Prevalence and associations of gender concordance in general practice consultations: a cross-sectional analysis

Thomson, Allison, Morgan, Simon, Tapley, Amanda, van Driel, Mieke, Henderson, Kim, Oldmeadow, Chris, Ball, Jean, Spike, Neil, McArthur, Lawrie, O'Mara, Peter, Scott, John and Magin, Parker (2015) Prevalence and associations of gender concordance in general practice consultations: a cross-sectional analysis. European Journal for Person Centered Healthcare, 3 4: 470-477. doi:10.5750/ejpch.v3i4.1016

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Author Thomson, Allison
Morgan, Simon
Tapley, Amanda
van Driel, Mieke
Henderson, Kim
Oldmeadow, Chris
Ball, Jean
Spike, Neil
McArthur, Lawrie
O'Mara, Peter
Scott, John
Magin, Parker
Title Prevalence and associations of gender concordance in general practice consultations: a cross-sectional analysis
Journal name European Journal for Person Centered Healthcare   Check publisher's open access policy
ISSN 2052-5656
Publication date 2015
Sub-type Article (original research)
DOI 10.5750/ejpch.v3i4.1016
Open Access Status Not Open Access
Volume 3
Issue 4
Start page 470
End page 477
Total pages 8
Place of publication Buckingham, United Kingdom
Publisher University of Buckingham Press
Collection year 2016
Language eng
Formatted abstract
Rationale, aims and objectives: Gender effects on physician-patient interactions are well-established and gender concordance of the physician-patient dyad influences consultation dynamics, person-centeredness and outcomes. We aimed to establish the prevalence and associations of gender-concordant and gender-discordant consultations of general practice (family medicine) trainees and to compare outcomes of gender-concordant and gender-discordant consultations.

A cross-sectional analysis from an ongoing cohort study. The outcome measure was whether a consultation included a gender concordant (female-female, male-male) or discordant (male-female, female-male) physician-patient dyad. Independent variables related to patient, physician (registrar), practice, consultation content and consultation outcome.

Results: Five hundred and ninety-two general practice (GP) registrars (trainees) in 4 of Australia’s 17 regional training programs provided data on 56,234 individual consultations. Sixty-two point nine percent of consultations were gender concordant (73.5% female-female, 26.5% male-male) and 37.1% were gender-discordant (47.0% male physician-female patient, 53% female physician-male patient). Associations of having a gender-concordant consultation were patient female gender and younger age (<55), the patient not being new to the registrar and the registrar being part-time, younger and having worked at the practice previously. Addressing a reproductive/contraceptive/ genital problem was associated with gender concordance. Gender-concordant consultations were ‘complex’: significantly longer than gender-discordant consultations, addressed a greater number of problems, resulted in more pathology ordered, more follow-up organised and more learning goals generated.

Conclusions: Gender-concordant consultations may be more complex and gender-concordance is ‘sought’ by patients rather than being random. Thus, efforts could be made in general practice to provide access to both male and female GPs, especially for female patients or groups or patients with particular needs.

Keyword Consultation dynamics
Cultural sensitivity
Dyadic preference
Family medicine
General Practice
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
Official 2016 Collection
School of Medicine Publications
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