Sexism Interacts with Patient–Physician Gender Concordance in Influencing Patient Control Preferences: Findings from a Vignette Experimental Design

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RESEARCH PRODUCT

Sexism Interacts with Patient–Physician Gender Concordance in Influencing Patient Control Preferences: Findings from a Vignette Experimental Design

Manuela Cattelan Dario Monzani Dario Monzani Chiara Messori Luca Pancani Ketti Mazzocco Ketti Mazzocco Laura Vergani Laura Vergani Gabriella Pravettoni Gabriella Pravettoni Luca Bailo Silvia Francesca Maria Pizzoli Silvia Francesca Maria Pizzoli Giulia Marton Giulia Marton

subject

Adult Male Adolescent Concordance Control (management)shared decision making 050109 social psychology patient-centered care 03 medical and health sciences Young Adult Sex Factors Settore M-PSI/01 - PSICOLOGIA GENERALE Humans 0501 psychology and cognitive sciences In patient Situational ethics control preferences control preferences gender differences patient-centered care sexism shared decision making Applied Psychology Aged Physician-Patient Relations 030505 public health 05 social sciences Patient Preference Original Articles Middle Aged Patient preference Clinical Practice Vignette Physician gender Research Design gender differences gender difference control preference Female Original Article sexism Patient Participation 0305 other medical science Psychology Clinical psychology

description

Background: Patient preferences regarding their involvement in shared treatments decisions is fundamental in clinical practice. Previous evidences demonstrated a large heterogeneity in these preferences. However, only few studies have analysed the influence of patients’ individual differences, contextual and situational qualities, and their complex interaction in explaining this variability. Methods: We assessed the role of the interaction of patient’s sociodemographic and psychological factors with a physician’s gender. Specifically, we focused on patient gender and attitudes toward male or female physicians. One hundred fifty-three people participated in this randomised controlled study and were randomly assigned to one of two experimental conditions in which they were asked to imagine discussing their treatment with a male and a female doctor. Results: Analyses showed an interplay between attitude towards women and the gender of patients and doctors, explaining interindividual variability in patient preferences. Conclusions: In conclusion, patients’ attitudes toward the physicians’ gender constitutes a relevant characteristic that may influence the degree of control patients want to have and the overall patient-physician relationship.

year	journal	country	edition	language
2020-01-01

10.1111/aphw.12193 http://hdl.handle.net/10447/543264