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首页> 外文期刊>BMJ Open >Disciplined doctors: Does the sex of a doctor matter? A cross-sectional study examining the association between a doctor's sex and receiving sanctions against their medical registration
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Disciplined doctors: Does the sex of a doctor matter? A cross-sectional study examining the association between a doctor's sex and receiving sanctions against their medical registration

机译：有纪律的医生：医生的性别重要吗？一项横断面研究，研究了医生的性别与接受医疗注册制裁的关系

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Objectives To examine the association between doctors’ sex and receiving sanctions on their medical registration, while controlling for other potentially confounding variables. Design Cross-sectional study. Setting The General Medical Council (GMC)'s List of Registered Medical Practitioners (LRMP) database of doctors practising in the UK. Population All doctors on the GMC's LRMP on 29 May 2013. The database included all doctors who are or have been registered to practise medicine in the UK since October 2005. The exposure of interest was doctor's sex. Confounding variables included years since primary medical qualification, world region of primary medical qualification and specialty. Outcome measures Sanctions on a doctor's medical registration. Sanction types included warnings, undertakings, conditions, suspension or erasure from the register. Binary logistic regression modelling, controlling for confounders, described the association between the doctor's sex and sanctions on a doctor's medical registration. Results Of the 329?542 doctors on the LRMP, 2697 (0.8%) had sanctions against their registration, 516 (19.1%) of whom were female. In the fully adjusted model, female doctors had nearly a third of the odds (OR: 0.37, 95% CI: 0.33 to 0.41) of having sanctions compared to male doctors. There was evidence that the association varies with specialty, with female doctors who had specialised as general practitioners being the least likely to receive sanctions compared with their male colleagues (OR: 0.26, 95% CI: 0.22 to 0.31). Conclusions Female doctors have reduced odds of receiving sanctions on their medical registration when compared with their male colleagues. This association remained after adjustment for the confounding factors. These results are representative of all doctors registered to practise in the UK. Further exploration of why doctors’ sex may impact their professional performance is underway.
机译：目的在控制其他可能混淆的变量的同时，检查医生的性别与接受医疗注册制裁之间的关联。设计横断面研究。设置通用医学委员会（GMC）在英国执业的医生的注册医生名单（LRMP）数据库。人口2013年5月29日在GMC的LRMP上所有医生。该数据库包括自2005年10月以来在英国注册或已注册从事医学工作的所有医生。所关注的是医生的性行为。混杂变量包括自初级医学资格以来的年限，世界范围内初级医学资格和专业。成果措施对医生的医疗注册采取制裁措施。制裁类型包括警告，承诺，条件，暂停或从登记簿中删除。针对混杂因素进行控制的二进制逻辑回归模型描述了医生的性别与医生的医疗注册制裁之间的关联。结果LRMP的329至542位医生中，有2697名（0.8％）对其注册受到制裁，其中516名（19.1％）为女性。在完全调整的模型中，与男医生相比，女医生受到制裁的几率接近三分之一（OR：0.37，95％CI：0.33至0.41）。有证据表明，这种联系因专业而异，与男同事相比，具有专科医生执业经验的女医生受到制裁的可能性最小（OR：0.26，95％CI：0.22至0.31）。结论与男同事相比，女医生减少了对其医疗登记的制裁几率。调整混杂因素后，这种关联仍然存在。这些结果代表了所有在英国注册执业的医生。关于医生的性别为何会影响其专业表现的进一步研究正在进行中。

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