Urology is a Sensitive Area: Assessing Patient Preferences for Male or Female Urologists

Ficko, Zita; Li, Zhongze; Hyams, Elias S.

doi:10.1016/j.urpr.2017.02.005

Cited by 20 publications

(21 citation statements)

References 10 publications

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“…Overall, the majority of patients in the present study did not have a preference for the gender of their treating urologist, reflecting findings in other studies carried out in the UK, USA and Asia 8,10,14 …”

Section: Discussionsupporting

confidence: 87%

“…Patients with a gender preference were more likely to prefer a gender‐concordant urologist. Similarly, in a North American study, 90% of the preferences were for gender‐concordant urologists 10 . Three‐quarters of female patients and one‐third of male patients in a primary care setting expressed a gender‐concordant preference when discussing genitourinary symptoms 21 …”

Section: Discussionmentioning

confidence: 96%

“…Urologists treat both men and women for medical complaints involving sexual or urinary function, all conditions that might potentially be considered embarrassing 9–12 . In Australia and New Zealand, as in other parts of the world, the urology workforce is predominantly male, with women forming just 10% of all urologists, potentially leading to limited patient access to female urologists 13 .…”

Section: Introductionmentioning

confidence: 99%

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Patient preference for urologist gender

Wynn

Putra

2020

Int J of Urology

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Objectives To determine the factors associated with patients preferring the gender of their treating urologist in various clinical settings. Methods A total of 400 urology outpatients participated in a structured interview on the nature of their presenting complaint, perception of their complaint and the preference for the gender of their urologist in four specific scenarios of consultation, physical examination, office‐based procedure and surgery. Patients who expressed a gender preference received follow‐up telephone calls. Results A gender preference was expressed by 63 (15.8%), 108 (27.0%), 89 (22.3%) and 29 (7.3%) patients for the scenarios of consultation, physical examination, office‐based procedure and surgery, respectively. Patients were more likely to have a preference if they were female or had a condition they considered embarrassing, with most preferences being for a gender‐concordant urologist. Reasons included a previous negative experience and perceived gender‐specific treatment styles. Patients who subsequently saw a doctor of the opposite gender to their preference were more likely to change their mind if their clinical interaction was positive. Conclusions Female patients, those with a perceived embarrassing condition and patients undergoing examination or office‐based procedures are more likely to have a gender preference for their urologist, with a subsequent positive experience leading to patients discarding pre‐existing preferences. With improved understanding of how patient characteristics, perception of their condition and previous experiences can affect their choices in various clinical situations, urologists can better meet patient expectations and address barriers to healthcare in urology.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Patient preference for urologist gender

Wynn

Putra

2020

Int J of Urology

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“…11,12,13 Sex-concordant physician preference for urological conditions has been demonstrated among patients with urinary incontinence. 3…”

Section: Discussionmentioning

confidence: 99%

“…For instance, patient surveys have highlighted that patients with urinary incontinence prefer to have sex-concordant urologists. 3 Cross-sectional studies have also found lower mortality and readmission rates for Medicare beneficiaries treated by female physicians. 4 In addition, more female urologists are pursuing academic careers and fellowship training, and not just in female pelvic medicine and reconstructive surgery.…”

Section: Introductionmentioning

confidence: 99%

Variation in Practice Patterns and Reimbursements Between Female and Male Urologists for Medicare Beneficiaries

et al. 2019

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Key Points Question Do practice patterns, reimbursements, and geographic distribution of urologists who treat Medicare beneficiaries differ by urologist sex? Findings In this population-based cohort study of 8665 US urologists who received Medicare payments in 2016, statistically significant differences in practice patterns and payments were found for female urologists, including considerable geographic gaps in access to these physicians (ie, one-third of hospital markets had 0 female urologists for Medicare beneficiaries). Meaning Female urologists appeared to provide unique care for more female Medicare beneficiaries and to perform more female-specific care, but a wide variation in geographic concentration of urologists based on urologist sex was found.

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Projected US Urology Workforce per Capita, 2020-2060

et al. 2021

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Key Points Question What are the projected size and demographic characteristics of the urology workforce per capita in the US through 2060? Findings In this cross-sectional study, 2 stock and flow models of continued (13.8%) and stagnant (0%) growth of the urology workforce based on the American Urological Association Annual Census data in 2019 and the US Census Bureau’s projections showed that within the context of the impending urology workforce shortage, there will be an exaggerated shortage of total urologists per capita for populations aged 65 years and older. Meaning These findings highlight the need for structural changes and advocacy to increase the available urology workforce.

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Urology is a Sensitive Area: Assessing Patient Preferences for Male or Female Urologists

Cited by 20 publications

References 10 publications

Patient preference for urologist gender

Patient preference for urologist gender

Variation in Practice Patterns and Reimbursements Between Female and Male Urologists for Medicare Beneficiaries

Projected US Urology Workforce per Capita, 2020-2060

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