Dong Wook Shin1, Debra L Roter2, Yong Kyun Roh3, Sang Keun Hahm4, BeLong Cho5, Hoon-Ki Park6. 1. Department of Family Medicine & Health Promotion Center, Seoul National University Hospital, Seoul, Republic of Korea; Department of Family Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea; Laboratory of Health Promotion and Health Behavior, Biomedical Research Institute, Seoul National University Hospital, Republic of Korea. Electronic address: dwshin.snuh@gmail.com. 2. Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. Electronic address: droter@jhsph.edu. 3. Department of Family Medicine, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Republic of Korea. Electronic address: rohyk@hallym.ac.kr. 4. Department of Family Medicine & Health Promotion Center, KEPCO Medical Center, Seoul, Republic of Korea. Electronic address: hahmsang@naver.com. 5. Department of Family Medicine & Health Promotion Center, Seoul National University Hospital, Seoul, Republic of Korea; Department of Family Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea; Laboratory of Health Promotion and Health Behavior, Biomedical Research Institute, Seoul National University Hospital, Republic of Korea. Electronic address: belong@snu.ac.kr. 6. Department of Family Medicine, Hanyang University Medical Center, College of Medicine, Hanyang University, Seoul, Republic of Korea; Department of Medical Education, College of Medicine, Hanyang University, Seoul, Republic of Korea. Electronic address: hoonkp@hanyang.ac.kr.
Abstract
OBJECTIVE: Female physicians have a more patient-centered communication style than their male counterparts; however, few studies have investigated how the biomedical or psychosocial nature of a patient diagnosis might moderate this relationship. METHODS: Seventy six 3rd year residents (50 male and 26 females) seeking board certification from the Korean Academy of Family Medicine participated in the 2013 Clinical Practice Examination by conducting two simulated patient (SP) interviews, one presenting a largely psychosocial case and the other largely biomedical. The interview recordings were coded with the Roter Interaction Analysis System (RIAS). RESULTS: Female physicians and their SPs engaged in more dialog than male physicians in both cases. Female physicians were more patient-centered than males for the psychosocial case (t = -3.24, P < 0.05), however, their scores did not differ for the biomedical case. In multivariate analysis, a significant interaction between physician gender and case (z = -3.90, P < 0.001) similarly demonstrated greater female patient-centeredness only for the predominantly psychosocial case. CONCLUSION: Case characteristics moderated the association between physician gender and patient-centeredness. PRACTICE IMPLICATIONS: Case characteristics need to be considered in future research on the association of physician gender and the patient-centered communication, as well as in the tailoring of physician communication training.
OBJECTIVE: Female physicians have a more patient-centered communication style than their male counterparts; however, few studies have investigated how the biomedical or psychosocial nature of a patient diagnosis might moderate this relationship. METHODS: Seventy six 3rd year residents (50 male and 26 females) seeking board certification from the Korean Academy of Family Medicine participated in the 2013 Clinical Practice Examination by conducting two simulated patient (SP) interviews, one presenting a largely psychosocial case and the other largely biomedical. The interview recordings were coded with the Roter Interaction Analysis System (RIAS). RESULTS: Female physicians and their SPs engaged in more dialog than male physicians in both cases. Female physicians were more patient-centered than males for the psychosocial case (t = -3.24, P < 0.05), however, their scores did not differ for the biomedical case. In multivariate analysis, a significant interaction between physician gender and case (z = -3.90, P < 0.001) similarly demonstrated greater female patient-centeredness only for the predominantly psychosocial case. CONCLUSION: Case characteristics moderated the association between physician gender and patient-centeredness. PRACTICE IMPLICATIONS: Case characteristics need to be considered in future research on the association of physician gender and the patient-centered communication, as well as in the tailoring of physician communication training.
Authors: Betsy Sleath; Robyn Sayner; Michelle Vitko; Delesha M Carpenter; Susan J Blalock; Kelly W Muir; Annette L Giangiacomo; Mary Elizabeth Hartnett; Alan L Robin Journal: Patient Educ Couns Date: 2016-11-22
Authors: Jennifer K Plichta; Hannah Williamson; Amanda R Sergesketter; Lars J Grimm; Samantha M Thomas; Gayle DiLalla; Brittany A Zwischenberger; E Shelley Hwang; Ryan P Plichta Journal: Am J Surg Date: 2020-08-15 Impact factor: 2.565