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妇女在术后心肌梗塞症状明显处于不利地位
Sonja Guethoff1, Rebekka Kraft1, Matthias Riege2
1School of Health and Social Sciences, AKAD University, 70191 Stuttgart, Germany.
Journal of cardiovascular development and disease
|November 26, 2024
概括
外科医生表现出性别偏见,在女性患者中识别心肌梗塞 (MI) 的频率较低. 女性外科医生表现出更高的MI意识,而男性患者则获得更快的心脏诊断.
科学领域:
- 心脏病学 心脏病学
- 外科教育的外科教育
- 健康 公平 卫生 公平
背景情况:
- 心血管疾病是妇女死亡的主要原因.
- 性别偏见和失明正在成为关键的患者风险因素.
- 之前的研究还没有调查外科医生在诊断术后心肌梗塞 (MI) 时的性别偏见.
研究的目的:
- 评估外科医生在诊断术后心肌梗塞 (MI) 中潜在的性别偏见.
- 评估患者性别对诊断准确性和管理决策的影响.
- 为了探索男性和女性外科医生之间心脏病发作识别的差异.
主要方法:
- 术后心脏病发作的在线临床图片根据患者的性别随机分配.
- 参与者评估了可能的诊断,管理步骤和性别偏见.
- 分析了205项调查,以确定诊断的准确性和治疗的开始.
主要成果:
- 在55.6%的男性病例中,IM被认定为男性病例的55.6%,而在女性病例中为32.0% (p < 0.005).
- 对于男性患者来说,开始心脏诊断的频率更高 (94%与76%相比,p = 0.001).
- 女性外科医生表现出更高的MI识别率 (43%对第一个诊断的23%,p = 0.027) 和总体提及 (89%对67%,p = 0.0002).
结论:
- 外科医生在诊断术后心脏病发作时表现出性别偏见和失明,使女性患者处于不利地位.
- 与男性外科医生相比,女性外科医生对心脏病发作症状的意识更强.
- 与住院医生和医学学生相比,在经过董事会认证的外科医生中观察到MI的诊断率更高.
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