• Am J Emerg Med · Jul 2021

    Multicenter Study

    Association between patient-physician gender concordance and patient experience scores. Is there gender bias?

    • Sharon Chekijian, Jeremiah Kinsman, TaylorR AndrewRADepartment of Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA., Shashank Ravi, Vivek Parwani, Andrew Ulrich, Arjun Venkatesh, and Pooja Agrawal.
    • Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA. Electronic address: Sharon.Chekijian@yale.edu.
    • Am J Emerg Med. 2021 Jul 1; 45: 476-482.

    BackgroundPatient satisfaction, a commonly measured indicator of quality of care and patient experience, is often used in physician performance reviews and promotion decisions. Patient satisfaction surveys may introduce gender-related bias.ObjectiveExamine the effect of patient and physician gender concordance on patient satisfaction with emergency care.MethodsWe performed a cross-sectional analysis of electronic health record and Press Ganey patient satisfaction survey data of adult patients discharged from the emergency department (2015-2018). Logistic regression models were used to examine relationships between physician gender, patient gender, and physician-patient gender dyads. Binary outcomes included: perfect care provider score and perfect overall assessment score.ResultsFemale patients returned surveys more often (n=7 612; 61.55%) and accounted for more visits (n=232 024; 55.26%). Female patients had lower odds of perfect scores for provider score and overall assessment score (OR: 0.852, 95% CI: 0.790, 0.918; OR: 0.782, 95% CI: 0.723, 0.846). Female physicians had 1.102 (95% CI: 1.001, 1.213) times the odds of receiving a perfect provider score. Physician gender did not influence male patients' odds of reporting a perfect care provider score (95% CI: 0.916, 1.158) whereas female patients treated by female physicians had 1.146 times the odds (95% CI: 1.019, 1.289) of a perfect provider score.ConclusionFemale patients prefer female emergency physicians but were less satisfied with their physician and emergency department visit overall. Over-representation of female patients on patient satisfaction surveys introduces bias. Patient satisfaction surveys should be deemphasized from physician compensation and promotion decisions.Copyright © 2020. Published by Elsevier Inc.

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