在线评论中,医生性别和患者对人际和技术技能的看法在线评论中
Farrah Madanay1,2, M Kate Bundorf1, Peter A Ubel1,3
1Sanford School of Public Policy, Duke University, Durham, North Carolina.
JAMA network open
|February 14, 2025
概括
女医生在人际交往方式和技术能力方面收到更多负面评论,影响了星级评分. 患者表现出性别偏见,不成比例地惩罚女性医生,尤其是初级保健医生.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 性别研究是性别研究.
背景情况:
- 以前的研究表明,医生在工作场所的评估中存在性别差异.
- 通过在线评论,对患者反中基于性别的差异的理解有限.
研究的目的:
- 调查患者对医生的人际关系方式和技术能力的看法是否因医生的性别和专业而有所不同.
- 为了确定这些看法是否与在线评论的星级评分有关.
主要方法:
- 一项横截面研究分析了来自美国评级网站 (2015-2020) 的超过3.45万份在线医生评论.
- 自然语言处理,通过手工编码的数据进行精细化,对人际关系方式和技术能力的评论进行分类审查.
- 多级逻辑回归模型被用来评估医生性别和专业差异.
主要成果:
- 与男性医生相比,女性医生收到更多关于人际关系方式和技术能力的负面评论.
- 女性初级保健医生 (PCP) 和外科医生在收到关于技术能力的负面评论时,面临不成比例地较低的星级评分.
- 女性PCP也获得了较低的星级比男性PCP的积极的技术能力评论.
结论:
- 医生的性别与患者在线评论中关于人际关系方式和技术能力的显著差异有关.
- 调查结果表明,潜在的患者对女性医生,特别是PCP的性别偏见会影响其在线声誉.
- 女医生,特别是PCP和外科医生,对技术能力的判断更为严厉,导致评级更低.
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