在医疗保险实践和支付神经外科医生的性别差异
Temitope O Oshinowo1, Michael S Rallo1, Clemens M Schirmer2
1Department of Neurological Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
JAMA surgery
|October 11, 2023
概括
女性神经外科医生面临着重大挑战,收入远低于男性同行. 即使在执行相同的程序时,这种差异仍然存在,这凸显了调查计费和编码实践的必要性.
科学领域:
- 神经外科 神经外科
- 卫生经济学 卫生经济学
- 医疗劳动力的多样性 医疗劳动力的多样性
背景情况:
- 正在努力增加神经外科手术的多样性.
- 包括妇女在内的代表性不足的群体在现场遇到重大障碍.
研究的目的:
- 为了比较女性和男性神经外科医生之间的实践指标和收入潜力.
- 调查导致医疗保险报销性别差异的因素.
主要方法:
- 对医疗保险报销数据 (2013-2020年) 的回顾性横截面分析.
- 女性和男性神经外科医生之间的程序和评估/管理服务的比较.
- 单变量和多变量分析以量化支付和实践量差异.
主要成果:
- 女性神经外科医生收费和退款比男性神经外科医生少得多.
- 在控制练习量后,观察到持续的偿还差距约为24,885美元.
- 女性外科医生每次服务的收入比男性低24.61美元,即使服务是按代码匹配的.
结论:
- 在神经外科实践模式和补偿方面存在显著的基于性别的差异.
- 女性神经外科医生在相同的手术中获得的报酬低于男性神经外科医生.
- 对计费和编码实践的潜在差异进行进一步的研究是有必要的.
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