The influence of patient and doctor gender on diagnosing Coronary Heart Disease
Adams, A, Buckingham, CD, Lindenmeyer, A, McKinlay, JB, Link, C, Marceau, L and Arber, S (2008) The influence of patient and doctor gender on diagnosing Coronary Heart Disease Sociology of Health and Illness, 30 (1). pp. 1-18.
ARBER 2008 Influence of patient and doctor gender on diagnosing coronary heart disease.pdf
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Using novel methods, this paper explores sources of uncertainty and gender bias in primary care doctors’ diagnostic decision-making about coronary heart disease (CHD). Claims about gendered consultation styles and quality of care are re-examined, along with the adequacy of CHD models for women. Randomly selected doctors in the UK and the US (n = 112, 56 per country, stratified by gender) were shown standardised videotaped vignettes of actors portraying patients with CHD. Patients’ age, gender, ethnicity and social class were varied systematically. During interviews, doctors gave free-recall accounts of their decision-making, which were analysed to determine patient and doctor gender effects. We found differences in male and female doctors’ responses to different types of patient information. Female doctors recall more patient cues overall, particularly about history presentation, and particularly amongst women. Male doctors appear less affected by patient gender but both male and especially female doctors take more account of male patients’ age, and consider more age-related disease possibilities for men than women. Findings highlight the need for better integration of knowledge about female presentations within accepted CHD risk models, and do not support the contention that women receive better-quality care from female doctors.
|Divisions :||Faculty of Arts and Social Sciences > Department of Sociology|
|Identification Number :||https://doi.org/10.1111/j.1467-9566.2007.01025.x|
|Related URLs :|
|Additional Information :||FULL TEXT NOT AVAILABLE FROM THIS REPOSITORY|
|Depositing User :||Symplectic Elements|
|Date Deposited :||11 Jul 2013 12:45|
|Last Modified :||23 Sep 2013 19:44|
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