Overuse studies carried out in Spain have indicated the frecuency of ignoring the “Don´t do” in primary care, being older in the female sex. In addition, the number of adverse events as a resulto f doing what should not be donde is also higher among women. However, the existence of a possible gender bias in excesive use hasn´t been considered.
OBJECTIVE
Analyse the phenomenon of overtreatment initiated in primary care from a gender perspective to reduce the numbers of deaths that suffer adverse events due to receiving unnecessary treatment. Likewise, establish a recommendation for future research on overage that incorporates a gender perspective.
METHODS
Mixed study that combines qualitative (Delphi, Consensus Conference and Nominal Group) and qualitative techniques (retrospective cohort study of a random selection of 1538 records to identify the frecuency of adverse events by ignoring << Do Not Dos>>. Comparative ananlysis of the causes of these adverse events in men and women considering potential gender bias, through qualitative techniques it Will be agreed how to avoid this gender bias and recommendations to incluide a gender perspective in future studies on overuse.
MEASURES
“Do Not Dos”frequencies and adverse events related to them. The data Will be segmented according to age group (18-34, 35-59, 60-74, over 74), sex of the patient and the prescribing type of helath centre (urban, rural) and year. Prioritisation by consensus of the factors that explain unsafe care related to gender bias and recomendations for the future studies.
USEFULNESS
This study will contribute to improving women´s safety by avoiding unnecessary risks in primary care and will lay the foundation for differential strategies of health policy.
WHO ARE WE?
The research team is composed of ten academics who work in the fields of health and psychosocial (family medicine, health policy, social and health psychology, technology for mass communication and management of health services). The work tea mis composed of three Young doctoral researchers. The Advisor is composed of researchers from 5 European countries (Croatia, Czech Republic, Finland, Portugal and Slovakia) and 3 from Latin America (Chile and Colombia) who currently carry out studies on patient safety and on women´s health issues. This research team has shown a special sensitivity for gender studies. The principal researcher (JJ Mira), for example, has been awarded on the International Day of Women and Girls in S Science (February 2019) by the Conselleria de Sanitat Universal i Salut Pública (Generalitat Valenciana), for her studies in health research with a gender perspective.