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Abstract
This paper discusses the research focused on gender issues in healthcare communication.
The majority of papers discussed here are based on a research study in which 509 new
adult patients were prospectively and randomly assigned to family practice or internal
medicine clinics at a university medical center and followed for one year of care.
There are significant differences in the practice style behaviors of female and male
doctors. Female doctors provide more preventive services and psychosocial counseling;
male doctors spend more time on technical practice behaviors, such as medical history
taking and physical examination. The patients of female doctors are more satisfied,
even after adjusting for patient characteristics and physician practice style. Female
patients make more medical visits and have higher total annual medical charges; their
visits include more preventive services, less physical examination, and fewer discussions
about tobacco, alcohol and other substance abuse (controlling for health status and
sociodemographic variables). The examination of gender concordant and discordant doctor-patient
dyads provides a unique strategy for assessing the effect of gender on what takes
place during the medical visit.
Doctor and patient gender can impact the physician-patient interaction and its outcomes.
The development of appropriate strategies for the implementation of knowledge about
physician and patient gender differences will be crucial for the delivery of high
quality gender-sensitive healthcare.