Physician gender bias in clinical decisionmaking

screening for cancer in primary care.

Peter Franks, C. M. Clancy

Research output: Contribution to journalArticle

150 Citations (Scopus)

Abstract

There has been increasing interest in gender disparities in clinical decisionmaking. Few studies have examined this issue in nationally representative samples or focussed on primary care. In addition, few of the studies have examined the role of physician gender. The 1987 National Medical Expenditure Survey was used to examine the relationship between physician gender and screening deficiency in women for three gender-sensitive tests (breast examinations, Papanicolaou tests, and mammograms) and one gender-neutral test (blood pressure checks). Women reporting a female physician as their usual provider compared with those reporting a male physician were less likely to be deficient for Papanicolaou tests and mammograms. There was a smaller, but nonsignificant similar trend for breast examinations. No gender bias was evident for blood pressure checks. These results persisted after multivariate adjustment for patient age, race, education, income, insurance status, subjective health status, other health behaviors, and attitude toward health care and health insurance. The results confirm the existence of physician gender bias in clinical decision making and represent one area for quality improvement.

Original languageEnglish (US)
Pages (from-to)213-218
Number of pages6
JournalMedical Care
Volume31
Issue number3
StatePublished - Mar 1993
Externally publishedYes

Fingerprint

Sexism
Early Detection of Cancer
Primary Health Care
cancer
physician
Physicians
gender
trend
Papanicolaou Test
Breast
Blood Pressure
Attitude to Health
Physician's Role
Diagnostic Self Evaluation
Insurance Coverage
Health Behavior
Health Insurance
Health Expenditures
Quality Improvement
Health Status

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Physician gender bias in clinical decisionmaking : screening for cancer in primary care. / Franks, Peter; Clancy, C. M.

In: Medical Care, Vol. 31, No. 3, 03.1993, p. 213-218.

Research output: Contribution to journalArticle

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