Missing female patients: an observational analysis of sex ratio among outpatients in a referral tertiary care public hospital in India
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  • Published on:
    "You women have a way of understanding without thinking. Woman was created out of God’s own fancy. Man, He had to hammer into shape." - Rabindranath Tagore, Nobel laureate in literature
    • Dr. Harish Gupta, Asstt Prof. Medicine @Dr_HarishGupta KGMC Lucknow, UP 226 003
    • Other Contributors:
      • Dr. Sunil Kumar Verma, Consultant Cardiologist
      • Dr. Narendra Kumar Tiwary, Asstt Prof. Statistics

    Kapoor et al. highlight one aspect of gender discrimination, gender injustice and gender prejudice in Indian society using data acquired from their hospital information system at AIIMS New Delhi.1 Under a title of introduction the authors write, ”There have been a handful of small sample studies on gender bias in access to healthcare in select patient groups or for specific medical conditions….” Then under a title of Discussion, they cite several studies, some conducted at their Institute in the department of Cardiology, some in Pediatrics and some conducted abroad. Here we want to state that we too conducted a manual small study in Emergency Department of our hospital. We assessed demographic profile of alleged self -harm patients presenting to our referral tertiary care public hospital. In our study -among other variables- when we estimated sex ratio among male and female patients, it was 62:38(2). And that’s eerily close to 63:37 in this study. So there is a difference of just 1 percentage point. When 38 women per hundred patients present in our hospital in Lucknow with a history of alleged self- harm , 37 present to AIIMS New Delhi on an average in OPDs.

    Similarly at reference number 8, there is a study to estimate gender- bias in (availing) cardiovascular healthcare at a tertiary care center of north India. In the study Chhabra et al. assess that the ratio of girls to boys to avail cardiac interventions for their congenital and rheumatic heart disease is 38:62...

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    Conflict of Interest:
    None declared.