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医生在医学沟通中的性别影响:一个元分析性综述
Debra L Roter1, Judith A Hall, Yutaka Aoki
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Baltimore, MD 21205, USA. droter@jhsph.edu
JAMA
|August 10, 2002
概括
女性医生与患者进行更多的以患者为中心的沟通,并且比男性医生访问时间更长. 这项研究系统地审查了医生在医疗实践中的性别沟通模式.
科学领域:
- 医学沟通 医学沟通
- 医生与医生的关系
- 医学中的性别研究.
背景情况:
- 医生的性别可能会影响医疗实践中的人际关系动态.
- 之前关于医生性别和沟通的研究受到小样本规模和相互矛盾的结果的限制.
研究的目的:
- 系统地审查和量化医生性别对医疗访问期间沟通的影响.
主要方法:
- 在线数据库 (1967-2001) 和参考列表的全面搜索.
- 包括23项观察性研究和3项大型医生报告研究.
- 使用科恩的d和效果大小提取和分析定量数据.
主要成果:
- 女医生表现出更积极的伙伴关系行为,积极的谈话,心理社会咨询和情绪化沟通.
- 女性医生的医疗访问平均比男性医生的医疗访问长10%.
- 在生物医学信息交换或社交对话中没有发现显著的性别差异.
结论:
- 与男性医生相比,女性初级保健医生表现出更以患者为中心的沟通和更长的访问时间.
- 由于实践模式可能有所不同,因此需要在子专业领域进行进一步的研究.
- 性别影响沟通风格,影响患者与医生的关系.
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