Assessing patients' preferences for gender, age, and experience of their urogynecologic provider.

Female pelvic medicine and reconstructive surgery Gender Medical learners Patient preferences Training Urogynecology

Journal

International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041

Informations de publication

Date de publication:
06 2020
Historique:
received: 20 09 2019
accepted: 14 11 2019
pubmed: 13 12 2019
medline: 24 6 2021
entrez: 13 12 2019
Statut: ppublish

Résumé

Understanding patient preferences regarding provider characteristics is an under-explored area in urogynecology. This study aims to describe patient preferences for urogynecologic care, including provider gender, age, experience, and presence of medical trainees. This was a multicenter, cross-sectional, survey-based study assessing patient preferences with a voluntary, self-administered, anonymous questionnaire prior to their first urogynecology consult. A 5-point Likert scale addressing provider gender, age, experience, and presence of trainees was used. Descriptive statistics summarized patient characteristics and provider preferences. Chi-squared (or Fisher's exact) test was used to test for associations. Six hundred fifteen women participated from eight sites including all geographic regions across the US; 70.8% identified as white with mean age of 58.5 ± 14.2 years. Urinary incontinence was the most commonly reported symptom (45.9%); 51.4% saw a female provider. The majority of patients saw a provider 45-60 years old (42.8%) with > 15 years' experience (60.9%). Sixty-five percent of patients preferred a female provider; 10% preferred a male provider. Sixteen percent preferred a provider < 45 years old, 36% preferred 45-60 years old, and 11% of patients preferred a provider > 60 years old. Most patients preferred a provider with 5-15 or > 15 years' experience (49% and 46%, respectively). Eleven percent preferred the presence of trainees while 24% preferred trainee absence. Patient preferences regarding urogynecologic providers included female gender and provider age 45-60 years old with > 5 years' experience. Further study is needed to identify qualitative components associated with these preferences.

Identifiants

pubmed: 31828405
doi: 10.1007/s00192-019-04189-0
pii: 10.1007/s00192-019-04189-0
pmc: PMC7274874
mid: NIHMS1064582
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1203-1208

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR003096
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1TR003096
Pays : United States
Organisme : Society of Gynecologic Surgeons (US)
ID : Fellows' Pelvic Research Network Grant
Pays : International

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Auteurs

Tanya P Hoke (TP)

Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic, Reconstructive Surgery, University of Alabama at Birmingham, WIC Suite 10382, 619 19th Street South, 176F, Birmingham, AL, 35249-7333, USA. tanyahokemd@gmail.com.

Alexander A Berger (AA)

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Kaiser San Diego, San Diego, CA, USA.
Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of California-San Diego, San Diego, CA, USA.

Christine C Pan (CC)

Division of Female Pelvic Medicine and Reconstructive Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

Lindsey A Jackson (LA)

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.

William D Winkelman (WD)

Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Mount Auburn Hospital, Cambridge, MA, USA.
Harvard Medical School, Boston, MA, USA.

Rachel High (R)

Texas A & M Health Science Center, Temple, TX, USA.
Baylor Scott & White Health, Temple, TX, USA.

Katherine A Volpe (KA)

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.

Chee Paul Lin (CP)

Center for Clinical and Translational Science, University of Alabama at Birmingham, Birmingham, AL, USA.

Holly E Richter (HE)

Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic, Reconstructive Surgery, University of Alabama at Birmingham, WIC Suite 10382, 619 19th Street South, 176F, Birmingham, AL, 35249-7333, USA.

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