Summary
Who is caring for whom may matter less than how clinicians interpret clinical information and diagnose. This randomized study included 1,027 primary-care physicians evaluating standardized cases in which patient sex and race were experimentally varied. Patient-physician sex concordance did not significantly affect diagnostic accuracy across five cases, although female physicians showed greater accuracy across several scenarios. The findings complicate assumptions about how demographic concordance influences diagnostic equity.
Sediqi S, L Tran Q, Hawa S, et al. Assessing the role of patient-physician sex concordance on diagnostic accuracy in primary care: a randomized factorial survey experiment. J Gen Intern Med. Epub 2026 Aug 20.