Diabetes management in the primary care setting: a comparison of physicians' performance by gender
Autor: | Mario Braga, Giovanna Boccuzzo, Alessandra Buja, Mariadonata Bellentani, Vincenzo Baldo, Gianfranco Damiani, Mirko Claus, Paolo Francesconi, Riccardo Fusinato, Rosa Gini, Mimma Cosentino |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male medicine.medical_specialty Population ageing Quality management diabetes management Attitude of Health Personnel Population quality assurance 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Sex Factors Diabetes management General Practitioners Health care medicine Diabetes Mellitus Humans 030212 general & internal medicine Practice Patterns Physicians' education Settore MED/42 - IGIENE GENERALE E APPLICATA Care Planning Quality of Health Care healthcare performance evaluation process indicators Public Health Environmental and Occupational Health education.field_of_study Primary Health Care business.industry Public health Research Environmental and Occupational Health Multilevel model Middle Aged Cross-Sectional Studies Italy Workforce Chronic Disease Female Public Health business Demography |
Zdroj: | Primary health care researchdevelopment. 19(6) |
ISSN: | 1477-1128 1463-4236 |
Popis: | BackgroundA major shift in the gender of the medical-doctor workforce is now underway, and all over the world it is expected that an average 65% of the medical workforce will be women by 2030. In addition, an aging population means that chronic diseases, such as diabetes, are becoming more prevalent and the demand for care is rising. There is growing evidence of female physicians performing better than male physicians.AimOur study aimed to investigate whether any differences in diabetes process indicators are associated with gender, and/or the interaction between gender and different organizational models.Design and settingA population-based cross-sectional analysis was conducted on a large data set obtained by processing the public health administration databases of seven Italian local health units (LHUs). The seven LHUs, distributed all over the Italian peninsula in seven different regions, took part in a national project called MEDINA, with the focus on chronic disease management in primary care (PC).MethodsA total score was calculated for the average performance in the previously listed five indicators, representing global adherence to a quality management of patients with diabetes. A multilevel analysis was applied to see how LHUs affected the outcome. A quantile regression model was also fitted.ResultsOur study included 2287 Italian general practitioners (586 of them female) caring for a total of 2 646 059 patients. Analyzing the performance scores confirmed that female general practitioners obtained better results than males. The differences between males and females were stronger on the 25th and 75th percentiles of the score than on the median values. The interaction between gender and LHU was not significant.ConclusionOur study evidenced that female physicians perform better than males in providing PC for diabetes independently by the different organizational models. Further research to understand the reasons for these gender differences is needed. |
Databáze: | OpenAIRE |
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