@article{193ee5508bb44baaae49ecb7ad00b9dc,
title = "Physician-patient gender and the recognition and treatment of depression in primary care",
abstract = "This study investigates the relationships among patient's gender, physician's gender, and physician's inquiries about depression symptoms and psychosocial stressors, treatment and subsequent medical record notation of depression in primary care. One hundred forty-six physicians at three sites were visited twice by a standardized patient (SP) who enacted either major depression with a psychosocial presentation or minor depression with a somatic presentation. Each of the two cases was portrayed by both male and female SPs who were assigned randomly to physicians. Results showed high rates of inquiry about depression symptoms and treatment, but rates varied considerably by presentation and across physician-patient gender combinations. Male physicians explored symptoms and discussed a diagnosis with female patients significantly more often than with male patients. Both male and female physicians recommended counseling more often for patients with the somatic presentation when they were female than when they were male. Record notations followed the same gender pattern.",
keywords = "Depression, Diagnosis, Gender, Primary care, Recognition",
author = "Badger, {Lee W.} and Michael Berbaum and Stem, {John T.} and Carney, {Patricia A.} and Dietrich, {Allen J.} and Mary Owen",
note = "Funding Information: SUMMARY. This study investigates the relationships among patient{\textquoteright}s gender, physician{\textquoteright}s gender, and physician{\textquoteright}s inquiries about depression symptoms and psychosocial stressors, treatment and subsequent medi- Lee W. Badger is affiliated with the Graduate School of Social Service at Ford-ham University. Michael Berbaum is affiliated with the Institute for Social Science Research, The University of Alabama. Patricia A. Carney is affiliated with the Department of Family and Community Medicine, Dartmouth Medical School. Allen J. Dietrich is affiliated with the Department of Community and Family Medicine, Dartmouth Medical School. Mary Owen is affiliated with the Department of Medical Education, University of Washington. John T. Stem is affiliated with the Institiite for Social Science Research, University of Alabama. The authors thank Carolyn Neiswender, Marian Swindell and Ali Winters at the University of Alabama, M. Scottie Eliassen at Dartmouth, and Jenny Struijk at the University of Washington for their assistance throughout the conduct of this study. This study was funded by a grant from the John D. and Catherine T. MacArthur Foundation. A portion of this paper was presented at the International Conference on Mental Health Problems in the General Health Care Sector, NIMH, September 1997.",
year = "1999",
month = aug,
day = "19",
doi = "10.1300/J079v25n03_03",
language = "English (US)",
volume = "25",
pages = "21--39",
journal = "Journal of Social Service Research",
issn = "0148-8376",
publisher = "Routledge",
number = "3",
}