GENDER DIFFERENCES IN PRACTICE STYLE - A DUTCH STUDY OF GENERAL-PRACTITIONERS
GENDER DIFFERENCES IN PRACTICE STYLE - A DUTCH STUDY OF GENERAL-PRACTITIONERS
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DOI：
10.1097/00005650-199303000-00004
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发表时间：
1993-03-01
期刊：
影响因子：
3
通讯作者：
DEBAKKER, DH
中科院分区：
文献类型：
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作者：
BENSING, JM;VANDENBRINKMUINEN, A;DEBAKKER, DH
研究了男女全科医生在三个不同因素上的差异：1)女性全科医生在同一诊所是否比男性全科医生看到更多的女性患者？2)女性全科医生面临的健康问题类型是否与男性同事不同？3)女性全科医生是否为患者提供不同的服务？数据来自荷兰全国全科医学发病率和干预研究。本研究的所有实践均选择女性（n = 23）和男性（n = 27）全科医生。这产生了47,254次咨询的详细数据，其中62%是女性患者。三个研究问题均得到肯定的回答：1)女性患者倾向于选择女性全科医生；2)女性全科医生看到的健康问题与男性同事不同，这只是部分原因，因为病人是这样选择的；3)除了女性特有问题的预期差异外，女性全科医生咨询中存在的“社会”和“代谢”问题也存在明显的GP-性别效应。男性和女性全科医生在提供服务方面存在一些差异，女性全科医生花在病人身上的时间更多，提供连续性护理的倾向更强。除了性别效应（医生和病人）外，在大多数研究问题中还观察到兼职效应。
The differences between female and male general practitioners (GPs) were studied regarding three different factors: 1) Do female GPs see more female patients than their male colleagues in the same practice?; 2) Are female GPs confronted with different types of health problems from their male colleagues?; and 3) Do female GPs provide different services to their patients? Data from the Dutch NationaI Study on Morbidity and Interventions in General Practice were used. All practices in this study with both female (n = 23) and male (n = 27) GPs were selected. This resulted in detailed data on 47,254 consultations, 62% of which were with female patients. The three research questions all received an affirmative response: 1) female patients tend to choose female general practitioners; 2) female GPs see different health problems from their male colleagues, and that is only partly because the patient so chooses; and 3) besides the expected differences in female-specific problems, there is a clear GP-gender effect in the presence of 'social' and 'metabolic' problems in the female GP's consultations. Some differences in the provision of services between male and female GPs occurred, with female GPs spending more time on their patients and having a stronger tendency to provide continuity of care. In addition to a gender effect (both physician and patient) a part-time effect in most issues studied was observed.