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Title: Gender and the professional career of primary care physicians in Andalusia (Spain).
Authors: Delgado Sánchez, Ana
Saletti Cuesta, Lorena
López Fernández, Luis Andrés
Luna, Juan de Dios
Mateo Rodríguez, Inmaculada
metadata.dc.contributor.authoraffiliation: [Delgado, A; Saletti-Cuesta, L; López-Fernández, LA; Mateo-Rodriguez, I] Escuela Andaluza de Salud Pública, Granada, España. [Luna, J de D] Departamento de Bioestadística, Facultad de Medicina, Universidad de Granada, España.
Keywords: Género;Médicos de atención primaria;Andalucía
metadata.dc.subject.mesh: Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Personnel::Physicians::Physicians, Primary Care
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Factors::Sex Factors
Issue Date: 28-Feb-2011
Publisher: Biomed Central
Citation: Delgado A, Saletti-Cuesta L, López-Fernández LA, de Dios Luna J de D, Mateo-Rodriguez I. Gender and the professional career of primary care physicians in Andalusia (Spain). BMC Health Serv Res. 2011 Feb 28; 11:51
Abstract: Background: Although the proportion of women in medicine is growing, female physicians continue to be disadvantaged in professional activities. The purpose of the study was to determine and compare the professional activities of female and male primary care physicians in Andalusia and to assess the effect of the health center on the performance of these activities. Methods: Descriptive, cross-sectional, and multicenter study. Setting: Spain. Participants: Population: urban health centers and their physicians. Sample: 88 health centers and 500 physicians. Independent variable: gender. Measurements: Control variables: age, postgraduate family medicine specialty (FMS), patient quota, patients/day, hours/day housework from Monday to Friday, idem weekend, people at home with special care, and family situation. Dependent variables: 24 professional activities in management, teaching, research, and the scientific community. Self-administered questionnaire. Descriptive, bivariate, and multilevel logistic regression analyses. Results: Response: 73.6%. Female physicians: 50.8%. Age: female physicians, 49.1 ± 4.3 yrs; male physicians, 51.3 ± 4.9 yrs (p < 0.001). Female physicians with FMS: 44.2%, male physicians with FMS: 33.3% (p < 0.001). Female physicians dedicated more hours to housework and more frequently lived alone versus male physicians. There were no differences in healthcare variables. Thirteen of the studied activities were less frequently performed by female physicians, indicating their lesser visibility in the production and diffusion of scientific knowledge. Performance of the majority of professional activities was independent of the health center in which the physician worked. Conclusions: There are gender inequities in the development of professional activities in urban health centers in Andalusia, even after controlling for family responsibilities, work load, and the effect of the health center, which was important in only a few of the activities under study.
metadata.dc.identifier.doi: 10.1186/1472-6963-11-51
Appears in Collections:01- Artículos - EASP. Escuela Andaluza de Salud Pública

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