[Deficits and outlook on gender-specific health care as exemplified by KHK and mental disorders].
Gender differences in health care are controversially discussed. Results show superfluous, insufficient or inappropriate health care of female and male patients. Many publications show that women are not sufficiently included in clinical trials and therefore data are not useful for analysing gender differences. Survey data like the German National Health Interview and Examination Survey 1998 (Bundes-Gesundheits survey 1998) can be used alternatively to analyse gender specific issues. This survey was used to show possible age and gender differences in prevalence, drug usage and health counselling of female and male patients with coronary heart disease and mental disorders. The number of physician attendances differs in sex and age group in both groups of illnesses. Women have higher number of physician consultations than men and the elderly more than the younger persons. For elderly women with coronary heart disease the control of blood cholesterol levels seems to be poorer than in men. Men get more health counselling from their doctors than women. The results emphasize the importance of considering gender differences in medical research.
Fuchs
J
J
Charité Universitätsmedizin Berlin, Institut für Gesundheitssystemforschung. judith.fuchs@charite.de
D002986:Clinical Trials as Topic / Q000706:statistics & numerical data; D003327:Coronary Disease / Q000453:epidemiology* / Q000628:therapy*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011287:Prejudice; D017678:Sex Distribution