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Published on: March 25, 2021
Female cardiologists in Japan
Atsuko Nakayama1, Hiroyuki Morita1, Issei Komuro1
1Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Insights
Patients treated by female cardiologists had a lower risk of 30-day emergency readmission. Female cardiologists
Area of Science:
- Cardiology
- Medical Practice
- Health Outcomes
Background:
- Female cardiologist employment in Japan is low, with potential workplace challenges.
- Hospital managers may hesitate to hire female cardiologists.
- Previous research indicated lower 30-day emergency readmission for patients treated by female cardiologists.
Purpose of the Study:
- To investigate if cardiologist gender impacts clinical outcomes for cardiovascular disease patients.
- To compare patient outcomes between male and female cardiologists in a Japanese teaching hospital.
Main Methods:
- Retrospective analysis of patient data from a representative teaching hospital in Japan.
- Comparison of clinical outcomes, focusing on 30-day emergency readmission rates.
- Analysis of practice patterns, including evidence-based medicine adherence and communication skills.
Main Results:
- Patients treated by female cardiologists showed significantly lower emergency readmission rates within 30 days.
- Female cardiologists demonstrated higher adherence to evidence-based medicine and guideline-directed care.
- Enhanced physician-patient communication and patient-centered preventive care were noted in female cardiologists.
Conclusions:
- Cardiologist gender is associated with differences in patient clinical outcomes.
- Increased numbers of female cardiovascular medicine practitioners may improve patient outcomes.
- Addressing workplace challenges for female cardiologists is crucial for equitable healthcare.
Abstract:
In Japan, the heavy workload managed by cardiologists might make it difficult for female cardiologists to work comfortably, and some hospital managers hesitate to employ female cardiologists. Are the clinical outcomes of patients with cardiovascular diseases affected by the cardiologist's gender? In our previous study, the risk of emergency readmission within 30 days after discharge was found to be significantly lower for patients treated by female cardiologists than for those treated by male cardiologists. Compared to male counterparts, female cardiologists were more likely to practice evidence-based and guideline-directed medicine and communicate with other experts, that is, they are better at solving complex problems in the attending doctors' team. In addition, female cardiologists probably maintain more robust physician-patient communication and successfully provide more fine-tuned and patient-centered preventive care than male cardiologists. In Japan, the rate of female doctors 21.1% is the lowest among the rates for the Organization for Economic Co-operation and Development countries. Under such a situation, in our hospital, a representative teaching hospital where female cardiologists constitute larger than other hospitals in Japan, better clinical outcome was observed in the patients treated by female cardiologists over those treated by male cardiologists. Considering the preference of medical management by female cardiologists, an increase in the number of female cardiovascular medicine practitioners is necessary from the perspective of patients' clinical outcomes.
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