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Gender and hospital resource use. Unexpected differences.

A M Bernard1, R A Hayward, J S Rosevear

  • 1Emory University School of Medicine.

Evaluation & the Health Professions
|May 8, 1993
PubMed
Summary
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Women experienced longer hospital stays and used fewer resources than men, even after adjusting for clinical factors. Men were more likely to be admitted to the intensive care unit (ICU).

Area of Science:

  • Medical Care Research
  • Health Services Research
  • Gender Studies in Medicine

Background:

  • Previous research indicates gender disparities in medical care unrelated to clinical factors.
  • Understanding these differences is crucial for equitable healthcare delivery.

Purpose of the Study:

  • To investigate gender-based differences in hospital length of stay and ancillary service utilization.
  • To analyze the impact of gender on resource consumption during hospitalization.

Main Methods:

  • Retrospective analysis of 19,387 patients (9,102 women, 10,285 men) at a teaching hospital (July 1987-June 1990).
  • Measured hospital care using length of stay and relative value units (RVUs).
  • Adjusted for case-mix and analyzed intensive care unit (ICU) admission rates.

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Main Results:

  • Women stayed 0.22 days longer (p=0.01) and used 67 fewer RVUs (p=0.01) than men after case-mix adjustment.
  • Men were 1.13 times more likely to be admitted to the ICU.
  • Marital status influenced length of stay, with women being less likely to be married, yet still had longer stays.

Conclusions:

  • Gender influences hospital care patterns, with women experiencing longer stays and less intensive resource use.
  • Higher ICU admission rates for men suggest potential differences in care intensity.
  • Further research is needed to determine if observed differences are due to illness severity or physician gender bias.