Outpatient Primary Care Practitioner Access: Gender-Based Preferences

Background: Primary care practices are evolving under the pressure of modern-day challenges, with some clinics now introducing the choice of new nontraditional care models designed to maximize patients' needs with practitioner efficiency. These changes include team models consisting of advanced...

Full description

Bibliographic Details
Main Authors: Saira J. Khan, Kenneth G. Poole, Juliana M. Kling, Gretchen Taylor
Format: Article
Language:English
Published: Mary Ann Liebert 2022-02-01
Series:Women's Health Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0088
_version_ 1797345757224763392
author Saira J. Khan
Kenneth G. Poole
Juliana M. Kling
Gretchen Taylor
author_facet Saira J. Khan
Kenneth G. Poole
Juliana M. Kling
Gretchen Taylor
author_sort Saira J. Khan
collection DOAJ
description Background: Primary care practices are evolving under the pressure of modern-day challenges, with some clinics now introducing the choice of new nontraditional care models designed to maximize patients' needs with practitioner efficiency. These changes include team models consisting of advanced practitioners and physicians, as well as new care delivery formats such as virtual care. With a growing number of options for care, it is unclear whether patients' gender affects their visit preferences; therefore, we surveyed patients presenting to an outpatient internal medicine clinic in Arizona to understand how practice variations impact patient satisfaction of their primary care. Methods: Patients seen in an outpatient internal medicine clinic were surveyed. Multivariable models adjusting for age, marital status, education level, and income were used to evaluate gender-based care preferences. Results: Of 796 total participants (446 women, 350 men), women were more likely to prefer continuity of care with the same health care practitioner (90.2% women vs. 85.0% men, p?=?0.028) and allied health staff (AHS) (36.3% women vs. 28.0% men, p?=?0.0031) over convenience of appointment or quicker response time than men. However, after multivariable analysis, no statistically significant relationships remained. Discussion: Women favored both continuity of care with the same health care provider and AHS over faster access to primary care. A large majority of men had similar preferences for continuity of care. To provide the highest level of care with greatest patient satisfaction, understanding individual preferences for care delivery will be important.
first_indexed 2024-03-08T11:22:06Z
format Article
id doaj.art-0d663f01f2d144e8bca2542b0f8e2e75
institution Directory Open Access Journal
issn 2688-4844
language English
last_indexed 2024-03-08T11:22:06Z
publishDate 2022-02-01
publisher Mary Ann Liebert
record_format Article
series Women's Health Reports
spelling doaj.art-0d663f01f2d144e8bca2542b0f8e2e752024-01-26T05:49:41ZengMary Ann LiebertWomen's Health Reports2688-48442022-02-013115015410.1089/WHR.2021.0088Outpatient Primary Care Practitioner Access: Gender-Based PreferencesSaira J. KhanKenneth G. PooleJuliana M. KlingGretchen TaylorBackground: Primary care practices are evolving under the pressure of modern-day challenges, with some clinics now introducing the choice of new nontraditional care models designed to maximize patients' needs with practitioner efficiency. These changes include team models consisting of advanced practitioners and physicians, as well as new care delivery formats such as virtual care. With a growing number of options for care, it is unclear whether patients' gender affects their visit preferences; therefore, we surveyed patients presenting to an outpatient internal medicine clinic in Arizona to understand how practice variations impact patient satisfaction of their primary care. Methods: Patients seen in an outpatient internal medicine clinic were surveyed. Multivariable models adjusting for age, marital status, education level, and income were used to evaluate gender-based care preferences. Results: Of 796 total participants (446 women, 350 men), women were more likely to prefer continuity of care with the same health care practitioner (90.2% women vs. 85.0% men, p?=?0.028) and allied health staff (AHS) (36.3% women vs. 28.0% men, p?=?0.0031) over convenience of appointment or quicker response time than men. However, after multivariable analysis, no statistically significant relationships remained. Discussion: Women favored both continuity of care with the same health care provider and AHS over faster access to primary care. A large majority of men had similar preferences for continuity of care. To provide the highest level of care with greatest patient satisfaction, understanding individual preferences for care delivery will be important.https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0088primary carepatient-centered careaccesspatient experiencegender
spellingShingle Saira J. Khan
Kenneth G. Poole
Juliana M. Kling
Gretchen Taylor
Outpatient Primary Care Practitioner Access: Gender-Based Preferences
Women's Health Reports
primary care
patient-centered care
access
patient experience
gender
title Outpatient Primary Care Practitioner Access: Gender-Based Preferences
title_full Outpatient Primary Care Practitioner Access: Gender-Based Preferences
title_fullStr Outpatient Primary Care Practitioner Access: Gender-Based Preferences
title_full_unstemmed Outpatient Primary Care Practitioner Access: Gender-Based Preferences
title_short Outpatient Primary Care Practitioner Access: Gender-Based Preferences
title_sort outpatient primary care practitioner access gender based preferences
topic primary care
patient-centered care
access
patient experience
gender
url https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0088
work_keys_str_mv AT sairajkhan outpatientprimarycarepractitioneraccessgenderbasedpreferences
AT kennethgpoole outpatientprimarycarepractitioneraccessgenderbasedpreferences
AT julianamkling outpatientprimarycarepractitioneraccessgenderbasedpreferences
AT gretchentaylor outpatientprimarycarepractitioneraccessgenderbasedpreferences