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Gender differences in how physicians access and process information

There is an absence of information on how physicians make surgical decisions, and on the effect of gender on the processing of information. A novel web based decision-matrix software was designed to trace experimentally the process of decision making in medical situations. The scenarios included a c...

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Detalles Bibliográficos
Autores principales: Gotlieb, R., Abitbol, J., How, J.A., Ben-Brith, I., Abenhaim, H.A., Lau, S.K., Basik, M., Rosberger, Z., Geva, N., Gotlieb, W.H., Mintz, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325067/
https://www.ncbi.nlm.nih.gov/pubmed/30662932
http://dx.doi.org/10.1016/j.gore.2018.12.008
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author Gotlieb, R.
Abitbol, J.
How, J.A.
Ben-Brith, I.
Abenhaim, H.A.
Lau, S.K.
Basik, M.
Rosberger, Z.
Geva, N.
Gotlieb, W.H.
Mintz, A.
author_facet Gotlieb, R.
Abitbol, J.
How, J.A.
Ben-Brith, I.
Abenhaim, H.A.
Lau, S.K.
Basik, M.
Rosberger, Z.
Geva, N.
Gotlieb, W.H.
Mintz, A.
author_sort Gotlieb, R.
collection PubMed
description There is an absence of information on how physicians make surgical decisions, and on the effect of gender on the processing of information. A novel web based decision-matrix software was designed to trace experimentally the process of decision making in medical situations. The scenarios included a crisis and non-crisis simulation for endometrial cancer surgery. Gynecologic oncologists, fellows, and residents (42 male and 42 female) in Canada participated in this experiment. Overall, male physicians used more heuristics, whereas female physicians were more comprehensive in accessing clinical information (p < 0.03), utilized alternative-based acquisition processes in the non-crisis scenario (p = 0.01), were less likely to consider procedure-related costs (p = 0.04), and overall allocated more time to evaluate the information (p < 0.01). Further experiments leading to a better understanding of the cognitive processes involved in medical decision making could influence education and training and impact on patient outcome.
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spelling pubmed-63250672019-01-18 Gender differences in how physicians access and process information Gotlieb, R. Abitbol, J. How, J.A. Ben-Brith, I. Abenhaim, H.A. Lau, S.K. Basik, M. Rosberger, Z. Geva, N. Gotlieb, W.H. Mintz, A. Gynecol Oncol Rep Narrative Review There is an absence of information on how physicians make surgical decisions, and on the effect of gender on the processing of information. A novel web based decision-matrix software was designed to trace experimentally the process of decision making in medical situations. The scenarios included a crisis and non-crisis simulation for endometrial cancer surgery. Gynecologic oncologists, fellows, and residents (42 male and 42 female) in Canada participated in this experiment. Overall, male physicians used more heuristics, whereas female physicians were more comprehensive in accessing clinical information (p < 0.03), utilized alternative-based acquisition processes in the non-crisis scenario (p = 0.01), were less likely to consider procedure-related costs (p = 0.04), and overall allocated more time to evaluate the information (p < 0.01). Further experiments leading to a better understanding of the cognitive processes involved in medical decision making could influence education and training and impact on patient outcome. Elsevier 2019-01-02 /pmc/articles/PMC6325067/ /pubmed/30662932 http://dx.doi.org/10.1016/j.gore.2018.12.008 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Narrative Review
Gotlieb, R.
Abitbol, J.
How, J.A.
Ben-Brith, I.
Abenhaim, H.A.
Lau, S.K.
Basik, M.
Rosberger, Z.
Geva, N.
Gotlieb, W.H.
Mintz, A.
Gender differences in how physicians access and process information
title Gender differences in how physicians access and process information
title_full Gender differences in how physicians access and process information
title_fullStr Gender differences in how physicians access and process information
title_full_unstemmed Gender differences in how physicians access and process information
title_short Gender differences in how physicians access and process information
title_sort gender differences in how physicians access and process information
topic Narrative Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325067/
https://www.ncbi.nlm.nih.gov/pubmed/30662932
http://dx.doi.org/10.1016/j.gore.2018.12.008
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