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Photo illustration: Sarah Grillo. Photo: Spencer Platt/Getty Images

The in-hospital mortality rate among patients treated by physicians who were women was lower compared with those cared for by physicians who were men, a recent study published in JAMA found.

Driving the news: To be clear, the difference was small. But it supports previous evidence that suggested women often have different behavioral characteristics in care such as spending longer time communicating with patients, showing higher levels of empathic concern or providing more time researching studies and observing health records.

  • Women physicians are also more likely to have informal consultations with colleagues and collaborate in hospital settings.
  • "Taken together, these differences in process may help to explain the modestly lower mortality rates among general medical patients treated by female physicians in ways that cannot be captured through electronic health records or administrative data," the study says.

By the numbers: Of 171,625 hospitalized patients admitted to the emergency room in Canada between 2010-2017, the in-hospital mortality rate was 0.47% lower for patients of female physicians after mathematical adjustments for hospital effects and patient characteristics were made.

  • Authors controlled between physicians of both genders when it came to patient characteristics, medical school training or specialty. Men typically had more years of experience, they said.

But, but, but: The authors urge caution in perpetuating gender stereotypes. "Female and male physicians may have been socialized to adhere to gender norms and expectations within a health care context but such behavioral differences are modifiable and not fixed."

What's next: Additional studies should behaviors of physicians that may explain differences in patient mortality, researchers said.

Go deeper

Updated Oct 7, 2021 - Axios Events

Watch: A conversation on bridging gaps in health access

On Thursday, October 7, Axios health care reporter Marisa Fernandez and managing editor for politics Margaret Talev discussed what’s next for ensuring access to quality health care, featuring Rep. Raul Ruiz and Biotechnology Innovation Organization president and CEO Dr. Michelle McMurry-Heath.

Rep. Raul Ruiz illustrated his community outreach efforts to vaccinate his California constituents, the biggest obstacles to receiving the vaccine in underserved communities, and how he believes issues of health care access extend far beyond the pandemic.

  • On why many of his constituents had not yet received the COVID vaccine: “I can tell you by far, it’s not vaccine hesitancy. It is a lack of resources and know-how and being able to overcome the barriers that already exist in an underserved community with a lack of physicians, a lack of doctors, a lack of resources, clinics, a lack of health education, also in a language that they would understand, a lack of transportation.”
  • On broader lessons to consider for the future of health care: “The other thing that we need to take away from this is that our health care workforce is quite fragile. We saw a lot of the front lines break, not just in terms of the lack of personnel that was available for the enormous amount of hours that were required to take care of the really sick patients, but also the fatigue and the anxiety and the stress and those that got sick and were quarantined or died really made a negative difference during this pandemic.”

Michelle McMurry-Heath explained how the biomedical innovation industry is responding to a lack of equitable health care access, how clinical trials can better reflect diverse populations, and the biggest challenges in access to drug development.

  • On how the biomedical industry is responding to the issue of health care access highlighted by COVID-19: “I think the most important thing to state is that all of the companies are really dedicated to making sure they’re not just working incredibly hard to find vaccines and cures, but that they are working just as hard to make sure that those products reach every patient who needs them. We are not out of this pandemic until everyone around the globe is safe from COVID. We have a lot of work to go before we sleep.”
  • On the lack of representation for minority communities in clinical trials: “If you look at what’s available to physicians today, there are not a lot of clinical options for diseases that are ravaging minority communities like Type 2 diabetes, like heart disease, like stroke. The true answers for disadvantaged communities are still on the research south.”

Axios VP of Communications Yolanda Brignoni hosted a View from the Top segment with Genentech SVP of Access and External Affairs Fritz Bittenbender, who discussed the importance of research efforts focused on improving health care for underserved communities.

  • “We continue to focus there both in terms of clinical trials and trying to diversify our clinical trial base to have more access...but also on the health care policy side, ensuring that any policy that the state, local or federal governments are enacting are thinking about health equity with a significant policy lens when they’re talking about changes to our health care system.”

Texas House probes school library books dealing with race and sexuality

Photo: Brittany Murray/MediaNews Group/Long Beach Press-Telegram via Getty Images

Texas state Rep. Matt Krause (R), chair of the Texas House Committee on General Investigating, announced Wednesday that he's initiating a probe into schools' library books, according to a letter sent to the state's education agency and other superintendents.

Why it matters: The probe focuses on books that discuss race, sexuality, or "make students feel discomfort, guilt, anguish, or any other form of psychological distress because of their race or sex," Krause wrote in the letter.

5 hours ago - World

Iran agrees to resume Vienna nuclear talks in November

Ali Bagheri (R) with Enrique Mora in Tehran on Oct. 14. Photo: Iranian Foreign Ministry handout via Getty

Iran's new chief nuclear negotiator said following a meeting in Brussels on Wednesday that Iran would resume negotiations in Vienna before the end of November, with the exact date to be set next week.

Why it matters: The Vienna talks have been frozen since Iran's new hardline president, Ebrahim Raisi, was elected in June. This is the most direct commitment from Raisi's government to return to the negotiating table.