Evidence map›Paper›PMID 36216366›Full record

ArticleBJGP open2022

Gender and age concordance between patient and GP: an observational study on associations with referral behaviour.

Dorus Eggermont, Anton E Kunst, Karin Hek, Robert A Verheij

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 23% of its field
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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

4 authors at 3 institutions in 1 country.

Dorus EggermontDepartment of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands d.eggermont@amsterdamumc.nl.ORCID https://orcid.org/0000-0002-1330-4893
Anton E KunstDepartment of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-3313-5273
Karin HekNivel, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0001-9551-1564
Robert A VerheijNivel, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0003-2234-4819
Tilburg University · NLAmsterdam University Medical Centers · NLNetherlands Institute for Health Services Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAppropriate referral from primary to secondary care is essential for maintaining a healthcare system that is accessible and cost-effective. Social concordance can affect the doctor-patient interaction and possibly also referral behaviour.

aimTo investigate the association of gender concordance and age concordance on referral rates in primary care in The Netherlands. DESIGN &

settingElectronic health records data (

methodHealth records covered 16 different symptoms and diagnoses, categorised as 'gender sensitive', 'age sensitive', 'both age and gender sensitive', or 'neutral' based on Delphi consensus. Multi-level logistic regressions were performed to calculate the associations of gender and age concordance with referral status.

resultsOverall, 16.8% of patients were referred to a medical specialist. The female-male dyad (GP-patient) was associated with a higher referral likelihood (odds ratio [OR] 1.14; 95% confidence interval [CI] = 1.02 to 1.27;

conclusionGender discordance was associated with a higher likelihood of referring. This study adds to the evidence that gender concordance affects decisions to refer, particularly with respect to symptoms and diagnoses that can be regarded as 'gender sensitive'.

Indexed as

age concordancedecision makinggender concordancegeneral practicegeneral practitionersmedical specialist careprimary health carereferral and consultationreferral decision makingsocial concordance

Identifiers

PMID36216366
PMCPMC9904797
OpenAlexW4303984326

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.