1. The influence of gender and race on physicians' pain management decisions.
- Author
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Weisse CS, Sorum PC, and Dominguez RE
- Subjects
- Adult, Analgesics therapeutic use, Analgesics, Opioid administration & dosage, Analgesics, Opioid therapeutic use, Anti-Bacterial Agents therapeutic use, Back Pain drug therapy, Data Collection, Drug Prescriptions, Ethnicity, Female, Humans, Hydrocodone administration & dosage, Hydrocodone therapeutic use, Kidney Calculi complications, Kidney Calculi drug therapy, Male, Middle Aged, Pain etiology, Physicians, Sex Factors, Sinusitis complications, Sinusitis drug therapy, United States, Decision Making, Pain Management
- Abstract
This study set out to examine whether gender or race influences physicians' pain management decisions in a national sample of 712 (414 men, 272 women) practicing physicians. Medical vignettes were used to vary patient gender and race experimentally while holding symptom presentation constant. Treatment decisions were assessed by calculating maximum permitted doses of narcotic analgesic (hydrocodone) prescribed for initial pain treatment and for follow-up care. No overall differences by patient gender or race were found in decisions to treat or in maximum permitted doses. However, for persistent back pain, female physicians prescribed lower doses of hydrocodone, especially to male patients. For renal colic, lower doses were prescribed to black versus white patients when the patient was female, whereas the reverse was true when patients were male. These findings challenge a fairly extensive literature suggesting that physicians treat women and minorities less aggressively for their pain, and results offer further evidence that pain treatment decisions are influenced physician gender.
- Published
- 2003
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