Do gender differences affect the doctor-patient interaction during consultations in general practice? Results from the INTERMEDE study.
Fam Pract
; 31(6): 706-13, 2014 Dec.
Article
em En
| MEDLINE
| ID: mdl-25214508
ABSTRACT
OBJECTIVE:
The aim of the study was to ascertain whether disagreement between GPs and patients on advice given on nutrition, exercise and weight loss is related to patient-doctor gender discordance. Our hypothesis is that a patient interacting with a physician of the same gender may perceive more social proximity, notably on health care beliefs and may be more inclined to trust them.METHODS:
The analysis used the Intermede project's quantitative data collected via mirrored questionnaires at the end of the consultation. Multilevel logistic regressions were carried out to explore associations between patient-doctor gender discordance and their disagreement on advice given during the consultation adjusted on patients' and physicians' characteristics. The sample consists of 585 eligible patients and 27 GPs.RESULTS:
Disagreement on advice given on nutrition was observed less often for female concordant dyads OR = 0.25 (95% CI = 0.08-0.78), and for female doctors-male patients dyads OR = 0.24 (95% CI = 0.07-0.84), taking the male concordant dyads as reference. For advice given on exercise, disagreement was found less often for female concordant dyads OR = 0.38 (95% CI = 0.15-0.98) and an interdoctor effect was found (P < 0.05). For advice given on weight loss, the probability of disagreement was significantly increased (OR 2.87 95% CI = 1.29-6.41) when consultations consisted of female patient and male GP.CONCLUSION:
Patient-doctor gender concordance/discordance is associated with their agreement/disagreement on advice given during the consultation. Physicians need to be conscious that their own demographic characteristics and perceptions might influence the quality of prevention counseling delivered to their patients.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Relações Médico-Paciente
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Doenças Cardiovasculares
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Conhecimentos, Atitudes e Prática em Saúde
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Medicina Geral
Tipo de estudo:
Etiology_studies
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Prognostic_studies
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Qualitative_research
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article