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Gender Differences in Electronic Health Record Inbox Message Volumes Among Pediatric Surgeon Specialists.
Darren Ha1, Nicole Russell2, Kaitlin E Olson3
1University of Colorado School of Medicine, 13001 E 17(th) Place, Aurora, CO 80045, USA.
Journal of Pediatric Surgery
|February 4, 2025
Summary
Surgeon sex did not predict electronic health record (EHR) message volume or length in pediatric surgical subspecialties. This study found no evidence of gender-based disparities in EHR communication patterns among these specialists.
Area of Science:
- Pediatric Surgery
- Health Informatics
- Gender Equity in Medicine
Background:
- Previous research explored physician sex and electronic health record (EHR) utilization for gender equity.
- This relationship has not been investigated among pediatric surgical subspecialists.
- Hypothesis: Female surgeons receive more inbox messages and have longer messages than male surgeons.
Purpose of the Study:
- To investigate the association between surgeon sex and EHR utilization patterns.
- To determine if gender influences the number and length of messages received by pediatric surgical subspecialists.
- To assess provider gender equity in EHR communication.
Main Methods:
- Retrospective analysis of EHR utilization data from pediatric surgical subspecialists.
- Stratification of surgeons by sex, including those performing at least five procedures between January 2021 and December 2022.
- Primary outcomes: number of inbox messages received (adjusted for surgical volume) and message length.
Main Results:
- Analysis included 41 female and 79 male surgeons.
- Surgeon sex was a significant predictor of inbox message count in univariate analysis (IRR 1.58 favoring female surgeons, p=0.03).
- This association was not significant in multivariate analysis after adjusting for case complexity; surgeon sex did not predict message length.
Conclusions:
- Surgeon sex was not a significant predictor of inbox message count or message length in pediatric surgical subspecialists.
- Findings suggest gender equity in EHR activities, avoiding potential bias.
- Further research may explore other factors influencing EHR utilization.
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