The men's health center: Disparities in gender specific health services among the top 50 "best hospitals" in America
Jeremy Choy1, James A. Kashanian2, Vidit Sharma3, Puneet Masson4, James Dupree5, Brian Le6, Robert E. Brannigan1
1 Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, RL, USA;
2 Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA;
3 Department of Urology, Mayo Clinic, Mayo Medical School, Rochester, MN, USA;
4 Department of Urology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;
5 Department of Urology, The University of Michigan Medical School, Ann Arbor, MI, USA;
6 Department of Urology, Meriter Health Services, Madison, WI, USA
The men's health center: Disparities in gender specific health services among the top 50 "best hospitals" in America
Jeremy Choy1, James A. Kashanian2, Vidit Sharma3, Puneet Masson4, James Dupree5, Brian Le6, Robert E. Brannigan1
1 Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, RL, USA;
2 Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA;
3 Department of Urology, Mayo Clinic, Mayo Medical School, Rochester, MN, USA;
4 Department of Urology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;
5 Department of Urology, The University of Michigan Medical School, Ann Arbor, MI, USA;
6 Department of Urology, Meriter Health Services, Madison, WI, USA
摘要 Objective: Gender-specific integrated health services have long existed in the arena of women's health care, but men's health centers (MHCs) have only recently emerged as a novel practice model. Here, we seek to evaluate the prevalence and format of MHCs found in the leading academic medical centers in the United States. Methods: The US News & World Report's Top 50 Ranked Hospitals for Urology was used as our cohort. Data were gathered on the presence of MHCs and types of providers and conditions treated. An equivalent search was performed for women's health centers (WHCs). Results: Sixteen of 50 (32%) promoted some type of MHC, compared to 49 of 50 (98%) offering a WHC. Eight of the top 15 ranked institutions (53%) had an MHC compared to eight of 35 (23%) remaining programs. Six of 16 MHCs incorporated providers from a variety of medical disciplines, including urologists, internists, endocrinologists, cardiologists, and psychologists, while another six of 16 MHCs were staffed solely by urologists. Eight of 16 provided services for exclusively urologic issues, four of 16 offered additional services in treatment of other medical conditions, and four of 16 did not specify. Conclusion: A considerable disparity exists between the prevalence of gender-specific health services, with WHCs being much more numerous than MHCs. All but one leading institution had WHCs compared to less than one-third having MHCs. Our findings also highlight the heterogeneous nature of men's health programs, as they exhibit great variability in program type and focus, yet are all being marketed under the "Men's Health" banner.
Abstract: Objective: Gender-specific integrated health services have long existed in the arena of women's health care, but men's health centers (MHCs) have only recently emerged as a novel practice model. Here, we seek to evaluate the prevalence and format of MHCs found in the leading academic medical centers in the United States. Methods: The US News & World Report's Top 50 Ranked Hospitals for Urology was used as our cohort. Data were gathered on the presence of MHCs and types of providers and conditions treated. An equivalent search was performed for women's health centers (WHCs). Results: Sixteen of 50 (32%) promoted some type of MHC, compared to 49 of 50 (98%) offering a WHC. Eight of the top 15 ranked institutions (53%) had an MHC compared to eight of 35 (23%) remaining programs. Six of 16 MHCs incorporated providers from a variety of medical disciplines, including urologists, internists, endocrinologists, cardiologists, and psychologists, while another six of 16 MHCs were staffed solely by urologists. Eight of 16 provided services for exclusively urologic issues, four of 16 offered additional services in treatment of other medical conditions, and four of 16 did not specify. Conclusion: A considerable disparity exists between the prevalence of gender-specific health services, with WHCs being much more numerous than MHCs. All but one leading institution had WHCs compared to less than one-third having MHCs. Our findings also highlight the heterogeneous nature of men's health programs, as they exhibit great variability in program type and focus, yet are all being marketed under the "Men's Health" banner.
通讯作者:
James A. Kashanian
E-mail: james.kashanian@gmail.com
引用本文:
Jeremy Choy, James A. Kashanian, Vidit Sharma, Puneet Masson, James Dupree, Brian Le, Robert E. Brannigan. The men's health center: Disparities in gender specific health services among the top 50 "best hospitals" in America[J]. Asian Journal of Urology, 2015, 2(3): 170-174.
Jeremy Choy, James A. Kashanian, Vidit Sharma, Puneet Masson, James Dupree, Brian Le, Robert E. Brannigan. The men's health center: Disparities in gender specific health services among the top 50 "best hospitals" in America. Asian Journal of Urology, 2015, 2(3): 170-174.
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