The Association of Gender Concordance and Primary Care Physicians' Perceptions of Their Patients

Gross, Revital; McNeill, Ross; Davis, Peter; Lay‐Yee, Roy; Jatrana, Santosh; Crampton, Peter

doi:10.1080/03630240802313464

Cited by 61 publications

(59 citation statements)

References 36 publications

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“…Older patients tended to be more satisfied than younger patients. In contrast to our results, previous research also found significant gender differences [55][56][57][58].…”

Section: Patient Satisfactioncontrasting

confidence: 86%

Improving quality of medical treatment and care: are surgeons’ working conditions and job satisfaction associated to patient satisfaction?

Mache

Vitzthum

Klapp

et al. 2012

Langenbecks Arch Surg

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“…Older patients tended to be more satisfied than younger patients. In contrast to our results, previous research also found significant gender differences [55][56][57][58].…”

Section: Patient Satisfactioncontrasting

confidence: 86%

Improving quality of medical treatment and care: are surgeons’ working conditions and job satisfaction associated to patient satisfaction?

Mache

Vitzthum

Klapp

et al. 2012

Langenbecks Arch Surg

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“…11–15 Gender concordance has been linked to medical decision making, 11 achievement of diabetes and hypertension treatment goals, 16 and receipt of preventive counseling. 13,17,18 …”

Section: Introductionmentioning

confidence: 99%

Patient–Physician Gender Concordance and Weight-Related Counseling of Obese Patients

Pickett–Blakely

Bleich

Cooper

2011

American Journal of Preventive Medicine

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Background Obesity affects approximately one third of Americans. Patient and provider characteristics such as gender may influence obesity care. Gender concordance has been associated with clinical practice patterns in chronic conditions such as hypertension and diabetes, but its role in obesity care is unknown. Purpose The purpose of this study was to investigate the association of patient–physician gender concordance with weight-related counseling among obese adults. Methods A cross-sectional study using the 2005–2007 National Ambulatory Medical Care Survey was conducted in 2010. Postvisit data from the clinical encounters of 5667 obese individuals and their physicians were analyzed to determine the association between patient– physician gender concordance (categorized using patient gender as the reference point as female gender-concordant, male gender-concordant, male gender-discordant and female gender-discordant) and three types of weight-related counseling (diet/nutrition, exercise, and weight reduction). Results Diet/nutrition, exercise, and weight reduction counseling was provided to 30%, 23%, and 20% of obese patients, respectively. Patients in male gender-concordant patient–physician pairs had significantly higher adjusted odds of receiving diet/nutrition (OR 1.58; 95% CI: 1.05, 2.40) and exercise counseling (1.76; 95% CI: 1.13, 2.74) than female gender-concordant pairs. There were no significant differences in any form of weight-related counseling between female gender-concordant and gender-discordant pairs. Conclusions The findings of this study suggest that male patient–physician gender concordance is positively associated with diet/nutrition and exercise counseling.

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“…Some indicate that gender concordance has a positive impact [21–22], some show no impact [20, 23] and some show a negative impact [24]. Patient-provider gender concordance has also been positively associated with physician’s perceptions of patients [25]. …”

Section: Introductionmentioning

confidence: 99%

Patient use of weight-management activities: A comparison of patient and physician assessments

Bleich¹,

Huizinga

Beach

et al. 2010

Patient Education and Counseling

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Objective-Examine concordance between patient and physician assessments of patient selfreported use of weight management activities.Methods-Analysis of baseline data from a randomized controlled trial of patient and physician interventions to improve patient-physician communication (41 physicians and 274 of their patients).Results-A majority of patients reported regular exercise (55.6%) and efforts to lose weight, such as eating less (63.1%) while physicians only perceived one-third of patients as engaging in those activities (exercise, 36.6%; weight loss, 33.3%). Kappa scores indicated small agreement between patient and physician assessments of patient self-reported use of exercise, mean kappa 0.28 (range 0.15 to 0.40) and no agreement between patient and physician assessments of patient self-reported efforts to lose weight, mean kappa −0.14 (range −0.26 to −0.01). Obese patients were more likely than non-obese patients to report trying to lose weight or exercising regularly (p < 0.05), but physicians were less likely to perceive obese patients as engaging in those activities (p < 0.05).Conclusions-Primary care physicians differed considerably from their patients, especially obese patients, in their assessments of patient use of weight management activities.Practice Implications-These results highlight the importance of improving patient-provider communication about weight-management activities, particularly among obese patients.

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The Association of Gender Concordance and Primary Care Physicians' Perceptions of Their Patients

Cited by 61 publications

References 36 publications

Improving quality of medical treatment and care: are surgeons’ working conditions and job satisfaction associated to patient satisfaction?

Improving quality of medical treatment and care: are surgeons’ working conditions and job satisfaction associated to patient satisfaction?

Patient–Physician Gender Concordance and Weight-Related Counseling of Obese Patients

Patient use of weight-management activities: A comparison of patient and physician assessments

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