Sandhu, Harbinder, Adams, Ann, Singleton, Laura, Clark-Carter, David and Kidd, Jane M.. (2009) The impact of gender dyads on doctor-patient communication : a systematic review. Patient Education and Counseling, Vol.76 (No.3, Sp. Iss. SI). pp. 348-355. ISSN 0738-3991

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Abstract

Objective: Systematic review of evidence about the impact of gender dyads on clinician-patient communication.

Methods: Search of Medline, CINAHL and PsychINFO (1960-2007) and the British Library of grey literature, and hand searching of Patient Education and Counselling and Social Science and Medicine (2005-2007), returning 648 articles. Ten studies met all inclusion criteria.

Results: Gender dyads influenced the patient agendas elicited, talk content, communication style, nonverbal communication, the exhibition of power, and consultation length. Consultation length was studied and affected by gender dyads more frequently than any other phenomenon. Distinctive differences between the dyads were identified, largely as expected, but with some surprises. For example, female/female dyads were the most patient-centred, and had longer consultations containing the most talk. However they also contained the most bio-medical talk.

Conclusion: The evidence base is small, and a more rigorous approach to reporting quality indicators is needed. However, observed dyad differences may provide different opportunities for effective communication and clinical outcomes for patients. Further research with a primary focus on gender dyad effects is needed to test this.

Practice implications: Findings have implications for policy, healthcare organisations, and individual doctors alike, raising awareness about workforce issues and communication skills training needs in particular. (C) 2009 Elsevier Ireland Ltd. All rights reserved.

Item Type:	Journal Article
Subjects:	H Social Sciences > HM Sociology R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Dyadic analysis (Social sciences), Physician and patient, Medical consultation, Communication -- Sex differences, Systematic reviews (Medical research)
Journal or Publication Title:	Patient Education and Counseling
Publisher:	Elsevier Ireland Ltd.
ISSN:	0738-3991
Official Date:	September 2009
Dates:	Date Event September 2009 Published
Volume:	Vol.76
Number:	No.3, Sp. Iss. SI
Number of Pages:	8
Page Range:	pp. 348-355
Identification Number:	10.1016/j.pec.2009.07.010
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	Warwick-West Midlands Primary Care Research (WWMPCR)
Version or Related Resource:	Paper presented at the EACH Conference on Communication in Healthcare, Oslo, Norway, Sept 2008.
URI:	http://wrap.warwick.ac.uk/id/eprint/17243

Data sourced from Thomson Reuters' Web of Knowledge

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