当妇女接管:医生性别和医疗保健提供
Gerald J Pruckner1, Flora Stiftinger1, Katrin Zocher1
1Department of Economics, Johannes Kepler University Linz, Austria.
Journal of health economics
|May 16, 2025
概括
女性初级保健医生 (PCP) 的患者数量较少,收入也低于男性PCP. 患者医疗保健的使用情况类似,但实践的离职率更高,可能是由于减少了工作时间.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医生经济学 医生经济学
- 医学中的性别研究.
背景情况:
- 经合组织国家中女性医生的比例不断增加,需要了解基于性别的对医疗保健服务的影响.
- 关于医生的性别如何影响患者的医疗保健利用和提供者-患者动态,目前的研究有限.
研究的目的:
- 估计女性初级保健提供者 (PCP) 对医疗保健提供和患者结果的因果关系.
- 调查导致男性和女性PCP实践模式观察到的差异的因素.
主要方法:
- 利用奥地利登记数据和差异差异策略.
- 利用PCP对实践和患者的准随机分配来确定因果关系.
- 分析了医疗保健收入,患者数量,患者医疗保健利用率和患者诊所离职率.
主要成果:
- 与男性PCP相比,女性PCP的收入减少了15%,患者减少了7%.
- 患者使用医疗保健在很大程度上保持一致,无论PCP性别.
- 患者更有可能与女性继任者离开实践,这不是由于性别偏好,而是可能是由于女性PCP工作时间更少.
结论:
- 实践模式中观察到的差异部分是由于女性PCP工作时间减少,受工作时间限制的影响.
- 增加工作灵活性措施可能对维持可访问的门诊医疗保健至关重要,因为女性医生份额不断增长.
- 需要进一步的研究,以解决在医生劳动力多样化的背景下,实践连续性和患者保留问题.
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