用外科住院医生的工资支付儿童保育费用
Margaret G Mercante1, Emily G Tocco1, Nidhi Kuchimanchi1
1Department of Surgery, University of Virginia, Charlottesville.
JAMA network open
|March 13, 2025
概括
有孩子的外科住院医生面临着巨大的财务压力,在美国所有地区的工资不足以支付生活和儿童保育费用. 这种经济负担可能会阻止个人在居留期间从事外科的职业生涯或创办家庭.
科学领域:
- 医疗教育 医学教育
- 进行外科手术培训.
- 卫生经济学 卫生经济学
背景情况:
- 28.6%的外科住院医生有或正在怀孕.
- 关于儿童保育对外科住院医生的财务影响的数据有限.
研究的目的:
- 为了评估外科住院医生的净财务余额,在计入儿童保育费用后.
- 分析不同研究生年和儿童年龄的财务结果.
主要方法:
- 美国外科住院计划的横截面研究 (2024年6月至8月).
- 利用公开可用的工资数据,儿童保育费用数据 (国家儿童保育价格数据库) 和支出数据 (劳工统计局).
- 通过从工资中减去支出和儿童保育费用来计算净收入,并通过MIT生活工资计算器验证.
主要成果:
- 98.3%的分析方案 (290/295) 导致了儿童居民的负净收入.
- 这种负余额在所有儿童年龄组和美国地区都是一致的.
- 西部地区的净收入最为负 (- 18,852美元),南部地区的净收入最为负 (- 8,636美元).
结论:
- 外科住院医生的工资不足以支付父母的生活和照顾孩子的费用.
- 经济挑战可能会阻碍未来居民,并影响外科培训期间的计划生育.
- 解决这些财务障碍对于支持外科住院生和未来的外科工作人员至关重要.
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