La gestione del diabete nelle cure primarie: il ruolo del genere nelle performance dei medici di medicina generale

[Autom. eng. transl.] INTRODUCTION: In the last few years a gender change is taking place in the medical working class, it is expected that in 2030 65% of doctors worldwide will be women. This coincides with the well-known phenomenon of the epidemiological transition towards chronic diseases. Several evidences indicate a better performance of female doctors compared to those of male doctors, but no study has verified whether in the field of primary care and especially in the field of diabetes management, the organizational model changes the effect of this kind . Our study aims at evaluating in different organizational contexts the role of the doctor's gender in the results of diabetes management in the primary care setting. MATERIALS AND METHODS: The data derive from the MEDINA study promoted by AGENAS which involved seven districts of different regions of the Italian peninsula. A retrospective population cohort study was performed which was performed on a large database obtained by processing databases. There were 5 process indicators of the management of diabetic patients and an overall score was obtained obtained as an average of the performances obtained in the various process indicators. A multilevel analysis and a quantile regression was performed. RESULTS: The study included 2,287 general practice physicians (including 586 women) who have 2,646,059 patients. Performance analyzes confirmed that women get better results than male colleagues. The interactions between gender and organizational models have not been significant. Major gender differences have been highlighted between those who obtain performance results in the I and III quartiles compared to those in the II quartile. CONCLUSIONS: Our study confirms the best performance of female doctors in the management of diabetes in primary care, this association is not modified by the organizational model.