Comparison of inpatient spending and readmission rates for patients treated by male versus female physicians in China: An observational study

2021 ◽  
pp. 135581962110589
Author(s):  
Menghan Shen ◽  
Linyan Li ◽  
Yushan Wu ◽  
Yuanfan Yang
Keyword(s):  
Fixed Effects ◽  
Patient Characteristics ◽  
Primary Diagnosis ◽  
Female Physicians ◽  
Readmission Rates ◽  
Male And Female ◽  
Physician Gender ◽  
Significant Difference ◽  
The Difference ◽  
Out Of Pocket Costs

Objective To determine whether there are significant differences in costs of treatment and readmission rates for hospital consultations undertaken by female versus male physicians in China. Methods Using data from the Urban Employee Basic Medical Insurance program from January 2018 through October 2019, we investigated spending patterns and clinical outcomes for patients at tertiary hospitals in one of the largest cities in China by the gender of the attending physician. Our sample included 79,085 hospitalizations treated by 3993 physicians in internal medicine departments. We examined the association between physician gender and visit cost using a multivariable linear model. We examined the association between physician gender and 30-days readmission rates using a multivariable probability model. We adjusted for a rich set of patient characteristics, primary diagnosis fixed effects, and hospital fixed effects. In addition, we used patient fixed effects in a robustness analysis. Results Adjusting for primary diagnosis fixed effects, spending per visit was 4.1% higher for patients treated by male physicians than for those treated by female physicians, a statistically significant difference (95% CI [1.5%, 6.7%]). This pattern persisted after further adjusting for hospital fixed effects (3.2% [1.2%, 5.2%]), patient characteristics (3.2% [1.2%, 5.1%]), and patient fixed effects (4.2% [1.8%, 6.7%]). The difference is mainly driven by higher spending on drugs (8.7% [3.9%, 13.6%]) and out-of-pocket costs (3.9% [1.7%, 6.0%]). No statistically significant differences were observed in the readmission rates of patients treated by male and female physicians in any of our three model specifications. Conclusions Spending per visit was significantly higher among patients treated by male physicians than among those treated by female physicians, with the difference mainly driven by spending on drugs and out-of-pocket costs. No significant difference was observed in the hospital readmission rates of patients treated by male and female physicians. These findings have important implications for gender equality in medicine and health care quality and efficiency in developing countries.

scholarly journals Gender Differences And Psychological Impacts In Higher Education During Covid-19 Pandemic

2021 ◽  
Vol 7 (2) ◽  
pp. 290
Author(s):  
Iswadi Iswadi ◽  
Apriyanto Apriyanto
Keyword(s):  
Higher Education ◽  
Online Learning ◽  
Negative Effects ◽  
Male And Female ◽  
Postgraduate Students ◽  
Learning Platform ◽  
Significant Difference ◽  
E Learning ◽  
Efl Students ◽  
The Difference

<p><em>E-learning during covid-19 pandemic gives positive and negative effects on students’ psychology. One of the effects of E-Learning is students whose negative and positive perception towards the process of E-Learning. The objectives of the study are to know (1)  The difference perception between male and female EFL post-graduate students of the use of online learning platforms? (2). Impacts psychologically of E-learning during Covid-19 to female and male EFL students in higher education. The method of the study is mixed research with the explanatory sequential design. The participants were 31 EFL postgraduate students in PGRI Indraprasta University. The data collection technique of the study was questionnaires with a Likert scale and an open interview. The data analysis technique of the study is an independent sample t-test with SPSS 22.0 version and collection, reduction, display, and conclusion. The results of the study are: (1) There is no significant difference perception between male and female EFL postgraduate students of the use of online learning platform because the significance value (0.695) which is bigger than 0.05. (2)  E-learning during the Covid-19 pandemic did not  give anxiety, fear, fatigue, and saturation to female and male EFL students in higher education. Implication of this research is University must develop LMS (Learning Management System) for teaching EFL students</em></p>

scholarly journals Emotional Intelligence and Self Esteem in Male and Female School Students

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Dr. Syeda Razia Bukhari ◽  
Syeda Ishrat Fatima ◽  
Amenah Rashid ◽  
Farhana Saba
Keyword(s):  
Emotional Intelligence ◽  
Economic Status ◽  
Sampling Technique ◽  
Self Esteem ◽  
School Students ◽  
Cross Sectional ◽  
Male And Female ◽  
Significant Difference ◽  
The Difference ◽  
Cross Sectional Design

The aim of the research is to investigate that emotional intelligence and self-esteem in male and female school students. The present research design is research cross sectional design.  Sample contained 200 students (100 =male, 100= female)   (mean age = 14.16, SD = 0.740) all belonging to the upper, middle and lower Scio economic status. Whole sample was collected from different schools of Karachi, Pakistan with the help of convenient sampling technique. First, the confidentiality about the participants demographic information was assured after that about the purpose and procedure of research explained to participants. The participants who given consent of participation in research, the demographic form, Urdu version of Rosenberg Self-Esteem Scale (Rosenberg, 1965), and Trait Emotional Intelligence Questionnaire (TEIQue) (K.V. Petrides) were administered on them. Statistical Analysis (t-Test for independent) applied to assess the difference of emotional intelligence and self esteem among male and female.The results reveals there is significant difference among emotional intelligence of male and female school students (t (198) = 6.597, P< .05) and there is also significant difference in self esteem of male and female school students (t (198) = 2.837, P< .05).

scholarly journals The difference in saliva pH before and after brushing with fluoride containing toothpaste and without toothpaste

2008 ◽  
Vol 20 (3) ◽  
Author(s):  
Samuel Setiawan ◽  
Edeh Rolleta Haroen ◽  
Dede Hadidjah
Keyword(s):  
Drinking Water ◽  
Research Method ◽  
Control Group ◽  
Research Subjects ◽  
Male And Female ◽  
Significant Difference ◽  
Salivary Ph ◽  
Before And After ◽  
Quasi Experimental ◽  
The Difference

In administering fluoride through drinking water there is the risk of overdose, higher cost and inadequate availability of drinking water containing fluoride in developing countries like Indonesia. A safe fluoride source is contained in toothpaste. The purpose of this research was to obtain data concerning difference in saliva pH before and after brushing with toothpaste containing fluoride and without toothpaste. The research method used was the quasi-experimental method. Samples were collected by the way of purposive sampling, conducted on 43 male and female research subjects. The data were analyzed by statistical analysis using the t test at 95% confidence level. In this research a control group consisting of 43 people was used. Research results indicated that the average saliva pH before brushing was 7.174; after brushing with fluoride containing toothpaste salivary pH was 7.593. Result research of brushing without toothpaste showed an average saliva of 7.163 before brushing and 7.379 after brushing without toothpaste. The average changes in saliva pH before and after brushing using fluoride containing toothpaste was 0.216. The conclusion of this research was that there was significant difference in saliva pH before and after brushing with toothpaste containing fluoride; there was significant difference in saliva pH before and after brushing without toothpaste, and there was significant difference in saliva pH before and after brushing with toothpaste containing fluoride and without toothpaste.

scholarly journals Communication Strategies Used by Iranian EFL Learners and English Native Speakers: Gender in Focus

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Layla Hajiesmaeli ◽  
Laya Heidari Darani
Keyword(s):  
Language Proficiency ◽  
Native Speakers ◽  
Communication Strategies ◽  
Numerical Data ◽  
Communication Strategy ◽  
Male And Female ◽  
Efl Learners ◽  
Significant Difference ◽  
Native Speakers Of English ◽  
The Difference

<p>This article was intended to explore the frequency and order of communication strategies used by Iranian male and female EFL earners as well as English native speakers while facing communication breakdowns. Furthermore, it was aimed to investigate the difference between native speakers and non-native speakers of English in their use of communication strategies. In addition, it was probed whether gender had any effects on the use of these strategies among native and non-native speakers. To this end, the data were collected through the communication strategy questionnaire distributed among 30 male and female Iranian intermediate EFL learners and 15 English native speakers. The design of this study was a quantitative one in which the questionnaire and thus numerical data were applied. To analyze the data, Cronbach alpha and independent-samples t-tests were used. The results indicated that non-verbal and social affective strategies were the most frequent strategies used by non-native speakers and native speakers of English, respectively. Furthermore, there was no significant difference between male and female Iranian EFL learners, but a significant difference between male and female English native speakers were seen. It can be concluded that language proficiency can contribute to the type and frequency of communications strategies which are used non-native speakers; likewise, it can play a significant role in gender differences in language use.<em></em></p>

Effect of Mother’s Employment on Aggression of Board Students

2021 ◽  
Vol 37 (1) ◽  
pp. 67-71
Author(s):  
Prachi Bhatt Deolal ◽  
Madhu Lata Nayal
Keyword(s):  
Personal Data ◽  
Total Sample ◽  
Female Adolescents ◽  
Male And Female ◽  
Male Adolescents ◽  
Significant Difference ◽  
Employed Mothers ◽  
The Difference ◽  
Level Of Significance ◽  
Aggression Level

The present study aimed to find out the difference in the aggression level of Board Students of employed and non-employed mothers. Total sample of 200 students was taken from five CBSE affiliated schools of Pithoragarh district (Uttarakhand). Personal data schedule along with the Aggression Scale was used to calculate the result. Aggression Scale used in the study was developed by Pal and Naqvi (2000) which comprised of 60 questions. Stratified Random Sampling was used to select the data and t-test was applied to calculate the level of significance. While compiling the results, significant difference was found between the male and female adolescents of 10th standard of employed mothers and even between the male and female adolescents of 12th standard of employed mothers. Male and female adolescents of 12th standard of non-employed mother have also shown significant difference on the level of aggression. In all the three cases Male adolescents have shown greater aggression than female adolescents.

Establishment of the Standardized Uptake Values of 99mTc-MDP in Normal Vertebrae for SPECT/CT Quantification

2020 ◽  
Author(s):  
Na Qi ◽  
Qingyuan Meng ◽  
Zhiwen You ◽  
Huiqian Chen ◽  
Yi Shou ◽  
...  
Keyword(s):  
Standardized Uptake Value ◽  
Female Group ◽  
Sample Population ◽  
Strong Negative Correlation ◽  
Men And Women ◽  
Male And Female ◽  
Ct Value ◽  
Standardized Uptake Values ◽  
Significant Difference ◽  
The Difference

Abstract PurposeTo establish the standardized uptake value (SUV) of Tc-99m-methylene diphosphonate (MDP) for normal vertebra in both Chinese male and female by using a SPECT/CT scanner.MethodsA retrospective study was carried out involving 116 men and 105 women who underwent SPECT/CT scan using 99mTc-MDP. We acquired the SUV, CT value of 2416 normal vertebra in total and analyzed the difference of SUV between men and women. We analyzed the vertebra data with no significant difference of SUVmax in male and female group. The correlations between SUVmax value and CT value, age, height, weight in each group were also analyzed.ResultsThe SUVmax, SUVmean of vertebra in men were markedly higher than those in women(P < 0.0009). Specifically, for males, the SUVmax of C1, C2-4 and C5-L5 vertebra appeared to have significant differences(P < 0.05), while no significant difference of the SUVmax of C1-L5 vertebra were observed in females(P < 0.05). The SUVmax of each vertebral segment showed a strong negative correlation with CT values in both men and women(r=-0.89,-0.92;P < 0.0009). The SUVmax of vertebra showed weak significant correlation with weight and height in male (r = 0.4,P < 0.0009;r = 0.28,P = 0.005),and weak significant correlation with weight in females(r = 0.32,P = 0.009).ConclusionThis article study initially established SUVmax, SUVavgmean of normal vertebra in both Chinese men and women with a large sample population,and summarized the SUVmax of vertebra with no significant difference. The results could provide a quantitative reference for clinical diagnosis and the evaluation of therapeutic response in vertebral lesions.

scholarly journals Kecemasan Siswa dalam Ujian Praktik Kejuruan Ditinjau dari Jenis Kelamin

2020 ◽  
Vol 4 (1) ◽  
pp. 43-49
Author(s):  
Tyesa Sri Handayuni ◽  
Ifdil Ifdil
Keyword(s):  
Quantitative Research ◽  
Sampling Technique ◽  
Female Students ◽  
Vocational School ◽  
School Students ◽  
Test Technique ◽  
Male And Female ◽  
Significant Difference ◽  
The Difference ◽  
Exam Anxiety

Anxiety is an unpleasant emotion that is characterized by worry and fear. A lot of subject matter is memorized and learning tends to be boring make students suppressed and can cause anxiety to accumulate during exams. This study aims to analyzed exam anxiety among vocational school students in professional placement based on male and female, and identify the differences exam anxiety among vocational school students in professional placement based on gender. This research is quantitative research with descriptive and comparative methods. With a sample of 115 students using a proportional random sampling technique. Data obtained by providing instrument kecemasan siswa dalam menghadapi ujian praktik kejuruan. Data were analyzed descriptively by determining the mean, standard deviation and percentage. To see the difference in anxiety among vocational school students in professional placement based on male and female was used the t-test technique with analyze Independent Samples Test. The results showed that exam anxiety among vocational school students in professional placement of male students was generally in the low category and exam anxiety among vocational school students in professional placement of female students was generally in the high category and there was a significant difference between the exam anxiety among vocational school students in professional placement of male and female students. This research shows the need for efforts to reduce exam anxiety among vocational school students in professional placement of students so that students can exam effectively.

scholarly journals The effect of instructing critical thinking through debate on the EFL learners’ reading comprehension

2015 ◽  
pp. 21-40 ◽  
Author(s):  
Maryam Danaye Tous ◽  
Abdorreza Tahriri ◽  
Sara Haghighi
Keyword(s):  
Reading Comprehension ◽  
Critical Thinking ◽  
Quantitative Research ◽  
Control Group ◽  
Male And Female ◽  
Efl Learners ◽  
Significant Difference ◽  
Post Test ◽  
The Difference ◽  
Experimental Group

The purpose of this study was to examine the effect of instruction through debate on the male and female EFL learners’ reading comprehension, and to examine the difference between male and female EFL learners’ perception towards instructing critical thinking (CT) through debate. 88 learners, out of 120, were selected through convenience sampling method. Using a quantitative research method with experimental pre-and post-tests design, this study consisted of 44 participants in the experimental group and 44 participants in the control group. The experimental group received some treatment in the form of “the Meeting-House Debate” strategy, while the control group received no such treatment. After one month and a half treatment of experimental group, both groups participated in the post-test. Data analysis was done using descriptive and inferential statistics procedures. Findings showed that the debate strategy had statistically significant effect on the students’ reading comprehension. Also, results revealed that there was no significant difference between male and female EFL learners’ perception towards instructing CT through debate. It was concluded that instructing CT skills through debate strategy resulted in better understanding of reading texts.

Pulmonary embolism rule out: positivity and factors affecting the yield of CT angiography

2020 ◽  
Vol 96 (1140) ◽  
pp. 594-599 ◽  
Author(s):  
Tanya Aggarwal ◽  
Ali Eskandari ◽  
Sarv Priya ◽  
Aidan Mullan ◽  
Ishan Garg ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Patient Characteristics ◽  
Pulmonary Angiography ◽  
Test Results ◽  
Factors Affecting ◽  
Significant Difference ◽  
The Usa ◽  
Male Sex ◽  
The Difference ◽  
Rule Out

ObjectiveCT pulmonary angiography (CTPA) is one of the most commonly ordered CT imaging tests. It is often believed to be overutilised with few recent studies showing a yield of less than 2%. This study aimed to determine the overall positivity rate of CTPA examinations and understand the factors that affect the yield of the CTPA examination.MethodsWe retrospectively analysed 2713 patients who received the CTPA exam between 2016 and 2018. Type of study ordered (CTPA chest or CTPA chest with abdomen and pelvis CT), patient location (emergency department (ED), outpatient, inpatient, intensive care unit (ICU)) and patient characteristics—age, sex and body mass index (BMI) were recorded. A logistic regression analysis was performed to determine what factors affect the positivity rate of CT scans for pulmonary embolism (PE).ResultsWith 296 positive test results, the overall CTPA positivity was 10.9%. Male sex was associated with higher CTPA positivity, gender difference was maximum in 18-year to 35-year age group. Overweight and obese patients had significantly higher positivity as compared with BMI<25 (p<0.05). Higher positivity rate was seen in the BMI 25–40 group (11.9%) as compared with BMI>40 (10.1%) (p<0.05). Significant difference (p<0.001) was also found in CTPA examination yield from ICU (15.3%) versus inpatients (other than ICU) (12.4%) versus ED (9.6%), and outpatients (8.5%). The difference in CTPA yield based on the type of CT order (CTPA chest vs CTPA chest with CT abdomen and pelvis), patient’s age and sex was not significant.ConclusionCTPA yield of 10.9% in this study is comparable to acceptable positivity rate for the USA and is higher than recent studies showing positivity of <2%. Patient characteristics like obesity and ICU or inpatient location are associated with higher rate of CT positivity.

Diatrizoate (Gastrograffin®) Small Bowel Follow Through for Small Bowel Obstructions: Timing and Outcomes

2021 ◽  
pp. 000313482110508
Author(s):  
Andrew Licata ◽  
Ismail El Moudden ◽  
Nicholas Bandy ◽  
Molly Sternick ◽  
Rebecca Britt
Keyword(s):  
Small Bowel ◽  
Disease Burden ◽  
Patient Characteristics ◽  
Operative Intervention ◽  
Early Group ◽  
Readmission Rates ◽  
Total Cost ◽  
Significant Difference ◽  
Secondary Outcomes ◽  
Do So

Introduction The advent of the Gastrograffin® small bowel follow through (G-SBFT) has resulted in a decreased rate of operative intervention of small bowel obstructions (SBO); however, there is no data to suggest when G-SBFT should be performed. Methods We retrospectively reviewed 548 patients, admitted to 1 of 9 hospitals with a diagnosis of SBO. Patients were divided into two categories with regards to timing of G-SBFT: before (early) or after (late) 48 hours from admission. Primary outcomes were length of stay (LOS) and total cost. Secondary outcomes were operative interventions and mortality. Results Of the reviewed patients, 71% had the G-SBFT ordered early. Comparing early versus late, there were no differences in patient characteristics with regards to age, sex, or BMI. There was a significant difference between LOS (4 vs 8 days, P < 0.05) and total cost ($17,056.19 vs $33,292.00, P < 0.05). There was no difference in mortality (1.3% vs 2.6%, P = 0.239) or 30-day readmission rates (15.6% vs 15.9%, P = 0.509). Patients in the early group underwent fewer operations (20.7% vs 31.9%, P = 0.05). Discussion Patients that had a G-SBFT ordered early had a decreased LOS, total cost, and operative intervention. This suggests there is a benefit to ordering G-SBFT earlier in the hospital stay to reduce the overall disease burden, and that it is safe to do so with regards to mortality and readmissions. We therefore recommend ordering a G-SBFT within 48 hours to reduce LOS, cost, and need for an operation

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