Ikuko Noro1, Debra L Roter2, Satoko Kurosawa3, Yasuhiko Miura4, Masato Ishizaki5. 1. Department of Human Science, the Jikei University School of Medicine, 8-3-1 Kokuryocho, Chofu, Tokyo 182-8570, Japan. Electronic address: inoro@jikei.ac.jp. 2. Department of Health, Behavior and Society, Bloomberg School of Public Health,Johns Hopkins University 624 N. Broadway, Suite 750 Baltimore, MD 21205, USA. Electronic address: droter@jhsph.edu. 3. Department of Diabetes and Metabolism, Tohoku University Hospital, 1-1 Seiryocho, Aoba, Sendai, Miyagi 980-8574, Japan. Electronic address: satos34@med.tohoku.ac.jp. 4. Department of General Medicine, the Jikei University School of Medicine, 163-1 Kashiwashita, Kashiwa, Chiba 277-8567, Japan. Electronic address: miura-gm@jikei.ac.jp. 5. Graduate School of Interdisciplinary Information Studies, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo 113-0033, Japan. Electronic address: ishizaki@iii.u-tokyo.ac.jp.
Abstract
OBJECTIVE: This study was designed to address significant gaps in the predominantly western-centric research literature by examining the influence of gender concordance in medical communication and patient satisfaction within the Japanese context. METHODS:New primary care patients (54 male and 49 female) were randomly assigned to study internists (6 males and 5 females). Recorded visits were coded with the Roter Interaction Analysis System (RIAS). Post-visit, patients completed a Japanese version of the Medical Interview Satisfaction Scale (MISS). RESULTS: Female concordant visits showed higher levels of patient-centeredness than all other gender combinations. Female physicians substantially modified their communication based on patient gender while male physicians did not. Gender concordance was associated with higher female, but lower male patient satisfaction relative to gender discordant visits. CONCLUSION: Contrary to normative experience of medicine as a male dominated profession in Japan, and gender-based power differentials, male-gendered clinical communication is less likely to satisfy male than female patients, while female-gendered communication is positively associated with female patient satisfaction. PRACTICE IMPLICATIONS: Patient satisfaction ratings reflect greater gender flexibility in terms of acceptable physician behavior than Japanese norms would suggest.
RCT Entities:
OBJECTIVE: This study was designed to address significant gaps in the predominantly western-centric research literature by examining the influence of gender concordance in medical communication and patient satisfaction within the Japanese context. METHODS: New primary care patients (54 male and 49 female) were randomly assigned to study internists (6 males and 5 females). Recorded visits were coded with the Roter Interaction Analysis System (RIAS). Post-visit, patients completed a Japanese version of the Medical Interview Satisfaction Scale (MISS). RESULTS: Female concordant visits showed higher levels of patient-centeredness than all other gender combinations. Female physicians substantially modified their communication based on patient gender while male physicians did not. Gender concordance was associated with higher female, but lower male patient satisfaction relative to gender discordant visits. CONCLUSION: Contrary to normative experience of medicine as a male dominated profession in Japan, and gender-based power differentials, male-gendered clinical communication is less likely to satisfy male than female patients, while female-gendered communication is positively associated with female patient satisfaction. PRACTICE IMPLICATIONS: Patient satisfaction ratings reflect greater gender flexibility in terms of acceptable physician behavior than Japanese norms would suggest.
Authors: Digo Chakraverty; Annika Baumeister; Angela Aldin; Tina Jakob; Ümran Sema Seven; Christiane Woopen; Nicole Skoetz; Elke Kalbe Journal: Int J Environ Res Public Health Date: 2020-03-25 Impact factor: 3.390