Exploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol

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dc.contributor.authorBorhani, Parya
dc.contributor.authorRochon, Paula A.
dc.contributor.authorCarrieri, Barbara
dc.contributor.authorDalton, Kieran
dc.contributor.authorLawson, Andrea
dc.contributor.authorLi, Joyce
dc.contributor.authorMason, Robin
dc.contributor.authorMcCarthy, Lisa M.
dc.contributor.authorPaoletti,, Luca
dc.contributor.authorSantini, Sara
dc.contributor.authorSivayoganathan, Kawsika
dc.contributor.authorSternberg, Shelley
dc.contributor.authorZwas, Donna R.
dc.contributor.authorSavage, Rachel D.
dc.contributor.funderMinistry of Science, Technology and Space
dc.contributor.funderCanadian Institutes of Health Research
dc.contributor.funderIrish Research Council
dc.contributor.funderMinistero della Salute
dc.date.accessioned2024-08-27T15:21:55Z
dc.date.available2024-08-26T14:55:47Zen
dc.date.available2024-08-27T15:21:55Z
dc.date.issued2023-07en
dc.date.updated2024-08-26T13:55:50Zen
dc.description.abstractA prescribing cascade occurs when a drug is prescribed to manage the often unrecognised side effect of another drug; these cascades are of particular concern for older adults who are at heightened risk for drug-related harm. It is unknown whether, and to what extent, gender bias influences physician decision-making in the context of prescribing cascades. The aim of this transnational study is to explore the potential impact of physician implicit gender biases on prescribing decisions that may lead to the initiation of prescribing cascades in older men and women in two countries, namely: Canada and Italy. Male and female primary care physicians at each site will be randomised 1:1 to a case vignette that features either a male or female older patient who presents with concerns consistent with the side effect of a medication they are taking. During individual interviews, while masked to the true purpose of the study, participants will read the vignette and use the think-aloud method to describe their ongoing thought processes as they consider the patient's concerns and determine a course of action. Interviews will be recorded, transcribed verbatim and thematic analysis will be conducted to highlight differences in decisions in the interviews/transcripts, using a common analytical framework across the sites. This study has received ethics approval at each study site. Verbal informed consent will be received from participants prior to data collection and all data will be deidentified and stored on password-protected servers. Results of this study will be disseminated through peer-reviewed journal articles and presented at relevant national and international conferences.
dc.description.sponsorshipiKASCADE project is funded by a GENDER NET Plus grant (GNP-1782) in partnership with the Canadian Institutes of Health Research (Institute of Gender & Health and Institute of Aging) GNP-161902, the Irish Research Council GNP-172, Ministero della Salute RRC-2019-2366768 (Italy) and the Ministry of Science, Technology and Space (Israel).
dc.description.statusPeer revieweden
dc.description.versionPublished Version
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide070405
dc.identifier.citationBorhani, P., Rochon, P.A., Carrieri, B., Dalton, K., Lawson, A., Li, J., Mason, R., McCarthy, L.M., Paoletti, L., Santini, S., Sivayoganathan, K., Sternberg, S., Zwas, D.R. and Savage, R.D. (2023) ‘Exploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol’, BMJ Open, 13(7), e070405 (13 pp). Available at: https://doi.org/10.1136/bmjopen-2022-070405
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2022-070405
dc.identifier.eissn2044-6055
dc.identifier.endpage13
dc.identifier.issued7
dc.identifier.journaltitleBMJ Open
dc.identifier.startpage1
dc.identifier.urihttps://hdl.handle.net/10468/16232
dc.identifier.volume13
dc.language.isoenen
dc.publisherBMJ Publishing Group
dc.rights© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/.
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectGender bias
dc.subjectPatient care
dc.subjectHealth research
dc.subjectMedical education
dc.subjectPrescribing
dc.subjectPublic health
dc.subjectOlder patientsen
dc.subjectPrescribing cascadeen
dc.titleExploring physician gender bias in the initiation of prescribing cascades for older men and women: a qualitative clinical vignette study protocol
dc.typeArticle (peer-reviewed)
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