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Exploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol
INTRODUCTION: A prescribing cascade occurs when a drug is prescribed to manage the often unrecognised side effect of another drug; these cascades are of particular concern for older adults who are at heightened risk for drug-related harm. It is unknown whether, and to what extent, gender bias influe...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373696/ https://www.ncbi.nlm.nih.gov/pubmed/37491093 http://dx.doi.org/10.1136/bmjopen-2022-070405 |
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author | Borhani, Parya Rochon, Paula A Carrieri, Barbara Dalton, Kieran Lawson, Andrea Li, Joyce Mason, Robin McCarthy, Lisa M Paoletti, Luca Santini, Sara Sivayoganathan, Kawsika Sternberg, Shelley Zwas, Donna R Savage, Rachel D |
author_facet | Borhani, Parya Rochon, Paula A Carrieri, Barbara Dalton, Kieran Lawson, Andrea Li, Joyce Mason, Robin McCarthy, Lisa M Paoletti, Luca Santini, Sara Sivayoganathan, Kawsika Sternberg, Shelley Zwas, Donna R Savage, Rachel D |
author_sort | Borhani, Parya |
collection | PubMed |
description | INTRODUCTION: A prescribing cascade occurs when a drug is prescribed to manage the often unrecognised side effect of another drug; these cascades are of particular concern for older adults who are at heightened risk for drug-related harm. It is unknown whether, and to what extent, gender bias influences physician decision-making in the context of prescribing cascades. The aim of this transnational study is to explore the potential impact of physician implicit gender biases on prescribing decisions that may lead to the initiation of prescribing cascades in older men and women in two countries, namely: Canada and Italy. METHODS AND ANALYSIS: Male and female primary care physicians at each site will be randomised 1:1 to a case vignette that features either a male or female older patient who presents with concerns consistent with the side effect of a medication they are taking. During individual interviews, while masked to the true purpose of the study, participants will read the vignette and use the think-aloud method to describe their ongoing thought processes as they consider the patient’s concerns and determine a course of action. Interviews will be recorded, transcribed verbatim and thematic analysis will be conducted to highlight differences in decisions in the interviews/transcripts, using a common analytical framework across the sites. ETHICS AND DISSEMINATION: This study has received ethics approval at each study site. Verbal informed consent will be received from participants prior to data collection and all data will be deidentified and stored on password-protected servers. Results of this study will be disseminated through peer-reviewed journal articles and presented at relevant national and international conferences. |
format | Online Article Text |
id | pubmed-10373696 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-103736962023-07-28 Exploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol Borhani, Parya Rochon, Paula A Carrieri, Barbara Dalton, Kieran Lawson, Andrea Li, Joyce Mason, Robin McCarthy, Lisa M Paoletti, Luca Santini, Sara Sivayoganathan, Kawsika Sternberg, Shelley Zwas, Donna R Savage, Rachel D BMJ Open Geriatric Medicine INTRODUCTION: A prescribing cascade occurs when a drug is prescribed to manage the often unrecognised side effect of another drug; these cascades are of particular concern for older adults who are at heightened risk for drug-related harm. It is unknown whether, and to what extent, gender bias influences physician decision-making in the context of prescribing cascades. The aim of this transnational study is to explore the potential impact of physician implicit gender biases on prescribing decisions that may lead to the initiation of prescribing cascades in older men and women in two countries, namely: Canada and Italy. METHODS AND ANALYSIS: Male and female primary care physicians at each site will be randomised 1:1 to a case vignette that features either a male or female older patient who presents with concerns consistent with the side effect of a medication they are taking. During individual interviews, while masked to the true purpose of the study, participants will read the vignette and use the think-aloud method to describe their ongoing thought processes as they consider the patient’s concerns and determine a course of action. Interviews will be recorded, transcribed verbatim and thematic analysis will be conducted to highlight differences in decisions in the interviews/transcripts, using a common analytical framework across the sites. ETHICS AND DISSEMINATION: This study has received ethics approval at each study site. Verbal informed consent will be received from participants prior to data collection and all data will be deidentified and stored on password-protected servers. Results of this study will be disseminated through peer-reviewed journal articles and presented at relevant national and international conferences. BMJ Publishing Group 2023-07-25 /pmc/articles/PMC10373696/ /pubmed/37491093 http://dx.doi.org/10.1136/bmjopen-2022-070405 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Geriatric Medicine Borhani, Parya Rochon, Paula A Carrieri, Barbara Dalton, Kieran Lawson, Andrea Li, Joyce Mason, Robin McCarthy, Lisa M Paoletti, Luca Santini, Sara Sivayoganathan, Kawsika Sternberg, Shelley Zwas, Donna R Savage, Rachel D Exploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol |
title | Exploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol |
title_full | Exploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol |
title_fullStr | Exploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol |
title_full_unstemmed | Exploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol |
title_short | Exploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol |
title_sort | exploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol |
topic | Geriatric Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373696/ https://www.ncbi.nlm.nih.gov/pubmed/37491093 http://dx.doi.org/10.1136/bmjopen-2022-070405 |
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