Comparison of admission rates among patients treated by male and female emergency physicians: a multicenter study

Abstract Background No study to date has looked at the gender of emergency medicine (EM) physicians in the United States in relation to admission rates. This study seeks to investigate admission rates of adult patients treated by female vs male EM physicians, to identify whether a practice pattern b...

Full description

Bibliographic Details
Main Authors: Hisham Valiuddin, Hope Ring, Michelle Fallon, Yaser Valiuddin
Format: Article
Language:English
Published: BMC 2020-07-01
Series:BMC Emergency Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12873-020-00349-4
_version_ 1819204802054193152
author Hisham Valiuddin
Hope Ring
Michelle Fallon
Yaser Valiuddin
author_facet Hisham Valiuddin
Hope Ring
Michelle Fallon
Yaser Valiuddin
author_sort Hisham Valiuddin
collection DOAJ
description Abstract Background No study to date has looked at the gender of emergency medicine (EM) physicians in the United States in relation to admission rates. This study seeks to investigate admission rates of adult patients treated by female vs male EM physicians, to identify whether a practice pattern bias exists. Methods This was a multicenter retrospective study of four community hospitals. Population: All patient encounters between July 1, 2016 and June 30, 2017. Outcome: We compared multiple benchmarks, including admission rates, patient acuity, length of stay, return visits, patient age, and years of practice using descriptive statistics and Pearson Correlation Coefficients. Results 171,762 encounters by 71 EM physicians; 29 females, 42 males. Average admission rates: female 30.1%, male 28.0%, p = .188. Average encounters: female 2456, male 2394, p = 0.77. Acuity: female 149.3, male 146.9, p = .227. Average length of stay (minutes): female 294.4, male 277.4, p = .137. Average patient age: female 50.9, male 50.2, p = .457. Median time of encounter: female 12.8, male 12.7, p = .964. Years of practice: female 16.2, male 19.1, p = .274. Average return visits per one thousand: female 8.5, male 8.5, p = .864. Secondary analysis of Pearson Correlation Coefficient of Significance; admission rate and length of stay: female 0.53, p = .0026; male 0.76, p < .0001. Admission rate and acuity: female 0.56, p = .0012; male 0.76, p < .0001. Admission rate and patient age: female 0.54, p = 0.0018; male 0.50, p = 0.0003. Conclusion No statistically significant difference exists between the admission rates of male and female emergency medicine physicians. The admission rate in both groups had the highest correlation with patients’ age, acuity, and length of stay.
first_indexed 2024-12-23T04:41:35Z
format Article
id doaj.art-0a56ec6159024e6e8f9f3fc333c97bdb
institution Directory Open Access Journal
issn 1471-227X
language English
last_indexed 2024-12-23T04:41:35Z
publishDate 2020-07-01
publisher BMC
record_format Article
series BMC Emergency Medicine
spelling doaj.art-0a56ec6159024e6e8f9f3fc333c97bdb2022-12-21T17:59:46ZengBMCBMC Emergency Medicine1471-227X2020-07-012011610.1186/s12873-020-00349-4Comparison of admission rates among patients treated by male and female emergency physicians: a multicenter studyHisham Valiuddin0Hope Ring1Michelle Fallon2Yaser Valiuddin3Department of Emergency Medicine, St. Mary Mercy HospitalDepartment of Emergency Medicine, St. Mary Mercy HospitalDepartment of Emergency Medicine, St. Mary Mercy HospitalEdward Via College of Osteopathic MedicineAbstract Background No study to date has looked at the gender of emergency medicine (EM) physicians in the United States in relation to admission rates. This study seeks to investigate admission rates of adult patients treated by female vs male EM physicians, to identify whether a practice pattern bias exists. Methods This was a multicenter retrospective study of four community hospitals. Population: All patient encounters between July 1, 2016 and June 30, 2017. Outcome: We compared multiple benchmarks, including admission rates, patient acuity, length of stay, return visits, patient age, and years of practice using descriptive statistics and Pearson Correlation Coefficients. Results 171,762 encounters by 71 EM physicians; 29 females, 42 males. Average admission rates: female 30.1%, male 28.0%, p = .188. Average encounters: female 2456, male 2394, p = 0.77. Acuity: female 149.3, male 146.9, p = .227. Average length of stay (minutes): female 294.4, male 277.4, p = .137. Average patient age: female 50.9, male 50.2, p = .457. Median time of encounter: female 12.8, male 12.7, p = .964. Years of practice: female 16.2, male 19.1, p = .274. Average return visits per one thousand: female 8.5, male 8.5, p = .864. Secondary analysis of Pearson Correlation Coefficient of Significance; admission rate and length of stay: female 0.53, p = .0026; male 0.76, p < .0001. Admission rate and acuity: female 0.56, p = .0012; male 0.76, p < .0001. Admission rate and patient age: female 0.54, p = 0.0018; male 0.50, p = 0.0003. Conclusion No statistically significant difference exists between the admission rates of male and female emergency medicine physicians. The admission rate in both groups had the highest correlation with patients’ age, acuity, and length of stay.http://link.springer.com/article/10.1186/s12873-020-00349-4GenderAdmission rateMaleFemaleEmergency physicianAdmit
spellingShingle Hisham Valiuddin
Hope Ring
Michelle Fallon
Yaser Valiuddin
Comparison of admission rates among patients treated by male and female emergency physicians: a multicenter study
BMC Emergency Medicine
Gender
Admission rate
Male
Female
Emergency physician
Admit
title Comparison of admission rates among patients treated by male and female emergency physicians: a multicenter study
title_full Comparison of admission rates among patients treated by male and female emergency physicians: a multicenter study
title_fullStr Comparison of admission rates among patients treated by male and female emergency physicians: a multicenter study
title_full_unstemmed Comparison of admission rates among patients treated by male and female emergency physicians: a multicenter study
title_short Comparison of admission rates among patients treated by male and female emergency physicians: a multicenter study
title_sort comparison of admission rates among patients treated by male and female emergency physicians a multicenter study
topic Gender
Admission rate
Male
Female
Emergency physician
Admit
url http://link.springer.com/article/10.1186/s12873-020-00349-4
work_keys_str_mv AT hishamvaliuddin comparisonofadmissionratesamongpatientstreatedbymaleandfemaleemergencyphysiciansamulticenterstudy
AT hopering comparisonofadmissionratesamongpatientstreatedbymaleandfemaleemergencyphysiciansamulticenterstudy
AT michellefallon comparisonofadmissionratesamongpatientstreatedbymaleandfemaleemergencyphysiciansamulticenterstudy
AT yaservaliuddin comparisonofadmissionratesamongpatientstreatedbymaleandfemaleemergencyphysiciansamulticenterstudy