Association between patient-physician gender concordance and patient experience scores. Is there gender bias?
Copyright © 2020. Published by Elsevier Inc..
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:45 |
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| Enthalten in: |
The American journal of emergency medicine - 45(2021) vom: 16. Juli, Seite 476-482 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Chekijian, Sharon [VerfasserIn] |
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| Links: |
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| Themen: |
Emergency Medicine |
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| Anmerkungen: |
Date Completed 26.08.2021 Date Revised 26.08.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ajem.2020.09.090 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM316389757 |
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| 100 | 1 | |a Chekijian, Sharon |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Association between patient-physician gender concordance and patient experience scores. Is there gender bias? |
| 264 | 1 | |c 2021 | |
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| 500 | |a Date Completed 26.08.2021 | ||
| 500 | |a Date Revised 26.08.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020. Published by Elsevier Inc. | ||
| 520 | |a 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 | ||
| 520 | |a OBJECTIVE: Examine the effect of patient and physician gender concordance on patient satisfaction with emergency care | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Emergency Medicine | |
| 650 | 4 | |a Gender Concordance | |
| 650 | 4 | |a Operations | |
| 650 | 4 | |a Patient Experience | |
| 650 | 4 | |a Patient Satisfaction | |
| 650 | 4 | |a Sex and Gender | |
| 700 | 1 | |a Kinsman, Jeremiah |e verfasserin |4 aut | |
| 700 | 1 | |a Taylor, R Andrew |e verfasserin |4 aut | |
| 700 | 1 | |a Ravi, Shashank |e verfasserin |4 aut | |
| 700 | 1 | |a Parwani, Vivek |e verfasserin |4 aut | |
| 700 | 1 | |a Ulrich, Andrew |e verfasserin |4 aut | |
| 700 | 1 | |a Venkatesh, Arjun |e verfasserin |4 aut | |
| 700 | 1 | |a Agrawal, Pooja |e verfasserin |4 aut | |
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