What all physicians should know about women’s health: a Delphi study

Objectives Over the past few decades, knowledge of women’s health regarding sex and gender differences in health has increased but transfer of these new insights into medical education and clinical practice is lagging, resulting in substandard care for women compared with men. This study aimed to re...

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Main Authors: Susanna Price, Eva Gerdts, Julien Mazières, Alexandra Kautzky-Willer, Fedde Scheele, Chiara Benedetto, Kerry Wilbur, Gertraud Stadler, Marieke Wermer, Jeanine Roeters van Lennep, Merel H de Heer-Koster, Vesna Bjegović-Mikanović, Indre Banaitytė-Baleišienė, Mary Perdiou, Alyson McGregor, Connie Newman, Simona Stankevičiūtė, Iris E Sommer, Florence Thibaut, Karine van 't Land
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/3/1/e001786.full
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author Susanna Price
Eva Gerdts
Julien Mazières
Alexandra Kautzky-Willer
Fedde Scheele
Chiara Benedetto
Kerry Wilbur
Gertraud Stadler
Marieke Wermer
Jeanine Roeters van Lennep
Merel H de Heer-Koster
Vesna Bjegović-Mikanović
Indre Banaitytė-Baleišienė
Mary Perdiou
Alyson McGregor
Connie Newman
Simona Stankevičiūtė
Iris E Sommer
Florence Thibaut
Karine van 't Land
author_facet Susanna Price
Eva Gerdts
Julien Mazières
Alexandra Kautzky-Willer
Fedde Scheele
Chiara Benedetto
Kerry Wilbur
Gertraud Stadler
Marieke Wermer
Jeanine Roeters van Lennep
Merel H de Heer-Koster
Vesna Bjegović-Mikanović
Indre Banaitytė-Baleišienė
Mary Perdiou
Alyson McGregor
Connie Newman
Simona Stankevičiūtė
Iris E Sommer
Florence Thibaut
Karine van 't Land
author_sort Susanna Price
collection DOAJ
description Objectives Over the past few decades, knowledge of women’s health regarding sex and gender differences in health has increased but transfer of these new insights into medical education and clinical practice is lagging, resulting in substandard care for women compared with men. This study aimed to reach consensus on what all physicians taking care of women should know about women’s health.Methods A Delphi study was executed involving statements prepared by experts in women’s health across 10 medical specialties and a patient advisory board. Participants were recruited from Europe and Northern America through the experts’ networks and snowball sampling. Participants voted IN/OUT on each statement based on its perceived relevance and feasibility for general physician knowledge, regardless of specialty. The statements were ranked according to a >80% consensus in the first Delphi round and a 4-point Likert scale in the second Delphi round.Results In the first round, 44 participants fully completed the survey. 18 statements progressed to the second round, in which four additional statements were included based on participant suggestions. In the final round, 35 responses on the 22 selected statements resulted in consensus on 18 statements of the highest importance, within the following domains: the societal position of women in health, patient perception of disease and treatment, differences in symptomatology, pharmacological considerations and the impact of the female life cycle on health and disease.Conclusion Consensus was reached on the top priority clinical conditions and public health issues in women’s health, resulting in a list of 18 statements on women’s health that every physician caring for women should know, regardless of specialty. There was also consensus on the importance of incorporating these insights into medical education. The next step involves implementing women’s health education in medical schools, postgraduate education and continuing education for medical specialists.
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spelling doaj-art-77d0b56e8f1c448f981681d0b7d52a782025-01-27T08:35:12ZengBMJ Publishing GroupBMJ Public Health2753-42942025-01-013110.1136/bmjph-2024-001786What all physicians should know about women’s health: a Delphi studySusanna Price0Eva Gerdts1Julien Mazières2Alexandra Kautzky-Willer3Fedde Scheele4Chiara Benedetto5Kerry Wilbur6Gertraud Stadler7Marieke Wermer8Jeanine Roeters van Lennep9Merel H de Heer-Koster10Vesna Bjegović-Mikanović11Indre Banaitytė-Baleišienė12Mary Perdiou13Alyson McGregor14Connie Newman15Simona Stankevičiūtė16Iris E Sommer17Florence Thibaut18Karine van 't Land195 Adult Intensive Care Unit, Royal Brompton Hospital, London, UKDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway16Pulmonology Department, Toulouse University Hospital and Centre de Recherche Cancérologie Toulouse CRCT, INSERM, Toulouse, France1 Internal Medicine III, Division of Endocrinology and Metabolism, Medical University of Vienna, Wien, AustriaDepartment of Obstetrics and Gynaecology, OLVG Teaching Hospital, Amsterdam, the Netherlands1 Gynecology and Obstetrics 1, Department of Surgical Sciences, S. Anna Hospital, City of Health and Science, University of Turin, Turin, Italy1 Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia, CanadaInstitute for Gender Medicine, Charite Universitatsmedizin Berlin, Berlin, GermanyNeurology, LUMC, Leiden, The NetherlandsErasmus MC Cardiovascular Institute, Rotterdam, The NetherlandsAmsterdam Public Health, Amsterdam UMC, Vrije Universiteit, Amsterdam, The NetherlandsInstitute of Social Medicine, Faculty of Medicine, Belgrade University, Belgrade, SerbiaHospital of Lithuanian University of Health Sciences Kauno Klinikos, Kaunas, LithuaniaPatient Advisory Board, APS Europa Donna Italia, Milan, ItalyDeparment of Emergency Medicine, University of South Carolina School of Medicine, Columbia, South Carolina, USANew York University School of Medicine, New York, New York, USAHospital of Lithuanian University of Health Sciences Kauno Klinikos, Kaunas, LithuaniaDepartment of Psychiatry, University Medical Centre, Groningen, The NetherlandsUniversity Hospital Cochin, Institute of Psychiatry and Neurosciences, Universite Paris Cite, Paris, FranceFaculty of Economics and Business/Aletta Jacobs School of Public Health, Rijksuniversiteit Groningen, Groningen, The NetherlandsObjectives Over the past few decades, knowledge of women’s health regarding sex and gender differences in health has increased but transfer of these new insights into medical education and clinical practice is lagging, resulting in substandard care for women compared with men. This study aimed to reach consensus on what all physicians taking care of women should know about women’s health.Methods A Delphi study was executed involving statements prepared by experts in women’s health across 10 medical specialties and a patient advisory board. Participants were recruited from Europe and Northern America through the experts’ networks and snowball sampling. Participants voted IN/OUT on each statement based on its perceived relevance and feasibility for general physician knowledge, regardless of specialty. The statements were ranked according to a >80% consensus in the first Delphi round and a 4-point Likert scale in the second Delphi round.Results In the first round, 44 participants fully completed the survey. 18 statements progressed to the second round, in which four additional statements were included based on participant suggestions. In the final round, 35 responses on the 22 selected statements resulted in consensus on 18 statements of the highest importance, within the following domains: the societal position of women in health, patient perception of disease and treatment, differences in symptomatology, pharmacological considerations and the impact of the female life cycle on health and disease.Conclusion Consensus was reached on the top priority clinical conditions and public health issues in women’s health, resulting in a list of 18 statements on women’s health that every physician caring for women should know, regardless of specialty. There was also consensus on the importance of incorporating these insights into medical education. The next step involves implementing women’s health education in medical schools, postgraduate education and continuing education for medical specialists.https://bmjpublichealth.bmj.com/content/3/1/e001786.full
spellingShingle Susanna Price
Eva Gerdts
Julien Mazières
Alexandra Kautzky-Willer
Fedde Scheele
Chiara Benedetto
Kerry Wilbur
Gertraud Stadler
Marieke Wermer
Jeanine Roeters van Lennep
Merel H de Heer-Koster
Vesna Bjegović-Mikanović
Indre Banaitytė-Baleišienė
Mary Perdiou
Alyson McGregor
Connie Newman
Simona Stankevičiūtė
Iris E Sommer
Florence Thibaut
Karine van 't Land
What all physicians should know about women’s health: a Delphi study
BMJ Public Health
title What all physicians should know about women’s health: a Delphi study
title_full What all physicians should know about women’s health: a Delphi study
title_fullStr What all physicians should know about women’s health: a Delphi study
title_full_unstemmed What all physicians should know about women’s health: a Delphi study
title_short What all physicians should know about women’s health: a Delphi study
title_sort what all physicians should know about women s health a delphi study
url https://bmjpublichealth.bmj.com/content/3/1/e001786.full
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