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Re: Green Journal Gender StudyFrom: Braun, R. Daniel (rbraun@iupui.edu)Wed Apr 28 11:36:03 1999
As I read this article, I got the feeling that women want less communication and concern and more laughter. Did I get that right? Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN -----Original Message----- From: Geffrey Klein [SMTP:GK6972@americanmed.com] Sent: Wednesday, April 28, 1999 10:38 AM To: Multiple recipients of list OB-GYN-L Subject: OB: Green Journal Gender Study Hi all.. Thought I might start a little trouble. Did ya see the first article in this month's Green? Here is the abstract: Effects of Obstetrician Gender on Communication and Patient Satisfaction Roter DL, Geller G, Bernhardt BA, Larson SM, Doksum T Objective: To describe patient-obstetrician communication during the first prenatal visit and its relationship to physician gender and patient satisfaction. Methods: The first prenatal visit of 87 women with 21 obstetricians (11 male and ten female) was audiotaped and analyzed using the Roter Interaction Analysis System. Patient satisfaction was measured by postvisit questionairre. Results: Communication during first prenatal visits was largely biomedical, with little psychosocial or social discussion. Male physicians conducted longer visits than females (26 minutes versus 21.9 minutes, P<.05) and engaged inmore facilitative communication (ie, making sure they were understood and providing direction and orientation) and explicit statements of concern and partnership (z>1.96, P<.05) Female physicians devoted more communication to agreements, disagreements, and laughter than males (z>1.96, P<.05). Satisfaction with physicians' emotional responsiveness and informational partnership was related to female physician gender and a variety of task-focused and affective communication variables. Conclusion: Communication and satisfaction between women and obstetricians during initial prenatal visits is related to physician gender and patient satisfaction. MAle physicians conducted longer visits but women were more satisfied with female physicians. (Obtet GYnecol 1999;93:635-41.) _____ My impressions: 1) Small study 2) No male author, no MD author 3) ? significance. 4) Why would the green publish this garbage? 5) Would Bob be interested in defining sex and gender for us? :) Geffrey H Klein, MD Dept OB-GYN MacGregor Medical Association 17448 State Hwy 3 #200 Webster, Texas 77598 (713) 741-2273 ext. 2628 geffrey.klein@obgyn.net
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