[Professional practice and gender in primary care]

In this paper we analyse the relations between sex of patients and professionals, social class and health insurance scheme, with the type of medical practice and level of satisfaction with care received by the patients. Following recent literature it can be said that medical practices based on the psychosocial paradigm obtain better results in terms of health and satisfaction. In the primary health care sector, there is evidence that women doctors follow a communication pattern grounded on the psychosocial model. In parallel, women patients frequently show their preferences for women doctors when their complaints are related to psychosocial issues. Sex and social class of patients and professionals are not consistently related to the level of satisfaction reached, although to date there is still a lack of research to support this point. It is necessary to incorporate in our research these analytical categories. Not only in data collection but also in the analysis. It would not be possible to fully understand the complexity of clinical activities without considering that gender and class shape our individual and social identity and therefore condition the diverse forms of interaction in patient-doctor relations.