Preference for Patient -Urologist Gender Similarity and Its Implications for Urology Departments: Systematic Narrative Review and Thematic Analysis
5 January 2019
Purpose: To evaluate the evidence that could help health system policy makers to approach the preference for same-gender urologists.
Methods: We performed this systematic narrative review according to the PRISMA guidelines. We searched MEDLINE, Web of science, EMBASE, CINAHL and Google Scholar for articles focused on the preference for patient-urologist gender similarity in the male-dominated department from 1999-2019. Finally, a narrative synthesis of studies meeting the inclusion and quality criteria was conducted in accordance with the nature of the evidences. We applied a thematic analysis using inductive approach for synthesizing studies employing heterogeneous research methods and designs.
Results: Of 208 titles and abstracts screened, 23 were included and three major themes including Reasons, Impacts, and Implications were identified. Overall, patients with urologic problems prefer same gender urologists and females were more likely to prefer the same gender urologist than males. Many women delays care due to a perceived lack of female urologists. The major identified reasons for the same-gender preference are religious believe, cultural background, emotional relationship, past experiences, and sensitive examinations. The results indicate that the urologists-patients gender similarity improves the quality of primary care. Our review reveled that Urologists prefer to perform more same gender-specific procedures. Beside, Female urologist and residents perceived to underestimate from their male counterparts.
Conclusion: This study could help health system to honor the patient’s preference for same gender urologist. The findings may help medical education and health policy makers to move the male-dominated urology departments towards a culture supportive of female urologists.
- Same Gender
- Sensitive Cares
- Urology Departments
Kim SO, Kang TW, Kwon D.Gender Preferences for Urologists: Women Prefer Female Urologists. Urol J. 2017 Mar 16;14(2):3018-3022.
Kerssens JJ, Bensing JM, Andela MG. Patient preference for gender of health professionals. Soc Sci Med. 1997 May;44(10):1531-40.
Groutz, A., et al. "Do women with pelvic floor disorders prefer to be treated by female urogynecologists?." Health care for women international .2019: 1-10
Ahmad F, Gupta H, Rawlins J, Stewart DE. Preferences for gender of family physician among Canadian European descent and South Asian immigrant women. Fam Pract .2002 Apr;19(2):146-53.
Franks P, Bertakis KD. Physician gender, patient gender, and primary care.J Womens Health (Larchmt). 2003 Jan-Feb;12(1):73-80
Simforoosh N, Tabatabai S, Ziaee SA. Achievements in postgraduate urologic education in Iran: A quantitative study. Urol J. 2014 Jan 4;10(4):1119-25
Bradbury CL, King DK, Middleton RG. Female urologists: A growing population. J Urol. 1997;157(5):1854–1856.
Roter DL. Hall JA. Aoki Y. Physician gender effects in medical communication: A meta-analytic review. JAMA. 2002 Aug 14;288(6):756-64
Bramer WM, Rethlefsen ML, Kleijnen J, Franco OH. Optimal database combinations for literature searches in systematic reviews: a prospective exploratory study. Syst Rev. 2017 Dec 6;6(1):245.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item. IntJ Qual Health Care. 2007;19(6):349-57.
Buckley S, Coleman J, Davison I, Khan KS, ZamoraJ, Malick S, et al. The educational effects of portfolios on undergraduate student learning: a Best Evidence Medical Education (BEME) systematic review. BEME Guide No 11. Med Teach. 2009; 31(4):282-98.
Barrett A, Galvin R, Steinert Y. A BEME (Best Evidence in Medical Education) systematic review of the use of workplace-based assessment in identifying and remediating poor performance among postgraduate medical trainees. Systematic Reviews .2015; 4:(6 )DOI:10.1186/s13643-015-0056-9
Snilstveit B , Oliver S, Vojtkova M . Narrative approaches to systematic review and synthesis of evidence for international development policy and practice, Journal of Development Effectiveness. 2012 September ;4(3):409–429 DOI: 10.1080/19439342.2012.710641
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6:e1000097.
Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: Elaboration and explanation. BMJ. 2015 Jan 2;350:g7647
Saini, M. ,Shlonsky, A, Systematic synthesis of qualitative research. Oxford: Oxford University Press.2012.
Pope, C, Mays N, Popay, J. Synthesising qualitative and quantitative health evidence:a guide to methods. Maidenhead: Open University Press, 2007:79–89.
Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008 Jul 10;8:45.
Amir H, Beri A, Yechiely R, Amir Levy Y, Shimonov M, Groutz A. Do Urology Male Patients Prefer Same-Gender Urologist? Am J Mens Health. 2018 Sep;12(5):1379-1383 .
Siu J.Y , Communicating under medical patriarchy: gendered doctor-patient communication between female patients with overactive bladder and male urologists in Hong Kong. BMC Women's Health .2015; 15:44 .doi: 10.1186/s12905-015-0203-
Nolen H.A., Moore J. X., Rodgers J.B., Wang H.E., Walter L.A., Patient Preference for Physician Gender in the Emergency Department . Yale J Biol Med. 2016 Jun; 89(2): 131–142.
Oberlin DT, Vo AX, Bachrach L, Flury SC.The Gender Divide: The Impact of Surgeon Gender on Surgical Practice Patterns in Urology.J Urol. 2016 Nov;196(5):1522-1526
Tempest H. V. Vowler S. Simpson A. Patients' preference for gender of urologist. International Journal of Clinical Practice (IJCP) 2005; 59( 5):526-528
Ficko Z , Li Z , Hyams ES. Urology is a Sensitive Area: Assessing Patient Preferences for Male or Female Urologists. Journal of the American Urological Association (AUA).2018;5(2):139-142.doi:10.1016/j.urpr.2017.02.0
Alyahya G, Almohanna H, Alyahya A, Aldosari M, Mathkour L, Aldhibaib A, Al-Namshan Y, Al-Mously N. Does physicians' gender have any influence on patients' choice of their treating physicians? J Nat Sci Med .2019;2(1):29–34
Bertakis KD, Azari R. Patient-centered care: the influence of patient and resident physician gender and gender concordance in primary care. J Womens Health (Larchmt). 2012 Mar;21(3):326-33. doi: 10.1089/jwh.2011.2903
Schmittdiel J, Grumbach K, Selby JV, Quesenberry CP Jr. Effect of physician and patient gender concordance on patient satisfaction and preventive care practices. J Gen Intern Med. 2000 Nov;15(11):761-9. doi: 10.1046/j.1525-1497.2000.91156.x.
Alqufly AE, Alharbi BM, Alhatlany KK, Alhajjaj FS. Muslim female gender preference in delaying the medical care at emergency department in Qassim Region, Saudi Arabia. J Family Med Prim Care. 2019 May;8(5):1658-1663. doi: 10.4103/jfmpc.jfmpc_141_19..
McLean M, Al Ahbabi S, Al Ameri M, Al Mansoori M, Al Yahyaei F, Bernsen R.Muslim women and medical students in the clinical encounter. Med Educ. 2010 Mar;44(3):306-15. doi: 10.1111/j.1365-2923.2009.03599.x.
Milkie Vu , Azmat A, Radejko T, Padela AI. Predictors of Delayed Healthcare Seeking Among American Muslim Women. J Womens Health (Larchmt). 2016 Jun;25(6):586-93. doi: 10.1089/jwh.2015.5517
Moettus A, Sklar D, Tandberg D. The effect of physician gender on women's perceived pain and embarrassment during pelvic examination.Am J Emerg Med. 1999 Nov;17(7):635-7.
Klea D. Bertakis, Peter Franks, and Ronald M. Epstein.Journal of Women's Health. 2009 Apr.539-545.
Lightner D.J. Status of women in urology: based on a report to the society of university urologists. J Urol. 2005 February;173(2):560–563.
Wallis CJ, Ravi B, Coburn N, Nam RK, Detsky AS, Satkunasivam R. Comparison of postoperative outcomes among patients treated by male and female surgeons: a population based matched cohort study. BMJ. 2017 Oct 10;359:j4366. doi: 10.1136/bmj.j4366.
Saltzman A, Hebert K, Richman A, Prats S,Togami J,Montgomery M.Women Urologists: Changing Trends in the Workforce. Urology. 2016 May;91:1-5.
Cochran A , Hauschild T, Elder WB, Neumayer LA, Brasel KJ, Crandall ML.Perceived gender-based barriers to careers in academic surgery. Am J Surg. 2013 Aug;206(2):263-8. doi: 10.1016/j.amjsurg.2012.07.044.
Spencer ES, Deal AM, Pruthi NR et al. Gender differences in compensation, job satisfaction and other practice patterns in urology. J Urol. 2016 Feb;195(2):450-455
Sonnad SS , Colletti LM. Issues in the recruitment and success of women in academic surgery. Surgery. 2002 Aug;132(2):415-419.
Schroen AT , Brownstein MR, Sheldon GF.Women in academic general surgery. Acad Med. 2004 Apr;79(4):310-318.
Lerner LB, Baltrushes RJ, Stolzmann KL, et al. Satisfaction of women urologists with maternity leave and childbirth timing. J Urol. 2010 Jan;183(1):282–286.
Greenwood BN, Carnahan S, Huang L. Patient-physician gender concordance and increased mortality among female heart attack patients. Proc Natl Acad Sci U S A. 2018 Aug 21;115(34):8569-8574.
Schmittdiel JA, Traylor A, Uratsu CS, Mangione CM, Ferrara A, Subramanian U. The association of patient-physician gender concordance with cardiovascular disease risk factor control and treatment in diabetes. J Womens Health (Larchmt). 2009 Dec;18(12):2065-70. doi: 10.1089/jwh.2009.1406
Malik R.D. Gender Disparities in Urology: How Can We Close the Gap? Urology. 2019 Nov;133:2-4.
Tabatabai S, Javadi MA. Ophthalmic education and ophthalmologists growth trends in Iran (1979–2016). J Ophthalmic Vis Res. 2019 Apr-Jun;14(2):185-194.
Simforoosh N, Ziaee SA, Tabatabai S. Growth trends in medical specialists’ education in Iran; 1979 – 2013. Arch Iran Med. 2014 Nov;17(11):771- 775
Jaque J, Wanke EM, Müller R, Bauer J, Ohlendorf D, Mache S, Klingelhöfer D, Quarcoo D. Career Promotion in Academic Urology. Urol J. 2020 Jan 26;17(1):86-90. doi: 10.22037/uj.v0i0.4116.
Han J, Stillings S, Hamann H, Terry R, Moy L.. Gender and Subspecialty of Urology Faculty in Department-based Leadership Roles. Urology. 2017 Dec;110:36-39
- Abstract Viewed: 48 times
- Just Accepted/5779 Downloaded: 28 times