Association between patient-physician gender concordance and patient experience scores. Is there gender bias?
Am J Emerg Med
; 45: 476-482, 2021 07.
Article
in En
| MEDLINE
| ID: mdl-33069544
ABSTRACT
BACKGROUND:
Patient satisfaction, a commonly measured indicator of quality of care and patient experience, is often used in physician performance reviews and promotion decisions. Patient satisfaction surveys may introduce gender-related bias.OBJECTIVE:
Examine the effect of patient and physician gender concordance on patient satisfaction with emergency care.METHODS:
We performed a cross-sectional analysis of electronic health record and Press Ganey patient satisfaction survey data of adult patients discharged from the emergency department (2015-2018). Logistic regression models were used to examine relationships between physician gender, patient gender, and physician-patient gender dyads. Binary outcomes included perfect care provider score and perfect overall assessment score.RESULTS:
Female patients returned surveys more often (n=7 612; 61.55%) and accounted for more visits (n=232 024; 55.26%). Female patients had lower odds of perfect scores for provider score and overall assessment score (OR 0.852, 95% CI 0.790, 0.918; OR 0.782, 95% CI 0.723, 0.846). Female physicians had 1.102 (95% CI 1.001, 1.213) times the odds of receiving a perfect provider score. Physician gender did not influence male patients' odds of reporting a perfect care provider score (95% CI 0.916, 1.158) whereas female patients treated by female physicians had 1.146 times the odds (95% CI 1.019, 1.289) of a perfect provider score.CONCLUSION:
Female patients prefer female emergency physicians but were less satisfied with their physician and emergency department visit overall. Over-representation of female patients on patient satisfaction surveys introduces bias. Patient satisfaction surveys should be deemphasized from physician compensation and promotion decisions.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Satisfaction
/
Emergency Service, Hospital
/
Sexism
/
Patient Reported Outcome Measures
Type of study:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
/
Patient_preference
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Am J Emerg Med
Year:
2021
Document type:
Article