Is physician gender associated with the quality of diabetes care?

Catherine Kim, Laura N. McEwen, Robert B. Gerzoff, David Marrero, Carol M. Mangione, Joseph V. Selby, William H. Herman

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

OBJECTIVE - This study examines the association between physician gender and diabetes quality of care. RESEARCH DESIGN AND METHODS - We examined the association between the gender of primary care physicians (n = 1,686) and the quality of diabetes care they provided to their patients participating in the Translating Research Into Action for Diabetes (TRIAD) study. Main outcome measures were diabetes processes of care including receipt of dilated retinal exams, urine microalbumin/protein testing, foot exams, lipid and HbA 1c (A1C) testing, recommendation to take aspirin, and influenza vaccination over 1 year. Intermediate outcomes included blood pressure, A1C, LDL levels, and patient satisfaction. Hierarchical regression models accounted for clustering within provider groups and health plans and adjusted for patient age, gender, race, income, education, diabetes treatment and duration, and health status, along with physician age, years of practice, and specialty. RESULTS - Compared with male physicians (n = 1,213), female physicians (n = 473) were younger, had more recently completed training, and were more often internists. Patients of female physicians (n = 4,585) were more often women and younger than patients of male physicians (n = 1,783). In adjusted analyses, patients of female physicians were slightly more likely to receive lipid measurements (predicted probability 1.09 [95% Cl 1.02-1.15]) and A1C measurements (1.02 [ 1.00-1.05]) and were slightly more likely to have an LDL <130 mg/dl (1.05 [1.00-1.10]). CONCLUSIONS - Patients of female physicians received similar quality of care compared with patients of male physicians.

Original languageEnglish
Pages (from-to)1594-1598
Number of pages5
JournalDiabetes Care
Volume28
Issue number7
DOIs
StatePublished - Jul 2005

Fingerprint

Quality of Health Care
Physicians
Lipids
Primary Care Physicians
Patient Satisfaction
Human Influenza
Aspirin
Health Status
Cluster Analysis
Foot
Vaccination
Research Design
Outcome Assessment (Health Care)
Urine
Blood Pressure
Education
Health

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Kim, C., McEwen, L. N., Gerzoff, R. B., Marrero, D., Mangione, C. M., Selby, J. V., & Herman, W. H. (2005). Is physician gender associated with the quality of diabetes care? Diabetes Care, 28(7), 1594-1598. https://doi.org/10.2337/diacare.28.7.1594

Is physician gender associated with the quality of diabetes care? / Kim, Catherine; McEwen, Laura N.; Gerzoff, Robert B.; Marrero, David; Mangione, Carol M.; Selby, Joseph V.; Herman, William H.

In: Diabetes Care, Vol. 28, No. 7, 07.2005, p. 1594-1598.

Research output: Contribution to journalArticle

Kim, C, McEwen, LN, Gerzoff, RB, Marrero, D, Mangione, CM, Selby, JV & Herman, WH 2005, 'Is physician gender associated with the quality of diabetes care?', Diabetes Care, vol. 28, no. 7, pp. 1594-1598. https://doi.org/10.2337/diacare.28.7.1594
Kim C, McEwen LN, Gerzoff RB, Marrero D, Mangione CM, Selby JV et al. Is physician gender associated with the quality of diabetes care? Diabetes Care. 2005 Jul;28(7):1594-1598. https://doi.org/10.2337/diacare.28.7.1594
Kim, Catherine ; McEwen, Laura N. ; Gerzoff, Robert B. ; Marrero, David ; Mangione, Carol M. ; Selby, Joseph V. ; Herman, William H. / Is physician gender associated with the quality of diabetes care?. In: Diabetes Care. 2005 ; Vol. 28, No. 7. pp. 1594-1598.
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