IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v77y2013icp70-74.html
   My bibliography  Save this article

Gender disparities in AMI management and outcomes among health professionals, their relatives, and non-health professionals in Taiwan from 1997 to 2007

Author

Listed:
  • Huang, Nicole
  • Chou, Yiing-Jenq
  • Hu, Hsiao-Yun
  • Lee, Cheng-Hua

Abstract

Numerous reports of gender differences in the management and mortality of acute myocardial infarction (AMI) patients have raised concerns on gender inequity in cardiac care. However, no study has explored whether gender disparity exists among health professionals and their relatives. Therefore, this study assesses gender disparity in the management and mortality of AMI patients in Taiwan, and determines whether such disparity exists among health professionals and their relatives. National Health Insurance (NHI) files were used to obtain information on a cohort of 79,360 AMI patients aged 30–85 years in Taiwan from 1997 to 2007. The use of catheterization and revascularization (CATH/RAVS) and one-year mortality were compared between men and women in all adult patients, health professionals and their relatives, and non-health professional patients. Taiwanese women with AMI were significantly less likely than their male counterparts to receive CATH/RAVS, and showed greater one-year mortality. Similarly, women in the professional group were significantly less likely to receive CATH/RAVS. However, they did not have worse survival outcomes (hazard ratio: 1.01; 95% CI: 0.68–1.50) compared to men. Regarding mortality following CATH/RAVS, no gender disparities against women were observed in health professionals and their relatives, whereas significant gender disparities persisted in non-health professional patients. In conclusion, this study shows a substantial gender disparity against women in the management and one-year survival of AMI patients in Taiwan. This research extends earlier studies by showing similar gender gaps in treatment uses among health professionals and their relatives without strong evidence on gender disparities against women in survival.

Suggested Citation

  • Huang, Nicole & Chou, Yiing-Jenq & Hu, Hsiao-Yun & Lee, Cheng-Hua, 2013. "Gender disparities in AMI management and outcomes among health professionals, their relatives, and non-health professionals in Taiwan from 1997 to 2007," Social Science & Medicine, Elsevier, vol. 77(C), pages 70-74.
    • Handle: RePEc:eee:socmed:v:77:y:2013:i:c:p:70-74
    DOI: 10.1016/j.socscimed.2012.11.006
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612007551
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2012.11.006?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Ishikawa, Hirono & Roter, Debra L. & Yamazaki, Yoshihiko & Takayama, Tomoko, 2005. "Physician-elderly patient-companion communication and roles of companions in Japanese geriatric encounters," Social Science & Medicine, Elsevier, vol. 60(10), pages 2307-2320, May.
    2. Lien, Hsien-Ming & Chou, Shin-Yi & Liu, Jin-Tan, 2008. "Hospital ownership and performance: Evidence from stroke and cardiac treatment in Taiwan," Journal of Health Economics, Elsevier, vol. 27(5), pages 1208-1223, September.
    3. Shaw, Mary & Maxwell, Roy & Rees, Karen & Ho, Davidson & Oliver, Steven & Ben-Shlomo, Yoav & Ebrahim, Shah, 2004. "Gender and age inequity in the provision of coronary revascularisation in England in the 1990s: is it getting better?," Social Science & Medicine, Elsevier, vol. 59(12), pages 2499-2507, December.
    4. Perelman, Julian & Mateus, Céu & Fernandes, Ana, 2010. "Gender equity in treatment for cardiac heart disease in Portugal," Social Science & Medicine, Elsevier, vol. 71(1), pages 25-29, July.
    5. Arber, Sara & McKinlay, John & Adams, Ann & Marceau, Lisa & Link, Carol & O'Donnell, Amy, 2006. "Patient characteristics and inequalities in doctors' diagnostic and management strategies relating to CHD: A video-simulation experiment," Social Science & Medicine, Elsevier, vol. 62(1), pages 103-115, January.
    6. Asiskovitch, Sharon, 2010. "Gender and health outcomes: The impact of healthcare systems and their financing on life expectancies of women and men," Social Science & Medicine, Elsevier, vol. 70(6), pages 886-895, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Clark, Andrew E. & Milcent, Carine, 2011. "Public employment and political pressure: The case of French hospitals," Journal of Health Economics, Elsevier, vol. 30(5), pages 1103-1112.
    2. Moscone, Francesco & Siciliani, Luigi & Tosetti, Elisa & Vittadini, Giorgio, 2020. "Do public and private hospitals differ in quality? Evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 83(C).
    3. Mihai PĂUNICĂ & Alexandru MANOLE & Cătălina MOTOFEI & Gabriela - Lidia TĂNASE, 2020. "Life Expectancy from the Perspective of Global and Individual Wealth and Expenditures: A Granger Causality Study of Some Eu Countries," Journal for Economic Forecasting, Institute for Economic Forecasting, vol. 0(4), pages 170-184, December.
    4. Perelman, Julian & Mateus, Céu & Fernandes, Ana, 2010. "Gender equity in treatment for cardiac heart disease in Portugal," Social Science & Medicine, Elsevier, vol. 71(1), pages 25-29, July.
    5. Hsing-Wen Han & Hsien-Ming Lien & Tzu-Ting Yang, 2020. "Patient Cost-Sharing and Healthcare Utilization in Early Childhood: Evidence from a Regression Discontinuity Design," American Economic Journal: Economic Policy, American Economic Association, vol. 12(3), pages 238-278, August.
    6. de Elejalde, Ramiro & Giolito, Eugenio, 2021. "A demand-smoothing incentive for cesarean deliveries," Journal of Health Economics, Elsevier, vol. 75(C).
    7. repec:hal:pseose:halshs-00653441 is not listed on IDEAS
    8. Reibling, Nadine, 2013. "The international performance of healthcare systems in population health: Capabilities of pooled cross-sectional time series methods," Health Policy, Elsevier, vol. 112(1), pages 122-132.
    9. Dormont, Brigitte & Milcent, Carine, 2012. "Ownership and Hospital Productivity," CEPREMAP Working Papers (Docweb) 1205, CEPREMAP.
    10. repec:dau:papers:123456789/12066 is not listed on IDEAS
    11. de Elejalde, Ramiro & Giolito, Eugenio, 2019. "More Hospital Choices, More C-Sections: Evidence from Chile," IZA Discussion Papers 12297, Institute of Labor Economics (IZA).
    12. Laurent Gobillon & Carine Milcent, 2016. "Evaluating the Effect of Ownership Status on Hospital Quality: The Key Role of Innovative Procedures," Annals of Economics and Statistics, GENES, issue 121-122, pages 161-186.
    13. Wagner, Brandon G. & Cleland, Kelly & Batur, Pelin & Wu, Justine & Rothberg, Michael B., 2019. "Emergency contraception: Links between providers' counseling choices, prescribing behaviors, and sociopolitical context," Social Science & Medicine, Elsevier, vol. 242(C).
    14. Laurent Gobillon & Carine Milcent, 2013. "Spatial disparities in hospital performance," Journal of Economic Geography, Oxford University Press, vol. 13(6), pages 1013-1040, November.
    15. Lisi, Domenico & Moscone, Francesco & Tosetti, Elisa & Vinciotti, Veronica, 2021. "Hospital quality interdependence in a competitive institutional environment: Evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 89(C).
    16. Alexandra Gabriela Milon & Cristian Mihai Dragos & Vincentiu Andrei Veres & Leonina Baciu & Roxana Mare, 2024. "Sports and Clean Environment: Key Drivers of Health and Longevity in the European Union," The AMFITEATRU ECONOMIC journal, Academy of Economic Studies - Bucharest, Romania, vol. 26(67), pages 975-975, August.
    17. Luca Fumarco & Benjamin Harrell & Patrick Button & David Schwegman & E Dils, 2020. "Gender Identity, Race, and Ethnicity-based Discrimination in Access to Mental Health Care: Evidence from an Audit Correspondence Field Experiment," NBER Working Papers 28164, National Bureau of Economic Research, Inc.
    18. Chiarello, Elizabeth, 2013. "How organizational context affects bioethical decision-making: Pharmacists' management of gatekeeping processes in retail and hospital settings," Social Science & Medicine, Elsevier, vol. 98(C), pages 319-329.
    19. Luigi Siciliani & Peter Sivey & Andrew Street, 2011. "Differences in Length of Stay between Public Hospitals, Treatment Centres and Private Providers: Selection or Efficiency?," Melbourne Institute Working Paper Series wp2011n06, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    20. Brigitte Dormont & Carine Milcent, 2012. "Comment évaluer la productivité et l'efficacité des hôpitaux publics et privés ? Les enjeux de la convergence tarifaire," Économie et Statistique, Programme National Persée, vol. 455(1), pages 143-173.
    21. Blair, Thomas R.W., 2012. "“Community ambassadors” for South Asian elder immigrants: Late-life acculturation and the roles of community health workers," Social Science & Medicine, Elsevier, vol. 75(10), pages 1769-1777.
    22. Tzu-Ting Yang & Hsing-Wen Han & Hsien-Ming Lien, 2014. "Patient Cost-Sharing and Healthcare Utilization in Early Childhood: Evidence from a Regression Discontinuity Design," Working Papers 14C003, Canadian Centre for Health Economics.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:77:y:2013:i:c:p:70-74. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.