Clinical Endoscopy

  • 제51권1호
  • /
  • Pages.72-79
  • /
  • 2018
  • /
  • 2234-2400(pISSN)
  • /
  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
권호 표지
DOI QR코드

DOI QR Code

Is There a Change in Patient Preference for a Female Colonoscopist during the Last Decade in Korea?

  • Lee, Jung Min (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Kim, Eun Sun (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Chun, Hoon Jai (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Yoo, In Kyung (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Lee, Jae Min (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Kim, Seung Han (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Choi, Hyuk Soon (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Keum, Bora (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Seo, Yeon Seok (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Lee, Hong Sik (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Jeen, Yoon Tae (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Park, Jong-Jae (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Lee, Sang Woo (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Um, Soon Ho (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine) ;
  • Kim, Chang Duck (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine)
  • 투고 : 2017.04.10
  • 심사 : 2017.07.22
  • 발행 : 2018.01.30
⟨ 이전 논문 다음 논문 ⟩

초록

Background/Aims: Patients may feel embarrassed during colonoscopy. Our study aimed to assess changes in patient preference, over the past decade, for the sex of their colonoscopist. Methods: Prospective studies were performed at a single health center from July to September 2008, and from July to September 2016. Subjects included colonoscopy patients (2008: 354, 2016: 304) who were asked to complete a questionnaire before colonoscopy. Results: In 2016, 69 patients (24.9%) expressed a sex preference, compared with 46 patients (14.6%) in 2008. By 2016, female patient preference for a female colonoscopist had significantly increased to 95% (odds ratio [OR], 2.678; 95% confidence interval [CI], 1.418-5.057; p=0.002). In multivariate analysis, patient sex (OR, 4.404; p=0.000), patient age (OR, 0.977; 95% CI, 0.961-0.992; p=0.004), and year of procedure (OR, 1.674; 95% CI, 1.028-2.752) were statistically significant factors in sex preference. Between 2008 and 2016, female patients preferred a female colonoscopist because of embarrassment. Male patients also preferred a male colonoscopist, and the primary reason shifted from expertise to patient embarrassment (2008: 29%, 2016: 63%). Conclusions: Patients have an increased gender preference for the colonoscopist because of embarrassment. Taking this into account can increase patient satisfaction during colonoscopy.

키워드

과제정보

연구 과제 주관 기관 : Korea University

참고문헌

  1. Winawer SJ, Zauber AG, Ho MN, et al. The national polyp study. Eur J Cancer Prev 1993;2 Suppl 2:83-87.
  2. Varadarajulu S, Petruff C, Ramsey WH. Patient preferences for gender of endoscopists. Gastrointest Endosc 2002;56:170-173. https://doi.org/10.1016/S0016-5107(02)70006-0
  3. Fidler H, Hartnett A, Cheng Man K, Derbyshire I, Sheil M. Sex and familiarity of colonoscopists: patient preferences. Endoscopy 2000;32:481-482. https://doi.org/10.1055/s-2000-645
  4. Menees SB, Inadomi JM, Korsnes S, Elta GH. Women patients' preference for women physicians is a barrier to colon cancer screening. Gastrointest Endosc 2005;62:219-223. https://doi.org/10.1016/S0016-5107(05)00540-7
  5. Christie J. One size does not fit all. Gastrointest Endosc 2008;67:278-279. https://doi.org/10.1016/j.gie.2007.10.007
  6. Shah DK, Karasek V, Gerkin RD, Ramirez FC, Young MA. Sex preferences for colonoscopists and GI physicians among patients and health care professionals. Gastrointest Endosc 2011;74:122-127.e2. https://doi.org/10.1016/j.gie.2011.02.014
  7. Kim JH, Lee JH, Park EH, et al. Patients' gender preference for colonoscopist. Korean J Gastrointest Endosc 2005;31:25-31.
  8. Lee SY, Yu SK, Kim JH, et al. Link between a preference for women colonoscopists and social status in Korean women. Gastrointest Endosc 2008;67:273-277. https://doi.org/10.1016/j.gie.2007.06.039
  9. Govender V, Penn-Kekana L. Gender biases and discrimination: a review of health care interpersonal interactions Glob Public Health 2008;3(Suppl 1):90-103. https://doi.org/10.1080/17441690801892208
  10. Kerssens JJ, Bensing JM, Andela MG. Patient preference for genders of health professionals. Soc Sci Med 1997;44:1531-1540. https://doi.org/10.1016/S0277-9536(96)00272-9
  11. Reid I. Patients' preference for male or female breast surgeons: questionnaire study. BMJ 1998;317:1051. https://doi.org/10.1136/bmj.317.7165.1051
  12. Haar E, Halitsky V, Stricker G. Factors related to the preference for a female gynecologist. Med Care 1975;13:782-790. https://doi.org/10.1097/00005650-197509000-00008
  13. Farraye FA, Wong M, Hurwitz S, et al. Barriers to endoscopic colorectal cancer screening: are women different from men? Am J Gastroenterol 2004;99:341-349. https://doi.org/10.1111/j.1572-0241.2004.04045.x
  14. Maynes K. Korean perceptions of chastity, gender roles, and libido; from kisaengs to the twenty first century. Grand Valley Journal of History 2012;1. Article 2.
  15. Schoen RE, Weissfeld JL, Bowen NJ, Switzer G, Baum A. Patient satisfaction with screening flexible sigmoidoscopy. Arch Intern Med 2000;160:1790-1796. https://doi.org/10.1001/archinte.160.12.1790

피인용 문헌

  1. Using Etomidate and Midazolam for Screening Colonoscopies Results in More Stable Hemodynamic Responses in Patients of All Ages vol.13, pp.6, 2018, https://doi.org/10.5009/gnl18514
  2. Identifying Gender Barriers for Colorectal Cancer Screening and Assessing the Need for a Multigender Endoscopy Team: A Prospective Multicenter Study vol.116, pp.8, 2018, https://doi.org/10.14309/ajg.0000000000001318
  3. Intentions to undergo primary screening with colonoscopy under the National Cancer Screening Program in Korea vol.16, pp.2, 2021, https://doi.org/10.1371/journal.pone.0247252