Evidence map›Paper›PMID 35384220›Full record

ArticleInternal medicine journal2022

Equity and diversity in the nephrology workforce in Australia and New Zealand.

Anna Francis, Kim M O'Sullivan, Pinika Patel, Andrea K Viecelli, James A Hedley, Ramyasuda Swaminathan, Amy Crosthwaite, Imad Haloob, Alice Kennard, Matthew Rowlandson and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Internal medicine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Perceptions and Experiences of Gender Equity among Women in Academic Nephrology.Journal of the American Society of Nephrology : JASN · 2024
    Article
  2. Article
  3. Article
  4. Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Anna FrancisFaculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0001-5106-3712
Kim M O'SullivanDepartment of Medicine, Centre for Inflammatory Diseases, Monash University, Melbourne, Victoria, Australia.
Pinika PatelCollaborative Centre for Organ Donation Evidence, Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Andrea K ViecelliFaculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
James A HedleyCollaborative Centre for Organ Donation Evidence, Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Ramyasuda SwaminathanDepartment of Nephrology, Fiona Stanley Hospital, Perth, Western Australia, Australia.
Amy CrosthwaiteDepartment of Nephrology, Austin Health, Melbourne, Victoria, Australia.
Imad HaloobDepartment of Nephrology, Bathurst Base Hospital, Bathurst, New South Wales, Australia.
Alice KennardDepartment of Nephrology, The Canberra Hospital, Canberra, Australian Capital Territory, Australia.ORCID 0000-0002-4745-7206
Matthew RowlandsonDepartment of Nephrology and Transplantation, John Hunter Hospital, Newcastle, New South Wales, Australia.
Neil BoudvilleMedical School, University of Western Australia, Perth, Western Australia, Australia.
Angela C WebsterCollaborative Centre for Organ Donation Evidence, Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Kate WyburnCollaborative Centre for Organ Donation Evidence, Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Equity and Diversity and Inclusivity Committee of the Australian and New Zealand Society of Nephrology

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite diversity initiatives, inequities persist in medicine with negative implications for the workforce and patients. Little is known about workplace inequity in nephrology.

aimTo describe perceptions and experiences of bias by health professionals in the Australian and New Zealand Society of Nephrology (ANZSN), focussing on gender and race.

methodsA web-based survey of ANZSN members recorded degree of perceived inequity on a Likert scale, ranging from 1 (none) to 5 (complete). Groups were compared using Mann-Whitney U-test and logistic regression. Comments were synthesised using qualitative methods to explore themes of inequity and pathways to an inclusive future.

resultsOf the 620 members of the ANZSN, there were 134 (22%) respondents, of whom 57% were women and 67% were White. The majority (88%) perceived inequities in the workforce. Perceived drivers of inequity were gender (84/113; 75%), carer responsibilities (74/113; 65%) and race (64/113; 56%). Half (74/131) had personally experienced inequity, based on gender in 70% (52/74) and race in 39% (29/75) with perceived discrimination coming from doctors, patients, academics and health administrators. White males were least likely (odds ratio 0.39; 95% confidence interval 0.18-0.90) to experience inequity. Dominant themes from qualitative analysis indicated that the major impacts of inequity were limited opportunities for advancement and lack of formal assistance for those experiencing inequities. Proposed solutions to reduce inequity included normalising the discourse on inequity at an organisational level, with policy changes to ensure diverse representation on committees and in executive leadership positions.

conclusionsInequity, particularly driven by gender and race, is common for nephrology health professionals in Australia and New Zealand and impacts career progression.

Indexed as

NephrologyAustraliaFemaleHumansLeadershipMaleNew ZealandWorkforceethnicityfemalemalepersonnelsex factorssexism/psychology/*statistics & numerical data

Identifiers

PMID35384220
PMCPMC9796933

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.