Health system factors affecting communication with pediatricians: gendered work culture in primary care.

Publisher: Routledge Country of Publication: United States NLM ID: 101308228 Publication Model: Print Cited Medium: Internet ISSN: 1937-190X (Electronic) Linking ISSN: 1937190X NLM ISO Abbreviation: Soc Work Public Health

Publication: <2009- > : Philadelphia : Routledge
Original Publication: New York, N.Y. : Haworth Press, Inc.

Communication* ; Gender Identity* ; Organizational Culture*; Health Services/*statistics & numerical data ; Pediatrics/*statistics & numerical data ; Primary Health Care/*statistics & numerical data; Adolescent ; Anthropology, Cultural ; Behavioral Medicine ; Child ; Child, Preschool ; Educational Status ; Female ; Focus Groups ; Health Services Accessibility ; Humans ; Interview, Psychological ; Male ; Mental Health ; Mental Health Services ; Personal Satisfaction ; Physician-Patient Relations ; Qualitative Research ; Sex Factors ; Social Work ; Workplace/psychology

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.

R36HS017749-01 United States HS AHRQ HHS

Date Created: 20111117 Date Completed: 20120326 Latest Revision: 20181201

20231215

10.1080/19371918.2011.552041

22085327