Comparison of Hospital Mortality and Readmission Rates for Medicare Patients Treated by Male vs Female Physicians.

摘要: Importance Studies have found differences in practice patterns between male and female physicians, with physicians more likely to adhere clinical guidelines evidence-based practice. However, whether patient outcomes differ is largely unknown. Objective To determine mortality readmission rates patients treated by or physicians. Design, Setting, Participants We analyzed a 20% random sample of Medicare fee-for-service beneficiaries 65 years older hospitalized medical condition general internists from January 1, 2011, December 31, 2014. examined the association physician sex 30-day rates, adjusted for characteristics hospital fixed effects (effectively comparing within same hospital). As sensitivity analysis, we only focusing on care (hospitalists), among whom are plausibly quasi-randomized based physician’s specific work schedules. also investigated varied underlying severity illness. Main Outcomes Measures Patients’ rates. Results A total 1 583 028 hospitalizations were used analyses (mean [SD] age, 80.2 [8.5] years; 621 412 men 961 616 women) 1 540 797 80.1 602 115 938 682 women). Patients had lower (adjusted mortality, 11.07% vs 11.49%; risk difference, –0.43%; 95% CI, –0.57% –0.28%; P Conclusions Relevance Elderly readmissions compared those cared internists. These findings suggest that as suggested previous studies, may important implications outcomes.