«Physician Wages Across Specialties»: الفرق بين المراجعتين
(أنشأ الصفحة ب' Physician Wages Across Specialties Informing the Physician Reimbursement Debate J. Paul Leigh, PhD; Daniel Tancredi, PhD; Anthony Jerant, MD; Richard L. Kravitz, MD,...') |
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J. Paul Leigh, PhD; Daniel Tancredi, PhD; Anthony Jerant, MD; Richard L. Kravitz, MD, MSPH | J. Paul Leigh, PhD; Daniel Tancredi, PhD; Anthony Jerant, MD; Richard L. Kravitz, MD, MSPH | ||
| − | Background: Disparities in remuneration between primary | + | Background: Disparities in remuneration between primary care and other physician specialties may impede health care reform by undermining the sustainability of a primary care workforce. Previous studies have compared annual incomes across specialties unadjusted for work hours. Wage (earnings-per-hour) comparisons could better inform the physician payment debate. |
| − | care and other physician specialties may impede | ||
| − | health care reform by undermining the sustainability of | ||
| − | a primary care workforce. Previous studies have compared | ||
| − | annual incomes across specialties unadjusted for | ||
| − | work hours. Wage (earnings-per-hour) comparisons could | ||
| − | better inform the physician payment debate. | ||
| − | Methods: In a cross-sectional analysis of data from 6381 | + | Methods: In a cross-sectional analysis of data from 6381 physicians providing patient care in the 2004-2005 Community Tracking Study (adjusted response rate, 53%), we compared wages across broad and narrow categories of physicianspecialties.Tobitandlinearregressionswererun.Four broad specialty categories (primary care, surgery, internal medicine and pediatric subspecialties, and other) and 41 specific specialties were analyzed together with demographic, geographic, and market variables. |
| − | physicians providing patient care in the 2004-2005 Community | ||
| − | Tracking Study (adjusted response rate, 53%), we | ||
| − | compared wages across broad and narrow categories of physicianspecialties.Tobitandlinearregressionswererun.Four | ||
| − | broad specialty categories (primary care, surgery, internal | ||
| − | medicine and pediatric subspecialties, and other) and 41 | ||
| − | specific specialties were analyzed together with demographic, | ||
| − | geographic, and market variables. | ||
| − | Results: In adjusted analyses on broad categories, wages | + | Results: In adjusted analyses on broad categories, wages for surgery, internal medicine and pediatric subspecialties, and other specialties were 48%, 36%, and 45% higher, respectively, than for primary care specialties. In adjusted analyses for 41 specific specialties, wages were significantly lower for the following than for the reference group of general surgery (wage near median, $85.98): internal medicine and pediatrics combined (−$24.36), internal medicine (−$24.27), family medicine (−$23.70), and other pediatric subspecialties (−$23.44). Wage rankings were largely impervious to adjustment for control variables, including age, race, sex, and region. |
| − | for surgery, internal medicine and pediatric subspecialties, | ||
| − | and other specialties were 48%, 36%, and 45% higher, | ||
| − | respectively, than for primary care specialties. In adjusted | ||
| − | analyses for 41 specific specialties, wages were significantly | ||
| − | lower for the following than for the reference | ||
| − | group of general surgery (wage near median, $85.98): internal | ||
| − | medicine and pediatrics combined (−$24.36), internal | ||
| − | medicine (−$24.27), family medicine (−$23.70), | ||
| − | and other pediatric subspecialties (−$23.44). Wage rankings | ||
| − | were largely impervious to adjustment for control | ||
| − | variables, including age, race, sex, and region. | ||
| − | Conclusions: Wages varied substantially across physician | + | Conclusions: Wages varied substantially across physician specialties and were lowest for primary care specialties. The primary care wage gap was likely conservative owing to exclusion of radiologists, anesthesiologists, and pathologists. In light of low and declining medical student interest in primary care, these findings suggest the need for payment reform aimed at increasing incomes or reducing work hours for primary care physicians. |
| − | specialties and were lowest for primary care | ||
| − | specialties. The primary care wage gap was likely conservative | ||
| − | owing to exclusion of radiologists, anesthesiologists, | ||
| − | and pathologists. In light of low and declining | ||
| − | medical student interest in primary care, these findings | ||
| − | suggest the need for payment reform aimed at increasing | ||
| − | incomes or reducing work hours for primary care | ||
| − | physicians. | ||
Arch Intern Med. 2010;170(19):1728-1734 | Arch Intern Med. 2010;170(19):1728-1734 | ||
المراجعة الحالية بتاريخ 15:21، 7 أكتوبر 2016
Physician Wages Across Specialties
Informing the Physician Reimbursement Debate
J. Paul Leigh, PhD; Daniel Tancredi, PhD; Anthony Jerant, MD; Richard L. Kravitz, MD, MSPH
Background: Disparities in remuneration between primary care and other physician specialties may impede health care reform by undermining the sustainability of a primary care workforce. Previous studies have compared annual incomes across specialties unadjusted for work hours. Wage (earnings-per-hour) comparisons could better inform the physician payment debate.
Methods: In a cross-sectional analysis of data from 6381 physicians providing patient care in the 2004-2005 Community Tracking Study (adjusted response rate, 53%), we compared wages across broad and narrow categories of physicianspecialties.Tobitandlinearregressionswererun.Four broad specialty categories (primary care, surgery, internal medicine and pediatric subspecialties, and other) and 41 specific specialties were analyzed together with demographic, geographic, and market variables.
Results: In adjusted analyses on broad categories, wages for surgery, internal medicine and pediatric subspecialties, and other specialties were 48%, 36%, and 45% higher, respectively, than for primary care specialties. In adjusted analyses for 41 specific specialties, wages were significantly lower for the following than for the reference group of general surgery (wage near median, $85.98): internal medicine and pediatrics combined (−$24.36), internal medicine (−$24.27), family medicine (−$23.70), and other pediatric subspecialties (−$23.44). Wage rankings were largely impervious to adjustment for control variables, including age, race, sex, and region.
Conclusions: Wages varied substantially across physician specialties and were lowest for primary care specialties. The primary care wage gap was likely conservative owing to exclusion of radiologists, anesthesiologists, and pathologists. In light of low and declining medical student interest in primary care, these findings suggest the need for payment reform aimed at increasing incomes or reducing work hours for primary care physicians.
Arch Intern Med. 2010;170(19):1728-1734
