对于门诊急诊室患者的患者评估时间的性别差异
Scott Odorizzi1,2, Frosso Adamakos3, Lauren Lacroix3
1Department of Emergency Medicine, University of Ottawa, Ottawa, ON, Canada. sodorizzi@toh.ca.
CJEM
|November 27, 2025
概括
与男性相比,紧急医疗的女性医生花费的时间比男性更多,特别是评估和绘制图表. 这突显了临床绩效指标和文档工作量中的潜在性别差异.
科学领域:
- 紧急医疗 紧急医疗
- 医学教育 医学教育
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医学中普遍存在性别差异,影响紧急医疗 (EM).
- 诸如支付模式,患者期望和文件处理时间等因素影响了这些差异.
- 虽然女性医生与更好的患者结果有关,但原因尚未完全理解.
研究的目的:
- 量化和比较在学术急诊室 (ED) 医生性别的病人护理任务所花费的时间.
- 调查患者接触期间医生分配时间的潜在基于性别的差异.
主要方法:
- 在一个学术ED中进行了前性观察时间运动研究.
- 研究助理在65个班次中跟踪37名医生 (32.4%是女性),记录了8个预定义的临床任务的时间.
- 统计分析包括威尔科克森等级总和测试和线性回归来根据性别比较任务持续时间.
主要成果:
- 女性医生比男性 (18.1分钟) (p=0.015) 花在每位患者上的时间 (20.9分钟) 显著多 (p=0.015).
- 对于女性医生来说,这种差异在初始评估 (10.9%的时间) 和图表 (28.8%的时间) 中尤为明显.
- 像中断这样的不计时因素可能会导致女性医生花费的额外时间.
结论:
- 女性急诊医生比男性同行花费更多时间对患者进行评估和记录.
- 这些发现需要对临床绩效指标中的性别平等和EM的文档负担进行审查.
- 需要进一步的研究来探索导致时间差异的未测量因素.
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