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
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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