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Is there a gender bias in recommendations for further rehabilitation in primary care of patients with chronic pain after an interdisciplinary team assessment?
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine. Bergen, Norway.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine. Umeå University, Faculty of Medicine, Department of Clinical Sciences, Professionell Development.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
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2015 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 47, no 4, 365-371 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To examine potential gender bias in recommendations of further examination and rehabilitation in primary care for patients with chronic musculoskeletal pain after an interdisciplinary team assessment. Methods: The population consisted of consecutive patients (n=589 women, 262 men) referred during a 3-year period from primary healthcare for assessment by interdisciplinary teams at a pain specialist rehabilitation clinic. Patient data were collected from the Swedish Quality Registry for Pain Rehabilitation. The outcome was defined as the examination or rehabilitation that was specified in the patient's record. Results: Men had a significantly higher likelihood than women of being recommended physiotherapy and radiological examination, and the gender difference was not explained by confounding variables and covariates (age, marital status, ethnicity, education, working status, pain severity, pain interference, pain sites, anxiety and depression). There was no significant gender difference in recommendations to treatment by specialist physician, occupational therapist, psychologist or social worker. Conclusion: Our findings indicate that the interdisciplinary teams in specialist healthcare may discriminate against women with chronic pain when physiotherapy and radiological investigation are recommended. The team's choice of recommendations might be influenced by gendered attitudes, but this field of research needs to be studied further.

Place, publisher, year, edition, pages
Foundation of Rehabilitation Information , 2015. Vol. 47, no 4, 365-371 p.
Keyword [en]
chronic pain, rehabilitation, assessment, gender
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-103159DOI: 10.2340/16501977-1936ISI: 000352753900011PubMedID: 25587848OAI: oai:DiVA.org:umu-103159DiVA: diva2:815317
Available from: 2015-05-29 Created: 2015-05-18 Last updated: 2017-12-04Bibliographically approved

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Stålnacke, Britt-MarieHaukenes, IngerLehti, ArjaWiklund, Anncristine FjellmanWiklund, MariaHammarström, Anne
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Rehabilitation MedicineDepartment of Public Health and Clinical MedicineProfessionell DevelopmentPhysiotherapySocialmedicinUmeå Centre for Gender Studies (UCGS)
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