interviews will cover origin and development of the condition, coping and help-seeking as well as social interactions and perception of the disease by others (eg, perceived stigma). SOMA.SOC is part of the interdisciplinary SOMACROSS (Persistent SOMAtic Symptoms ACROSS Diseases) research unit.Ethics and disseminationThe study protocol was approved by the Ethics Committee of the Hamburg Medical Association on 25 January 2021 (reference number: 2020–10194- BO-ff). Informed consent will be obtained from all participants. The main findings will be submitted for publication in peer-reviewed journals within 12 months of study completion.

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Physicians’ information seeking behavior in patients presenting with heart failure symptoms – Does gender of physician and patient matter?

Cited by 7 publications

References 27 publications

Age and gender differences in diagnostic decision-making of early heart failure: results of a mixed-methods interview-study using video vignettes

Age and gender differences in diagnostic decision-making of early heart failure: results of a mixed-methods interview-study using video vignettes

Establishing Trust in E-Commerce Through Website Design Elements

Social inequalities in aggravating factors of somatic symptom persistence (SOMA.SOC): study protocol for a mixed-method observational study focusing on irritable bowel syndrome and fatigue

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