title: Health system factors affecting communication with pediatricians: gendered work culture in primary care.
abstract: This qualitative study examined the roles that practice setting, education level, and gender may play in social workers' communication satisfaction with pediatricians. Taking an ethnographic approach, the researcher interviewed social workers and pediatricians who worked together to provide mental health services in primary care. The results suggested that gender at the health system level may be an issue and that gendered work culture in primary care was a factor in communication. In particular, reimbursement, an aspect of the gendered work culture, was a substantial communication barrier, and the implications for Medicaid billing are discussed.
authors.affiliation: Department of Pharmaceutical Health Services Research, University of Maryland, Baltimore, Maryland 21201, USA. slynch1@rx.umaryland.edu
authors.forename: Sean
authors.initials: S
authors.lastname: Lynch
mesh_terms: D000293:Adolescent; D000884:Anthropology, Cultural; D001524:Behavioral Medicine; D002648:Child; D002675:Child, Preschool; D003142:Communication; D004522:Educational Status; D005260:Female; D017144:Focus Groups; D005783:Gender Identity; D006296:Health Services / Q000706:statistics & numerical data*; D006297:Health Services Accessibility; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008603:Mental Health; D008605:Mental Health Services; D015279:Organizational Culture; D010372:Pediatrics / Q000706:statistics & numerical data*; D010549:Personal Satisfaction; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000706:statistics & numerical data*; D036301:Qualitative Research; D012737:Sex Factors; D012947:Social Work; D017132:Workplace / Q000523:psychology