Patient-physician gender concordance and increased mortality among female heart attack patients

Proc Natl Acad Sci U S A. 2018 Aug 21;115(34):8569-8574. doi: 10.1073/pnas.1800097115. Epub 2018 Aug 6.


We examine patient gender disparities in survival rates following acute myocardial infarctions (i.e., heart attacks) based on the gender of the treating physician. Using a census of heart attack patients admitted to Florida hospitals between 1991 and 2010, we find higher mortality among female patients who are treated by male physicians. Male patients and female patients experience similar outcomes when treated by female physicians, suggesting that unique challenges arise when male physicians treat female patients. We further find that male physicians with more exposure to female patients and female physicians have more success treating female patients.

Keywords: gender disparity; heart attacks; mortality; patient advocacy; patient–physician gender concordance.

Publication types

  • Multicenter Study

MeSH terms

  • Female
  • Florida / epidemiology
  • Humans
  • Male
  • Myocardial Infarction / mortality*
  • Myocardial Infarction / therapy
  • Retrospective Studies
  • Sex Characteristics*