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dc.contributor.author
Delgado, Ana
dc.contributor.author
Saletti, Lorena
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dc.contributor.author
López Fernández, Luis Andrés
dc.contributor.author
Gil Garrido, Natalia
dc.contributor.author
Luna del Castillo, Juan de Dios
dc.date.available
2019-07-25T13:28:31Z
dc.date.issued
2016-05
dc.identifier.citation
Delgado, Ana; Saletti, Lorena; López Fernández, Luis Andrés; Gil Garrido, Natalia; Luna del Castillo, Juan de Dios; Gender inequalities in COPD decision-making in primary care; W B Saunders Co Ltd; Respiratory Medicine.; 114; 5-2016; 91-96
dc.identifier.issn
0954-6111
dc.identifier.uri
http://hdl.handle.net/11336/80253
dc.description.abstract
COPD is a frequent severe illness that increasingly affects females. Gender inequalities have been reported in COPD care. Objective To analyze decision-making in primary care for men and women with identical COPD as a function of the gender of the family physician (FP). Methods Cross-sectional, multicenter study in 457 Andalusian FPs, using a self-administered vignette-based questionnaire on COPD featuring a male or female patient, with four variables on clinical reasoning: "tobacco as most important risk factor (RF)", "ordering of spirometry", "COPD as most likely diagnosis", and "referral". Multilevel logistic regression analysis. Results Response rate was 67.4% (308/457). In analysis of the four FP gender-patient gender dyads, tobacco was more frequently considered as priority RF for the man than for the woman in the vignette by female (95.6%vs.67.1%) and male (79.8%vs.62.5%) FPs. COPD was more frequently the most likely diagnosis for the man versus woman by female (84.4%vs.49.9%) and male (78.5%vs.57.8%) FPs. Male FPs more frequently ordered spirometry for the man versus woman (68.1%vs.46.8%). There were no differences in referral between male and female patients. Male FPs were more likely than female FPs to consider tobacco as priority RF for the man (p = 002). Female FPs were more likely than male FPs to refer the man (22.5%vs.8%). There may be gender inequalities in primary care for COPD in our setting. Diagnostic and therapeutic efforts appear lower in female patients. Male and female FPs only differed in care of the male patient, indicating FP gender-patient gender interaction.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
W B Saunders Co Ltd
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Copd
dc.subject
Gender Bias
dc.subject
Physicians
dc.subject
Primary Care
dc.subject
Primary Health Care
dc.subject
Sexism
dc.subject.classification
Ciencias Sociales Interdisciplinarias
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dc.subject.classification
Otras Ciencias Sociales
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dc.subject.classification
CIENCIAS SOCIALES
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dc.title
Gender inequalities in COPD decision-making in primary care
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2019-06-10T21:30:06Z
dc.journal.volume
114
dc.journal.pagination
91-96
dc.journal.pais
Reino Unido
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dc.journal.ciudad
Londres
dc.description.fil
Fil: Delgado, Ana. Escuela Andaluza de Salud Pública; España
dc.description.fil
Fil: Saletti, Lorena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina
dc.description.fil
Fil: López Fernández, Luis Andrés. Escuela Andaluza de Salud Pública; España
dc.description.fil
Fil: Gil Garrido, Natalia. Centro de Salud Lavapies, Madrid; España
dc.description.fil
Fil: Luna del Castillo, Juan de Dios. Universidad de Granada; España
dc.journal.title
Respiratory Medicine.
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.rmed.2016.03.017
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0954611116300488
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