Comparison of disposition manner with emergency medicine physicians who came to the emergency department

Abstract

So far, no study has investigated the correlation between the admission rate of adult patients in the Islamic Republic of Iran and the gender of the active treatment staff in the emergency department. The present study aims to investigate whether there is an inherent gender bias in the decision to accept a patient or not.

Implementation Method: This study is a cross-sectional-descriptive-analytical study with field sampling method. Emergency medicine specialists working in the emergency rooms of Imam Reza (AS) and Sina hospitals were included in the study. People whose residency and work documents are incomplete have been excluded from the study. A checklist based on the number of incoming patients in the shift and the number of patients discharged with personal consent or admitted in that shift and the demographics of the relevant specialist, was prepared and completed by a trained interviewer.

Result: In this study, 37 emergency medicine specialists who were working in two hospitals, Imam Reza (AS) and Sina, were included in the study. Based on the Kolmogorov Semirinov statistical test, it follows a normal distribution (Pv=0.07). The average age of specialists was 43.30 ± 7.21 (95% CI, 40.89-45.70) and 22 (59.5%) were male and 15 (40.5%) were female. In comparison between two groups of male and female experts, female experts were younger. Despite the equal number of patient visits in both sexes, the number of patients hospitalized in the wards by male specialists was significantly higher than that of females, and the number of discharges from the emergency room or leaving without the patient's knowledge in the shift did not show a significant difference. The number of assignment of patients under 6 hours by male specialists was significantly higher than that of female specialists, but assignment between 6 and 12 hours and over 12 hours was not significantly different between the two groups.