Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Severity-adjusted differences in hospital utilization by gender

E J Yuen1, J S Gonnella, D Z Louis

  • 1Center for Research in Medical Education and Health Care, Jefferson Medical College, Philadelphia, PA 19107, USA.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The impact of early career specialization on licensing requirements and related educational implications.

Advances in health sciences education : theory and practice·2013
Same author

The fate of medical students with different levels of knowledge: Are the basic medical sciences relevant to physician competence?

Advances in health sciences education : theory and practice·2013
Same author

Wrist fracture as a predictor of future fractures in younger versus older postmenopausal women: results from the National Osteoporosis Risk Assessment (NORA).

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·2007
Same author

Empathy in medical students as related to academic performance, clinical competence and gender.

Medical education·2002
Same author

Correlates of young physicians' support for unionization to maintain professional influence.

Academic medicine : journal of the Association of American Medical Colleges·2001
Same author

Change of interest in surgery during medical school: a comparison of men and women.

Academic medicine : journal of the Association of American Medical Colleges·2001
Same journal

Imaging Actionable Incidental Findings: Communication and Follow Up to Eliminate Preventable Harm.

American journal of medical quality : the official journal of the American College of Medical Quality·2026
Same journal

Using Deming's System of Profound Knowledge to Form Quality Focused Age-Friendly Teams.

American journal of medical quality : the official journal of the American College of Medical Quality·2026
Same journal

Aligning Thrombophilia Testing With Evidence-Based Guidelines: The Impact of Clinical Decision Support Redesign in an Academic Medical Center.

American journal of medical quality : the official journal of the American College of Medical Quality·2026
Same journal

The Interrater Reliability of Cardiac Arrest Video Review: A Pilot Study.

American journal of medical quality : the official journal of the American College of Medical Quality·2026
Same journal

Improving Obstructive Sleep Apnea Screening in Patients With Atrial Fibrillation: Bridging the Gap.

American journal of medical quality : the official journal of the American College of Medical Quality·2026
Same journal

Management Modality of Thoracoabdominal Aortic Aneurysms is Associated with Lower Rates of Follow-Up.

American journal of medical quality : the official journal of the American College of Medical Quality·2026
See all related articles

Hospital care for appendicitis, diverticulitis, and cholecystitis showed gender differences in illness severity upon admission. These findings suggest potential disparities in timely diagnosis and treatment access for women and men.

Area of Science:

  • Health Services Research
  • Gastroenterology
  • Health Equity

Background:

  • Gender-based disparities in healthcare utilization may stem from biological factors or inequities in access and quality of care.
  • Timeliness of hospital care, indicated by illness severity at admission, is crucial for patient outcomes.
  • Three common abdominal conditions—appendicitis, diverticulitis, and cholecystitis—were selected due to potential diagnostic confusion with gynecological issues.

Purpose of the Study:

  • To investigate gender-based differences in hospital care for specific abdominal conditions.
  • To determine if illness severity at admission varies between men and women for appendicitis, diverticulitis, and cholecystitis.
  • To assess potential implications for healthcare access and quality based on observed gender disparities.

Main Methods:

Related Experiment Videos

  • Analysis of data from the National Hospital Discharge Survey (NHDS).
  • Categorization of hospitalizations by disease severity using a 3-stage illness staging system.
  • Examination of age-adjusted discharge rates and percentages by illness stage and gender for selected conditions.

Main Results:

  • For appendectomy, men had a higher percentage of stage 1 (lower severity) discharges (73% vs. 67%).
  • Women with diverticular disease showed higher proportions of stage 2/3 (higher severity) discharges for both medical and surgical cases.
  • Women with cholecystitis had more stage 1 (lower severity) hospitalizations, particularly for surgery (63% vs. 38%), while men had more stage 2 admissions.

Conclusions:

  • Observed gender differences in illness severity at hospital admission for appendicitis, diverticulitis, and cholecystitis suggest potential variations in care timeliness.
  • These disparities may indicate underlying issues with healthcare access or diagnostic accuracy, particularly for women with diverticular disease.
  • Further research is needed to elucidate the causes of these gender-based differences and to ensure equitable healthcare delivery.