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The preference for an endoscopist specific sex: a link between ethnic origin, religious belief, socioeconomic status, and procedure type

机译:内镜医师的性别偏好:种族出身,宗教信仰,社会经济地位和手术类型之间的联系

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Background and aim: The sex of the physician performing the endoscopic procedure is one of the parameters influencing patient satisfaction. Our aim was to characterize patients’ preferences according to their sex, socioeconomic status, and religious beliefs and according to procedure-related variables. Methods: All patients undergoing an endoscopic procedure at Sheba Hospital between April 2012 and September 2012 were asked to complete a questionnaire regarding their sex, ethnic background, socioeconomic status, religious practice, and preference for an endoscopist of a specific sex. Questionnaires were included for analysis only when more than 95% of the items were addressed. Results: A total of 1,009 patients agreed to complete the questionnaires; of these 946 (94% [59% male]) were eligible for inclusion. Most patients (675 [70%]) expressed no preference for sex of the endoscopist, while 234 patients (25%) preferred a same-sex endoscopist, and only 55 (6%) preferred an other-sex endoscopist. Stepwise logistic regression analysis showed that in female patients, lower education (odds ratio [OR] = 1.28), non-Jewish religion (OR = 4.86), orthodox religious practice (OR = 2.28), African or Asian ethnic origin (OR = 2.44), scheduled for colonoscopy (OR = 1.90), and no previous endoscopy experience (OR = 1.88) were all associated with a preference for a same-sex endoscopist. Conclusion: One-quarter of patients preferred the physician performing their examination to be of particular sex. Most of these patients preferred a same-sex endoscopist. Education level, intensity of religious practice, ethnic origin, and type of endoscopic examination were associated with a preference for a same-sex endoscopist. Addressing patients’ preferences may improve the atmosphere in the clinical environment, reduce stress, and facilitate better treatment and adherence to endoscopic surveillance programs.
机译:背景与目的:内窥镜检查医师的性别是影响患者满意度的参数之一。我们的目的是根据患者的性别,社会经济地位和宗教信仰以及与手术相关的变量来表征患者的喜好。方法:要求所有在2012年4月至2012年9月间在Sheba医院接受内镜手术的患者填写一份有关其性别,种族背景,社会经济地位,宗教信仰以及对特定性别内镜医师的偏爱的问卷。仅当涉及超过95%的项目时才包括问卷调查表以进行分析。结果:共有1,009名患者同意填写问卷。在这946名中(94%[59%男性])符合纳入条件。大多数患者(675名[70%])对内镜医师的性别没有偏爱,而234名患者(25%)更喜欢同性内镜医师,只有55名患者(6%)更倾向于另一种内镜医师。逐步逻辑回归分析表明,在女性患者中,受教育程度较低(优势比[OR] = 1.28),非犹太宗教(OR = 4.86),正统宗教信仰(OR = 2.28),非洲或亚洲族裔(OR = 2.44) ),计划进行结肠镜检查(OR = 1.90)和以前的内窥镜检查经验(OR = 1.88)均与偏爱同性内镜医师有关。结论:四分之一的患者偏爱进行检查的医生是特定性别。这些患者大多数都喜欢同性内镜医师。受教育程度,宗教活动强度,种族血统和内窥镜检查类型与对同性内镜医师的偏爱有关。解决患者的偏爱可能会改善临床环境中的气氛,减轻压力,并促进更好的治疗和遵守内窥镜监测计划。

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