Utilization of outpatient diagnostic imaging
Journal of General Internal MedicinePublished 1 July 1997Open access
Max P. Rosen, Roger B. Davis, Linda Lesky
Citations33
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Physician gender is a predictor of whether an outpatient medical visit generates an imaging study, and patient age, urgent visits, visit frequency, and the gender of the physician were all significantly related to the ordering of an Imaging study.
Abstract
Physician gender is a predictor of whether an outpatient medical visit generates an imaging study. Reasons for this observation are unclear, but may be the result of different practice styles of male and female physicians or unmeasured patient characteristics.
Keywords
Medicine
BiometricsLongitudinal Data Analysis for Discrete and Continuous Outcomes
7,834 Citations1986Scott L. Zeger, Kung‐Yee Liang
A class of generalized estimating equations (GEEs) for the regression parameters is proposed, extensions of those used in quasi-likelihood methods which have solutions which are consistent and asymptotically Gaussian even when the time dependence is misspecified as the authors often expect.
American Journal of NephrologyDialysis Dose and Intradialytic Hypotension: Results from the HEMO Study
2,699 Citations2013Finnian R. Mc Causland, Steven M. Brunelli +1 more
JAMARacial Inequalities in the Use of Procedures for Patients With Ischemic Heart Disease in Massachusetts
513 Citations1989Mark B. Wenneker
Examination of admissions for circulatory diseases or chest pain to Massachusetts hospitals in 1985 suggests that substantial racial inequalities exist in the use of procedures for patients hospitalized with coronary heart disease.
New England Journal of MedicinePreventive Care for Women -- Does the Sex of the Physician Matter?
501 Citations1993Nicole Lurie, Jonathan S. Slater +4 more
For both Pap smears and mammography, the differences between female and male physicians in screening rates were much more pronounced in internal medicine and family practice than in obstetrics and gynecology.
Medical CareSex Differences in Patients?? and Physicians?? Communication During Primary Care Medical Visits
418 Citations1991Debra Roter, Mack Lipkin +1 more
Patients when with female compared to male physicians, patients engaged in more positive talk, more partnership-building, question-asking, and information-giving related to both biomedical and psychosocial topics.
New England Journal of MedicineHospital Use and Mortality among Medicare Beneficiaries in Boston and New Haven
352 Citations1989John E. Wennberg, Jean L. Freeman +2 more
It is concluded that the lower rate of hospital use by Medicare enrollees in New Haven was not associated with a higher overall mortality rate, and population-based and hospital-based statistics are needed to evaluate differences in hospital mortality rates for high-variation medical conditions.
Medical CareThe Influence of Gender on Physician Practice Style
341 Citations1995Klea D. Bertakis, L. Jay Helms +3 more
The difference between male and female physicians in total time spent with patients was small and statistically insignificant, and diminished further when controlling for patient gender and health status, but female physicians were observed to engage in more preventive services and to communicate differently with their patients.
BiometricsPerformance of Generalized Estimating Equations in Practical Situations
218 Citations1994Stuart R. Lipsitz, Garrett M. Fitzmaurice +2 more
One-step estimators, i.e., estimators obtained from one step of the generalized estimating equations, are discussed, and their performance in simulations is found to be qualitatively similar to that of the fully iterated estimator.
Medical CareGender Differences in Practice Style
213 Citations1993Jozien M. Bensing, A. van den Brink-Muinen +1 more
There is a clear GP-gender effect in the presence of 'social' and 'metabolic' problems in the female GP's consultations, with female GPs spending more time on their patients and having a stronger tendency to provide continuity of care.
JAMAThe Association of Payer With Utilization of Cardiac Procedures in Massachusetts
200 Citations1990Mark B. Wenneker
It is found that insurance status is associated with the utilization of cardiac procedures, and the odds that privately insured patients received angiography were 80% higher than uninsured patients; the odds were higher for bypass grafting and 28% higher for angioplasty.
Medical CarePhysician Gender Bias in Clinical Decisionmaking
177 Citations1993Peter Franks, Carolyn M. Clancy
Women reporting a female physician as their usual provider compared with those reporting a male physician were less likely to be deficient for Papanicolaou tests and mammograms and no gender bias was evident for blood pressure checks.
New England Journal of MedicineClinical Computing in a Teaching Hospital
154 Citations1985Howard L. Bleich, Robert F. Beckley +10 more
The large amount of use by clinicians and their judgment that the computer has been so helpful to them suggests that a reliable, comprehensive, and easy-to-use computer system can contribute substantially to the quality of patient care.
Journal of General Internal MedicineAre patients of women physicians screened more aggressively?
107 Citations1995Matthew W. Kreuter, Victor J. Strecher +3 more
The Patients of the women physicians were screened at a higher rate than were the patients of the men physicians, even after adjusting for important patient variables, and these findings were not limited to gender-specific screening activities.
Social Science & MedicineReconceptualizing gender in physician-patient relationships
79 Citations1993Candace West
An ethnomethodological perspective on gender as an accomplishment is presented and how it contrasts with conventional perspectives on 'sex differences' and 'sex roles' is shown.
PubMedThe effect of physician and patient gender on preventive medicine practices in patients older than fifty.
70 Citations1992Sheldon Levy, Patrick T. Dowling +3 more
It is suggested that the sex and age of the patient and the sex of the physician may play a role in differential rates of cancer screening in middle-aged and older patients of family physicians.
PubMedRole of computing in patient care in two hospitals.
58 Citations1989Charles Safran, Slack Wv +1 more
The large amount of use by clinicians, who could, if they so desired, rely on printed reports or telephone calls to obtain their clinical information, suggests that a reliable, comprehensive, and easy-to-use computer system can contribute substantially to the quality of patient care.
Journal of General Internal MedicineEffect of physician gender on the prescription of estrogen replacement therapy
49 Citations1996Todd B. Seto, Deborah A. Taira +3 more
It is concluded that female patients are more likely to be prescribed estrogen replacement therapy if they are cared for by female physicians rather than male physicians even after accounting for patient preferences.
PubMedGender of physicians and patients and preventive care for community-based older adults.
23 Citations1993Barbara A. Majeroni, Jurgis Karuza +3 more
Matching of physician and patient by sex did not predict improved preventive care, indicating that other factors are involved in the failure to provide adeuate primary preventive care to the ambulatory elderly.