Factors that influence preference for male or female urologist among underserved patients in New York City

Abstract Objective To examine the prevalence of patient preference for male or female urologic provider and explore which patient characteristics influence this preference. Materials and Methods After obtaining hospital Institutional Review Board approval, a 14‐question survey in English and Spanish...

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Main Authors: Shirin Razdan, Patrick Ho, Christine Bieber, Michaela Sljivich, Harry Anastos, Dallin Busby, Vannita Simma‐Chiang
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:BJUI Compass
Subjects:
Online Access:https://doi.org/10.1002/bco2.196
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author Shirin Razdan
Patrick Ho
Christine Bieber
Michaela Sljivich
Harry Anastos
Dallin Busby
Vannita Simma‐Chiang
author_facet Shirin Razdan
Patrick Ho
Christine Bieber
Michaela Sljivich
Harry Anastos
Dallin Busby
Vannita Simma‐Chiang
author_sort Shirin Razdan
collection DOAJ
description Abstract Objective To examine the prevalence of patient preference for male or female urologic provider and explore which patient characteristics influence this preference. Materials and Methods After obtaining hospital Institutional Review Board approval, a 14‐question survey in English and Spanish was administered across four general urology clinic sites in a single hospital system in New York City. The survey asked demographic questions and preference for a male or a female urologist. The survey included questions pertaining to the nature of the clinic visit and subsequent provider preference as well. Statistics were performed using Stata 16 (StataCorp, College Station, TX). Results A total of 540 patients completed the 14‐question survey. The vast majority of survey respondents identified as male (90%). The largest proportion demographic groups were those aged 41–60 (47%), Hispanic or Latino (43%), Catholic (47%), unemployed (40%) and those with a high school level of education (34%). Most patients (60%) did not have a preference for a specific gender provider, whereas 37% preferred a male provider, and 3% preferred a female provider. On univariate analysis, patient age 25–40, less than high school education level and lack of employment were significant predictors of provider gender preference (p < 0.05), with most patients indicating a male provider preference. On multivariate analysis of gender, age, education level and employment status, gender and education level were not significant predictors of preference, whereas age 25–40 and being unemployed were significant predictors (p < 0.05). Conclusion Patient gender, race and religion do not appear to influence their preference to be seen by a male or a female urologist in the clinic setting. However, patient age, unemployment and potentially educational attainment were significantly associated with a provider gender preference.
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spelling doaj.art-d168d4d0d75b48eea57782d809d470fb2023-02-16T02:44:43ZengWileyBJUI Compass2688-45262023-03-014216717210.1002/bco2.196Factors that influence preference for male or female urologist among underserved patients in New York CityShirin Razdan0Patrick Ho1Christine Bieber2Michaela Sljivich3Harry Anastos4Dallin Busby5Vannita Simma‐Chiang6Department of Urology Icahn School of Medicine at Mount Sinai Hospital New York New York USADepartment of Urology Icahn School of Medicine at Mount Sinai Hospital New York New York USASt. George's University Medical School St. George's GrenadaDepartment of Urology Icahn School of Medicine at Mount Sinai Hospital New York New York USADepartment of Urology Icahn School of Medicine at Mount Sinai Hospital New York New York USADepartment of Urology Icahn School of Medicine at Mount Sinai Hospital New York New York USADepartment of Urology Icahn School of Medicine at Mount Sinai Hospital New York New York USAAbstract Objective To examine the prevalence of patient preference for male or female urologic provider and explore which patient characteristics influence this preference. Materials and Methods After obtaining hospital Institutional Review Board approval, a 14‐question survey in English and Spanish was administered across four general urology clinic sites in a single hospital system in New York City. The survey asked demographic questions and preference for a male or a female urologist. The survey included questions pertaining to the nature of the clinic visit and subsequent provider preference as well. Statistics were performed using Stata 16 (StataCorp, College Station, TX). Results A total of 540 patients completed the 14‐question survey. The vast majority of survey respondents identified as male (90%). The largest proportion demographic groups were those aged 41–60 (47%), Hispanic or Latino (43%), Catholic (47%), unemployed (40%) and those with a high school level of education (34%). Most patients (60%) did not have a preference for a specific gender provider, whereas 37% preferred a male provider, and 3% preferred a female provider. On univariate analysis, patient age 25–40, less than high school education level and lack of employment were significant predictors of provider gender preference (p < 0.05), with most patients indicating a male provider preference. On multivariate analysis of gender, age, education level and employment status, gender and education level were not significant predictors of preference, whereas age 25–40 and being unemployed were significant predictors (p < 0.05). Conclusion Patient gender, race and religion do not appear to influence their preference to be seen by a male or a female urologist in the clinic setting. However, patient age, unemployment and potentially educational attainment were significantly associated with a provider gender preference.https://doi.org/10.1002/bco2.196genderoffice‐basedpatient centred careprovider preferenceurologist
spellingShingle Shirin Razdan
Patrick Ho
Christine Bieber
Michaela Sljivich
Harry Anastos
Dallin Busby
Vannita Simma‐Chiang
Factors that influence preference for male or female urologist among underserved patients in New York City
BJUI Compass
gender
office‐based
patient centred care
provider preference
urologist
title Factors that influence preference for male or female urologist among underserved patients in New York City
title_full Factors that influence preference for male or female urologist among underserved patients in New York City
title_fullStr Factors that influence preference for male or female urologist among underserved patients in New York City
title_full_unstemmed Factors that influence preference for male or female urologist among underserved patients in New York City
title_short Factors that influence preference for male or female urologist among underserved patients in New York City
title_sort factors that influence preference for male or female urologist among underserved patients in new york city
topic gender
office‐based
patient centred care
provider preference
urologist
url https://doi.org/10.1002/bco2.196
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