Gender Differences in Perceived Working Conditions of General Practitioners During the COVID-19 Pandemic-a Cross-Sectional Study.
Gender differences
General Practice
Pandemic
Risk-Perception
Self-Confidence
Journal
Journal of general internal medicine
ISSN: 1525-1497
Titre abrégé: J Gen Intern Med
Pays: United States
ID NLM: 8605834
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
received:
17
10
2022
accepted:
10
03
2023
medline:
19
6
2023
pubmed:
28
3
2023
entrez:
27
3
2023
Statut:
ppublish
Résumé
The ongoing COVID-19 pandemic has revealed gender-specific differences between general practitioners in adapting to the posed challenges. As primary care workforce is becoming increasingly female, in many countries, it is essential to take a closer look at gender-specific influences when the global health care system is confronted with a crisis. To explore gender-specific differences in the perceived working conditions and gender-specific differences in challenges facing GPs at the beginning of the COVID-19 pandemic in 2020. Online survey in seven countries. 2,602 GPs from seven countries (Austria, Australia, Switzerland, Germany, Hungary, Italy, Slovenia). Of the respondents, 44.4% (n = 1,155) were women. Online survey. We focused on gender-specific differences in general practitioners' perceptions of working conditions at the beginning of the COVID-19 pandemic in 2020. Female GPs rated their skills and self-confidence significantly lower than male GPs (f: 7.1, 95%CI: 6.9-7.3 vs. m: 7.6, 95%CI 7.4-7.8; p < .001), and their perceived risk (concerned about becoming infected or infecting others) higher than men (f: 5.7, 95%CI: 5.4-6.0 vs. m: 5.1, 95%CI: 4.8-5.5; p = .011). Among female GPs, low self-confidence in the treatment of COVID-19 patients appear to be common. Results were similar in all of the participating countries. Female and male GPs differed in terms of their self-confidence when dealing with COVID-19-related issues and their perceptions of the risks arising from the pandemic. To ensure optimal medical care, it is important that GPs realistically assess their own abilities and overall risk.
Sections du résumé
BACKGROUND
BACKGROUND
The ongoing COVID-19 pandemic has revealed gender-specific differences between general practitioners in adapting to the posed challenges. As primary care workforce is becoming increasingly female, in many countries, it is essential to take a closer look at gender-specific influences when the global health care system is confronted with a crisis.
OBJECTIVE
OBJECTIVE
To explore gender-specific differences in the perceived working conditions and gender-specific differences in challenges facing GPs at the beginning of the COVID-19 pandemic in 2020.
DESIGN
METHODS
Online survey in seven countries.
PARTICIPANTS
METHODS
2,602 GPs from seven countries (Austria, Australia, Switzerland, Germany, Hungary, Italy, Slovenia). Of the respondents, 44.4% (n = 1,155) were women.
MAIN MEASURES
METHODS
Online survey. We focused on gender-specific differences in general practitioners' perceptions of working conditions at the beginning of the COVID-19 pandemic in 2020.
KEY RESULTS
RESULTS
Female GPs rated their skills and self-confidence significantly lower than male GPs (f: 7.1, 95%CI: 6.9-7.3 vs. m: 7.6, 95%CI 7.4-7.8; p < .001), and their perceived risk (concerned about becoming infected or infecting others) higher than men (f: 5.7, 95%CI: 5.4-6.0 vs. m: 5.1, 95%CI: 4.8-5.5; p = .011). Among female GPs, low self-confidence in the treatment of COVID-19 patients appear to be common. Results were similar in all of the participating countries.
CONCLUSIONS
CONCLUSIONS
Female and male GPs differed in terms of their self-confidence when dealing with COVID-19-related issues and their perceptions of the risks arising from the pandemic. To ensure optimal medical care, it is important that GPs realistically assess their own abilities and overall risk.
Identifiants
pubmed: 36971880
doi: 10.1007/s11606-023-08166-8
pii: 10.1007/s11606-023-08166-8
pmc: PMC10042103
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1894-1901Informations de copyright
© 2023. The Author(s).
Références
Siebenhofer A, Huter S, Avian A, et al. COVI-Prim survey: Challenges for Austrian and German general practitioners during initial phase of COVID-19. PLoS One. 2021;16(6):e0251736.
pubmed: 34111120
pmcid: 8191874
doi: 10.1371/journal.pone.0251736
Scott AM, Murray A, Jones M, Keijzers, G, Glasziou P. I was prepared to become infected as a frontline medical staff”: a survey of Australian emergency department staff experiences during COVID-19. Emergency Medicine Australasia. Accepted Author Manuscript. 2022. https://doi.org/10.1111/1742-6723.13943 .
Marshall M HA, Howsam G, Mulholland M, Leach J. COVID-19: a danger and an opportunity for the future of general practice. Br J Gen Pract. 2020;70(695):270–1.
doi: 10.3399/bjgp20X709937
Monterrosa-Castro A, Redondo-Mendoza V, Mercado-Lara M. Psychosocial factors associated with symptoms of generalized anxiety disorder in general practitioners during the COVID-19 pandemic. J Investig Med. 2020;68(7):1228–34.
pubmed: 32747387
doi: 10.1136/jim-2020-001456
Schaffler-Schaden D, Mergenthal K, Avian A, et al. COVI-Prim Longitudinal Survey: Experiences of Primary Care Physicians During the Early Phase of the COVID-19 Pandemic. Front Med. 2022; 9:761283. https://doi.org/10.3389/fmed.2022.761283 .
Lai J, Ma S, Wang Y, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976.
pubmed: 32202646
pmcid: 7090843
doi: 10.1001/jamanetworkopen.2020.3976
Batra K, Singh TP, Sharma M, Batra R, Schvaneveldt N. Investigating the Psychological Impact of COVID-19 among Healthcare Workers: A Meta-Analysis. Int J Environ Res Public Health. 2020;17(23).
Salehi M, Amanat M, Mohammadi M, et al. The prevalence of post-traumatic stress disorder related symptoms in Coronavirus outbreaks: A systematic-review and meta-analysis. Journal of affective disorders. 2021;282:527–38.
pubmed: 33433382
pmcid: 7831964
doi: 10.1016/j.jad.2020.12.188
Medical Deans Australia and New Zealand Inc. Student Statistics Report: 2021. https://medicaldeans.org.au/md/2021/11/MDANZ-Student-Statistics-Report-2021.pdf Published: September 2021, Accessed: 24.2.2022.
Statistisches Bundesamt. 2021. https://www-genesis.destatis.de/genesis/online Accessed: February 24, 2022.
Avian A, Poggenburg S, Schaffler-Schaden D, et al. Attitudes of medical students to general practice: a multinational cross-sectional survey. Fam Pract. 2020.
Hedden L, Barer ML, Cardiff K, McGrail KM, Law MR, Bourgeault IL. The implications of the feminization of the primary care physician workforce on service supply: a systematic review. Hum Resour Health. 2014;12:32.
pubmed: 24898264
pmcid: 4057816
doi: 10.1186/1478-4491-12-32
Fang MC, McCarthy EP, Singer DE. Are patients more likely to see physicians of the same sex? Recent national trends in primary care medicine. Am J Med. 2004;117(8):575–81.
pubmed: 15465506
doi: 10.1016/j.amjmed.2004.03.043
Chambers R, Campbell I. Gender differences in general practitioners at work. Br J Gen Pract. 1996;46(406):291–93.
pubmed: 8762745
pmcid: 1239637
Blanch DC, Hall JA, Roter DL, Frankel RM. Medical student gender and issues of confidence. Patient Educ Couns. 2008;72(3):374–81.
pubmed: 18656322
doi: 10.1016/j.pec.2008.05.021
Van Boerum MS, Jarman AF, Veith J, et al. The confidence gap: Findings for women in plastic surgery. The American Journal of Surgery. 2020;220(5):1351–7.
pubmed: 32746978
doi: 10.1016/j.amjsurg.2020.06.037
Zuckerman M, Li C, Hall JA. When men and women differ in self-esteem and when they don’t: A meta-analysis. J Res Personality. 2016;64:34–51.
doi: 10.1016/j.jrp.2016.07.007
Heim M, Schneider F, Mutlak H, et al. Rational application of antibiotics-The influence of anaesthetists' gender on self-confidence and knowledge. Acta Anaesthesiol Scand. 2019;63(8):1037–47.
pubmed: 31012085
doi: 10.1111/aas.13376
Eysenbach G. Improving the Quality of Web Surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004;6(3):e34.
pubmed: 15471760
pmcid: 1550605
doi: 10.2196/jmir.6.3.e34
Blanch-Hartigan D, Medical students’ self-assessment of performance: Results from three meta-analyses. Patient Educ Couns. 2011;84(1):3–9.
pubmed: 20708898
doi: 10.1016/j.pec.2010.06.037
Karim JA, Marwan,YA Dawas AM, Akhtar S. Self-confidence of medical students in performing clinical skills acquired during their surgical rotation - Assessing clinical skills education in Kuwait. Saudi Med J. 2012;33(12):1310–1316.
Gazibara T, Wiltshire-Fletcher M, Maric G, et al. Self-confidence and clinical skills: the case of students who study medicine in English in a non-English speaking setting. Ir J Med Sci. 2019;188:1057–1066.
pubmed: 30569373
doi: 10.1007/s11845-018-1947-2
Burdurlu MÇ, Cabbar F, Dagasan V, et al. A city-wide survey of dental students’ opinions on undergraduate oral surgery teaching. Eur J Dent Educ. 2020;24:351–360.
pubmed: 32034986
doi: 10.1111/eje.12506
Witt EE, Rahimi A, Petrusa E, et al. Medical student surgical proficiency and confidence on the core surgical clerkship. Global Surg Educ. 2022;1:60.
Madrazo L, Lee CB, McConnell M, et al. Self-assessment differences between genders in a low-stakes objective structured clinical examination (OSCE). BMC Res Notes. 2018;11(1):393.
pubmed: 29903050
pmcid: 6003209
doi: 10.1186/s13104-018-3494-3
Lind DS, Rekkas S, Bui V, Lam T, Beierle E, Copeland EM. Competency-Based Student Self-Assessment on a Surgery Rotation. J Surg Res. 2002;105(1):31–34.
pubmed: 12069498
doi: 10.1006/jsre.2002.6442
Haug SR, Linde BR, Christensen HQ, Vilhjalmsson VH, Bårdsen A. An investigation into security, self-confidence and gender differences related to undergraduate education in Endodontics. Int Endod J. 2021;54:802–811.
pubmed: 33253460
doi: 10.1111/iej.13455
Nomura K, Yano E, Fukui T. Gender Differences in Clinical Confidence: A Nationwide Survey of Resident Physicians in Japan. Acad Med. 2010;85(4):467–453.
doi: 10.1097/ACM.0b013e3181d2a796
Miller KA, Monuteaux MC, Roussin C, Nagler J. Self-Confidence in Endotracheal Intubation Among Pediatric Interns: Associations With Gender, Experience, and Performance. Acad Pediatr. 2019;19(7):822–827.
pubmed: 31229695
doi: 10.1016/j.acap.2019.06.013
Padilla EP, Stahl CC, Jung SA, et al. Gender Differences in Entrustable Professional Activity Evaluations of General Surgery Residents. Ann Surg. 2022;275:222–229.
pubmed: 33856381
doi: 10.1097/SLA.0000000000004905
Miller BL, Azari D, Gerber RC, Radwin R, Le BV. Evidence That Female Urologists and Urology Trainees Tend to Underrate Surgical Skills on Self-Assessment. J Surg Res. 2020;254: 255–260
pubmed: 32480069
doi: 10.1016/j.jss.2020.04.027
Krautheim V, Schmitz A, Benze G, et al. Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study. BMC Palliat Care. 2017;16(1):57.
pubmed: 29166887
pmcid: 5700543
doi: 10.1186/s12904-017-0244-6
Bhise V, Rajan SS, Sittig DF, et al. Defining and Measuring Diagnostic Uncertainty in Medicine: A Systematic Review. J Gen Intern Med. 2018; 33(1):103–115.
pubmed: 28936618
doi: 10.1007/s11606-017-4164-1
Ledford CJW, Cafferty LA, Seehusen DA. Socializing Identity Through Practice: A Mixed Methods Approach to Family Medicine Resident Perspectives on Uncertainty. Fam Med. 2015;47(7):549–553.
pubmed: 26562644
Evans L, Trotter DR. Epistemology and uncertainty in primary care: an exploratory study. Fam Med. 2009;41:319–326.
pubmed: 19418279
Schneider A, Lowe B, Barie S, et al. How do primary care doctors deal with uncertainty in making diagnostic decisions?: the development of the ‘Dealing with uncertainty Questionnaire’ (DUQ). J Eval Clin Pract. 2010;16:431–437.
pubmed: 20604824
doi: 10.1111/j.1365-2753.2010.01464.x
Berner ES, Graber ML. Overconfidence as a Cause of Diagnostic Error in Medicine. Am J Med. 2008; 121(5A):S2–S23.
pubmed: 18440350
doi: 10.1016/j.amjmed.2008.01.001
Meyer AND, Payne VL, Meeks DW, Rao R, Singh H. Physicians’ diagnostic accuracy, confidence, and resource requests: A vignette study. JAMA Intern Med. 2013;173(21):1952–1958.
pubmed: 23979070
doi: 10.1001/jamainternmed.2013.10081
Schiff GD. Minimizing Diagnostic Error: The Importance of Follow-up and Feedback. Am J Med. 2008;121(5A): S38–S42.
pubmed: 18440354
doi: 10.1016/j.amjmed.2008.02.004
Rudolph JW, Morrison JB. Sidestepping Superstitious Learning, Ambiguity, and Other Roadblocks: A Feedback Model of Diagnostic Problem Solving. Am J Med. 2008;121(5A):S34–S37.
pubmed: 18440353
doi: 10.1016/j.amjmed.2008.02.003
Croskerry P, Norman G. Overconfidence in Clinical Decision Making. Am J Med. 2008;121(5A):S24–S29.
pubmed: 18440351
doi: 10.1016/j.amjmed.2008.02.001
Aronson JK. When I use a word . . . . Too much healthcare—uncertainty, underconfidence, and masterly inactivity. BMJ. 2022; 378:o2305.
Kuhn J, van den Berg P, Mamede S, et al. Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? Adv in Health Sci Educ. 2022;27:189–200.
doi: 10.1007/s10459-021-10080-9
Nederhand ML, Tabbers HK, Rikers RMJP. Learning to calibrate: Providing standards to improve calibration accuracy for different performance levels. Appl Cognit Psychol. 2019;33:1068–1079.
doi: 10.1002/acp.3548
Tubbs EP, Elrod JAB, Flum DR. Risk Taking and Tolerance of Uncertainty: Implications for Surgeons. J Surg Res. 2006; 131(1):1–6.
pubmed: 16085105
doi: 10.1016/j.jss.2005.06.010
Zaat JOM, van Eijk JThM. General Practitioners’ Uncertainty, Risk Preference, and Use of Laboratory Tests. Med Care. 1992;30(9):846–54.
pubmed: 1518316
doi: 10.1097/00005650-199209000-00008
Pines JM, Hollander JE, Isserman JA, et al. The association between physician risk tolerance and imaging use in abdominal pain. Am J Emerg Med. 2009; 27(5):552–557.
pubmed: 19497460
doi: 10.1016/j.ajem.2008.04.031
Bonner C, Jansen J, McKinn S, et al. How do general practitioners and patients make decisions about cardiovascular disease risk? Health Psychol. 2015;34(3):253-261.
pubmed: 25133842
doi: 10.1037/hea0000122
Hanslik T, Wechsler B, Vaillant JN, et al. A survey of physicians’ vaccine risk perception and immunization practices for subjects with immunological diseases. Vaccine. 2000;19(7–8): 908–915.
pubmed: 11115715
doi: 10.1016/S0264-410X(00)00221-8
Bogacheva N, Kornilova T, Pavlova E. Relationships Between Medical Doctors’ Personality Traits and Their Professional Risk Perception. Behav. Sci. 2020; 10(1):6.
doi: 10.3390/bs10010006
Riccò M, Ferraro P, Peruzzi S, Zaniboni A, Ranzieri S. Respiratory Syncytial Virus: Knowledge, Attitudes and Beliefs of General Practitioners from North-Eastern Italy. (2021). Pediatr Rep. 2022; 14:147–165.
Vancheri F, Strender L, Backlund L. General Practitioners’ coronary risk estimates, decisions to start lipid-lowering treatment, gender and length of clinical experience: Their interactions in primary prevention. Prim Health Care Res Dev. 2013; 4(4):394–402.
doi: 10.1017/S146342361200059X
Ricco M, Gualerzi G, Ranzieri S. Personal beliefs and misconceptions, not evidence guide general practitioners in the managing of travelers’ diarrhea: Results from a pilot study (North-Western Italy, 2019). Infect Dis Now. 2021; 51(3):266–272.
pubmed: 33160008
doi: 10.1016/j.medmal.2020.10.025
Massin S, Ventelou B, Nebout A, Verger P, Pulcini C. Cross-sectional survey: Risk-averse French general practitioners are more favorable toward influenza vaccination. Vaccine. 2015; 33(5):610–614.
pubmed: 25545596
doi: 10.1016/j.vaccine.2014.12.038
Gargan IJ, Conneely JB, Burke M, Kerin MJ. The personality traits of surgeons: assessment of risk-taking predisposition among consultant and trainee surgeons. J Am Coll Surg. 2008; 207(3):S95.
doi: 10.1016/j.jamcollsurg.2008.06.239
Ding Y, Du X, Li Q, et al. Risk perception of coronavirus disease 2019 (COVID-19) and its related factors among college students in China during quarantine. PLoS ONE. 2020; 15(8):e0237626.
pubmed: 32790791
pmcid: 7425914
doi: 10.1371/journal.pone.0237626
Hamad AA, Selim R, Amer BE, et al. COVID-19 Risk Perception and Adherence to Preventive Measures among Medical Students after Receiving COVID-19 Vaccination: A Multicenter Cross-Sectional Study in Egypt. Vaccines. 2022;11(1):7.
pubmed: 36679851
pmcid: 9866727
doi: 10.3390/vaccines11010007
Licata F, Oliverio A, Di Gennaro G, Nobile CGA, Bianco A. Insight on Knowledge, Risk Perception and Practices to Prevent the Spread of COVID-19: A Cross-Sectional Study among Italian University Students. Appl Sci. 2021;11, 9031.
doi: 10.3390/app11199031
Croson R, Gneezy U. Gender differences in preferences. J Econ Lit. 2009; 47(2):448–474.
doi: 10.1257/jel.47.2.448
Méndez SJ, Scott A, Zhang Y. Gender differences in physician decisions to adopt new prescription drugs. Soc Sci Med. 2021; 277:113886.
pubmed: 33882439
doi: 10.1016/j.socscimed.2021.113886