推和专家医生性别和专家计费
Nadine Chami1,2, Sharada Weir1,3, Shaun A Shaikh1,4
1Economics, Policy & Research Department, Ontario Medical Association, Toronto, Ontario, Canada.
JAMA network open
|August 25, 2023
概括
男性专家每次推的收入高于女性专家,每次推的收入差异为4.7%. 医生也倾向于将患者转诊给同性别的专家.
科学领域:
- 卫生经济学 卫生经济学
- 医疗实践管理 医疗实践管理
- 性别研究是性别研究.
背景情况:
- 医学界存在着经过充分记录的性别薪酬差距.
- 有限的研究已经探索了专家推收入中性别差异背后的机制.
研究的目的:
- 调查加拿大安大略省医疗和外科专家推收入的基于性别的差异.
- 分析男性和女性专家之间的推模式和收入差异.
主要方法:
- 使用安大略省医疗保险计划医生账单 (2018-2019财年) 的横截面研究.
- 分析新患者咨询和相关的转诊医生.
- 多变量回归和病例对照分析,以评估基于性别的收入差异和推模式,考虑专家和推医生的性别一致性.
主要成果:
- 与女性专家相比,男性专家获得了更多的推,并且每次推的平均收入更高.
- 调整后的分析显示,每次推的收入差异为 -4.7%,有利于男性专家.
- 医生更有可能转介同性别的专家,并且更有可能转介男性专家.
结论:
- 在专家推收入和推模式中存在显著的基于性别的差异.
- 根据性别的推一致性和更倾向于推男性专家的倾向性有助于收入差异.
- 建议考虑诸如集中式,性别盲目的推系统等政策,以解决性别薪酬差距.
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