Patient complaints differ for male and female obstetrician-gynecologists: an exploration of 20 years of complaints data in Alberta, Canada
Notice bibliographique
Résumé
BACKGROUND: Patient complaints are valuable indicators of systemic issues in healthcare, offering opportunities to enhance care quality and safety. Obstetrics and gynecology (OBGYN) is a specialty particularly prone to complaints, reflecting its unique challenges related to patient population, sensitive subject matter, and physician-patient dynamics. The impact of physician sex on patient complaints is not well understood, particularly taking into context the changing demographics of the OBGYN workforce. METHODS: A longitudinal cohort of all obstetrician-gynecologists registered with the College of Physicians & Surgeons of Alberta (CPSA) between 2003 to 2024 linked to the CPSA Complaints database was used. Quantitative analysis included comparisons of mean and proportion, logistic regression, Kaplan-Meier survival, and Cox regression analyses to assess associations between physician characteristics and complaints. Adjusted models accounted for physician sex, birth year, and training location, measured using the Transparency International Corruption Perceptions Index as a proxy for healthcare system similarity to Canada. Content analysis categorized the anonymized complaint narratives provided insights themes of grievances. RESULTS: The cohort included 449 OBGYN physicians (59.2% female, 40.8% male). Overall, 44.8% of physicians experienced at least one complaint during the study period. Male physicians were more likely to receive complaints than female physicians (52.5% vs. 39.5%), with higher adjusted odds of ethics-related complaints (aOR 2.16, 95% CI 1.12-4.16). Adjusted analyses revealed no significant differences in overall complaint frequency or time to first complaint between male and female OBGYNs. Content analysis highlighted recurring themes of communication, professionalism, and patient-centered care. CONCLUSION: While crude analyses suggested sex-based differences in complaint patterns, these associations were attenuated after adjusting for physician age and training location, indicating that the total effect of sex on complaints may be mediated by these factors. However, male physicians remained more likely to receive ethics-related complaints even after adjustment, suggesting a possible direct association. These findings emphasize the need for targeted professional development focused on culturally sensitive communication and patient rapport and underscore the need to consider sex and gender dynamics in OBGYN to promote equity and improve patient care. Future research should explore systemic and structural contributors to complaint patterns across broader geographic and clinical contexts.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,010 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».