This initial, exploratory study on gender bias in collaborative medical decision making examined the degree to which physicians' reliance on a team member's patient care advice differs as a function of the gender of the advice giver. In 2018, 283 anesthesiologists read a brief, online clinical vignette and were randomly assigned to receive treatment advice from 1 of 8 possible sources (physician or nurse, man or woman, experienced or inexperienced). They then indicated their treatment decision, as well as the degree to which they relied upon the advice given.The results revealed 2 patterns consistent with gender bias in participants' advice taking. First, when treatment advice was delivered by an inexperienced physician, participants reported replying significantly more on the advice of a man versus a woman, F(1,61) = 4.24, P = .04. Second, participants' reliance on the advice of the woman physician was a function of her experience, F(1,62) = 6.96, P = .01, whereas reliance on the advice of the man physician was not, F(1,60) = 0.21, P = .65.These findings suggest women physicians, relative to men, may encounter additional hurdles to performing their jobs, especially at early stages in their careers. These hurdles are rooted in psychological biases of others, rather than objective features of cases or treatment settings. Cultural stereotypes may shape physicians' information use and decision-making processes (and hinder collaboration), even in contexts that appear to have little to do with social category membership. The authors recommend institutions adopt policies and practices encouraging equal attention to advice, regardless of the source, to help ensure advice taking is a function of information quality rather than the attributes of the advice giver. Such policies and practices may help surface and implement diverse expert perspectives in collaborative medical decision making, promoting better and more effective patient care.

译文

这项关于协作医疗决策中性别偏见的初步探索性研究,考察了医生对团队成员的患者护理建议的依赖程度,这是建议给予者性别的函数。2018年,283名麻醉师阅读了一个简短的在线临床插图,并被随机分配接受来自8个可能来源 (医生或护士,男人或女人,有经验或没有经验) 中的1个的治疗建议。然后,他们指出了他们的治疗决定,以及他们依赖于给出的建议的程度。结果揭示了两种模式,与参与者建议的性别偏见一致。首先,当没有经验的医生提供治疗建议时,参与者报告对男人的建议比女人的建议要多,F(1,61) = 4.24,P = .04。其次,参与者对女医生建议的依赖是她经验的函数,F(1,62) = 6.96,P = 0.01,而对男医生建议的依赖则不是,F(1,60) = 0.21,P = .65。这些发现表明,相对于男性,女性医生在完成工作时可能会遇到更多障碍,尤其是在职业生涯的早期阶段。这些障碍源于他人的心理偏见,而不是病例或治疗环境的客观特征。文化刻板印象可能会影响医生的信息使用和决策过程 (并阻碍协作),即使在似乎与社会类别成员身份无关的情况下也是如此。作者建议机构采取政策和做法,鼓励对建议的同等关注,无论来源如何,以帮助确保建议是信息质量的函数,而不是建议者的属性。此类政策和实践可能有助于在协作医疗决策中展现和实施不同的专家观点,从而促进更好,更有效的患者护理。

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