Do gender differences affect the doctor-patient interaction during consultations in general practice? Results from the INTERMEDE study
被引:48
|
作者:
Schieber, Anne-Cecile
论文数: 0引用数: 0
h-index: 0
机构:
INSERM UMR 1027, Toulouse, France
Univ Toulouse 3, UMR1027, F-31062 Toulouse, France
CHU Toulouse, Serv Epidemiol, Toulouse, FranceINSERM UMR 1027, Toulouse, France
Schieber, Anne-Cecile
[1
,2
,3
]
Delpierre, Cyrille
论文数: 0引用数: 0
h-index: 0
机构:
INSERM UMR 1027, Toulouse, FranceINSERM UMR 1027, Toulouse, France
Delpierre, Cyrille
[1
]
Lepage, Benoit
论文数: 0引用数: 0
h-index: 0
机构:
INSERM UMR 1027, Toulouse, France
Univ Toulouse 3, UMR1027, F-31062 Toulouse, FranceINSERM UMR 1027, Toulouse, France
Lepage, Benoit
[1
,2
]
Afrite, Anissa
论文数: 0引用数: 0
h-index: 0
机构:
IRDES, Paris, FranceINSERM UMR 1027, Toulouse, France
Afrite, Anissa
[4
]
Pascal, Jean
论文数: 0引用数: 0
h-index: 0
机构:
CHU Toulouse, Serv Epidemiol, Toulouse, France
CHU Toulouse, Dept Informat Med, Toulouse, FranceINSERM UMR 1027, Toulouse, France
Pascal, Jean
[3
,5
]
Cases, Chantal
论文数: 0引用数: 0
h-index: 0
机构:
INED, Paris, FranceINSERM UMR 1027, Toulouse, France
Cases, Chantal
[6
]
Lombrail, Pierre
论文数: 0引用数: 0
h-index: 0
机构:
Univ Paris 13, UPRES EA3412, Bobigny, France
AP HP Hop Avicenne, Bobigny, FranceINSERM UMR 1027, Toulouse, France
Lombrail, Pierre
[7
,8
]
论文数: 引用数:
h-index:
机构:
Lang, Thierry
[1
,2
]
Kelly-Irving, Michelle
论文数: 0引用数: 0
h-index: 0
机构:
INSERM UMR 1027, Toulouse, FranceINSERM UMR 1027, Toulouse, France
Kelly-Irving, Michelle
[1
]
机构:
[1] INSERM UMR 1027, Toulouse, France
[2] Univ Toulouse 3, UMR1027, F-31062 Toulouse, France
[3] CHU Toulouse, Serv Epidemiol, Toulouse, France
[4] IRDES, Paris, France
[5] CHU Toulouse, Dept Informat Med, Toulouse, France
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.
机构:
Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Hunan Brain Hosp, Dept Psychiat, Changsha, Peoples R ChinaCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Zhou, Yanan
Chen, Shubao
论文数: 0引用数: 0
h-index: 0
机构:
Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R ChinaCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Chen, Shubao
Liao, Yanhui
论文数: 0引用数: 0
h-index: 0
机构:
Sir Run Run Shaw Hosp, Dept Psychiat, Hangzhou, Peoples R ChinaCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Liao, Yanhui
Wu, Qiuxia
论文数: 0引用数: 0
h-index: 0
机构:
Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R ChinaCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Wu, Qiuxia
Ma, Yuejiao
论文数: 0引用数: 0
h-index: 0
机构:
Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R ChinaCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Ma, Yuejiao
Wang, Dongfang
论文数: 0引用数: 0
h-index: 0
机构:
Tech Univ Munich, Dept Psychiat & Psychotherapy, Univ Hosp Rechts Isar, Munich, GermanyCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Wang, Dongfang
Wang, Xuyi
论文数: 0引用数: 0
h-index: 0
机构:
Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R ChinaCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Wang, Xuyi
Li, Manyun
论文数: 0引用数: 0
h-index: 0
机构:
Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R ChinaCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Li, Manyun
Wang, Yunfei
论文数: 0引用数: 0
h-index: 0
机构:
Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R ChinaCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Wang, Yunfei
Wang, Yingying
论文数: 0引用数: 0
h-index: 0
机构:
Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R ChinaCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Wang, Yingying
Liu, Yueheng
论文数: 0引用数: 0
h-index: 0
机构:
Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R ChinaCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Liu, Yueheng
Liu, Tieqiao
论文数: 0引用数: 0
h-index: 0
机构:
Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R ChinaCent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
Liu, Tieqiao
Yang, Winson Fu Zun
论文数: 0引用数: 0
h-index: 0
机构:
Texas Tech Univ, Dept Psychol Sci, Coll Arts & Sci, Lubbock, TX 79409 USACent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China
机构:
Univ Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, EnglandUniv Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, England
Leydon, Geraldine M.
Stuart, Beth
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, EnglandUniv Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, England
Stuart, Beth
Summers, Rachael H.
论文数: 0引用数: 0
h-index: 0
机构:
NHS Digital, Leeds, W Yorkshire, EnglandUniv Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, England
Summers, Rachael H.
论文数: 引用数:
h-index:
机构:
Little, Paul
Ekberg, Stuart
论文数: 0引用数: 0
h-index: 0
机构:
Queensland Univ Technol, Sch Psychol & Counselling, Fac Hlth, Brisbane, Qld, AustraliaUniv Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, England
Ekberg, Stuart
Stevenson, Fiona
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Primary Care & Populat Hlth, E Hlth Unit, London, EnglandUniv Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, England
Stevenson, Fiona
Chew-Graham, Carolyn A.
论文数: 0引用数: 0
h-index: 0
机构:
Keele Univ, Primary Care & Hlth Sci, Keele, Staffs, EnglandUniv Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, England
Chew-Graham, Carolyn A.
Brindle, Lucy
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southampton, Fac Hlth Sci, Southampton, Hants, EnglandUniv Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, England
Brindle, Lucy
Heritage, John
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Los Angeles, Social Sci, Los Angeles, CA 90024 USAUniv Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, England
Heritage, John
Drew, Paul
论文数: 0引用数: 0
h-index: 0
机构:
Loughborough Univ Technol, Social Sci, Loughborough, Leics, EnglandUniv Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, England
Drew, Paul
Moore, Michael V.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, EnglandUniv Southampton, Fac Med, Primary Care & Populat Sci, Southampton, Hants, England