The influence of patient and doctor gender on diagnosing coronary heart disease

Ann Adams, Christopher D. Buckingham, Antje Lindenmeyer, John B. McKinlay, Carol Link, Lisa Marceau, Sara Arber

Research output: Contribution to journalArticle

Abstract

Using novel methods, this paper explores sources of uncertainty and gender bias in primary care doctors' diagnostic decision-making about coronary heart disease (CHD). Claims about gendered consultation styles and quality of care are re-examined, along with the adequacy of CHD models for women. Randomly selected doctors in the UK and the US (n=112, 56 per country, stratified by gender) were shown standardised videotaped vignettes of actors portraying patients with CHD. Patients' age, gender, ethnicity and social class were varied systematically. During interviews, doctors gave free-recall accounts of their decision-making, which were analysed to determine patient and doctor gender effects. We found differences in male and female doctors' responses to different types of patient information. Female doctors recall more patient cues overall, particularly about history presentation, and particularly amongst women. Male doctors appear less affected by patient gender but both male and especially female doctors take more account of male patients' age, and consider more age-related disease possibilities for men than women. Findings highlight the need for better integration of knowledge about female presentations within accepted CHD risk models, and do not support the contention that women receive better-quality care from female doctors.
Original languageEnglish
Pages (from-to)1-18
Number of pages18
JournalSociology of health and illness
Volume30
Issue number1
DOIs
Publication statusPublished - Jan 2008

Fingerprint

heart disease
Coronary Disease
gender
Quality of Health Care
decision making
Decision Making
social class
Sexism
diagnostic
ethnicity
uncertainty
Social Class
Disease
Uncertainty
Cues
Primary Health Care
Referral and Consultation
History
trend
history

Keywords

  • gender
  • decision-making
  • heart disease
  • diagnosis

Cite this

Adams, Ann ; Buckingham, Christopher D. ; Lindenmeyer, Antje ; McKinlay, John B. ; Link, Carol ; Marceau, Lisa ; Arber, Sara. / The influence of patient and doctor gender on diagnosing coronary heart disease. In: Sociology of health and illness. 2008 ; Vol. 30, No. 1. pp. 1-18.
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The influence of patient and doctor gender on diagnosing coronary heart disease. / Adams, Ann; Buckingham, Christopher D.; Lindenmeyer, Antje; McKinlay, John B.; Link, Carol; Marceau, Lisa; Arber, Sara.

In: Sociology of health and illness, Vol. 30, No. 1, 01.2008, p. 1-18.

Research output: Contribution to journalArticle

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