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Measuring and testing for gender discrimination in physician pay: English family doctors

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  • Hugh Gravelle
  • Arne Risa Hole
  • Rita Santos

Abstract

In 2008 the income of female GPs was 70%, and their wages (income per hour) were 89%, of those of male GPs. We estimate Oaxaca decompositions using OLS models of wages (income/hours) and 2SLS models of income. The elasticity of income with respect to hours is 0.91 for female GPs and 0.29 for male GPs, so that log wage models are misspecified. The conventional discrimination measure (the unexplained difference in mean log income) is sensitive to the counterfactual (30% using male returns vs 11% using female returns), to the use of OLS vs. 2SLS (19% vs 11%, female counterfactual), but not to dropping insignificant female interactions. The unexplained pro-male difference arises because the pro male difference in regression constants offsets the pro-female difference in the effect of hours on income. We propose a set of new direct tests for within workplace gender discrimination based on a comparison of the differences in income of female and male GPs in practices with varying proportions of female GPs and with female or male senior partners. The direct tests produce mixed results. An indirect test, comparing GPs actual income with the income they report as an acceptable reward for their job, shows that female GPs are not more likely than male GPs to report that their actual income is less than acceptable income, whereas GPs from ethnic minorities and overseas qualified GPs are significantly more likely to do so.

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  • Hugh Gravelle & Arne Risa Hole & Rita Santos, 2011. "Measuring and testing for gender discrimination in physician pay: English family doctors," Discussion Papers 11/05, Department of Economics, University of York.
  • Handle: RePEc:yor:yorken:11/05
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    1. Kralj, Boris & O'Toole, Danielle & Vanstone, Meredith & Sweetman, Arthur, 2022. "The gender earnings gap in medicine: Evidence from Canada," Health Policy, Elsevier, vol. 126(10), pages 1002-1009.
    2. Zeng, Di & You, Wen & Mills, Bradford & Alwang, Jeffrey & Royster, Michael & Anson-Dwamena, Rexford, 2015. "A closer look at the rural-urban health disparities: Insights from four major diseases in the Commonwealth of Virginia," Social Science & Medicine, Elsevier, vol. 140(C), pages 62-68.
    3. Weeks, William B. & Paraponaris, Alain & Ventelou, Bruno, 2013. "Sex-based differences in income and response to proposed financial incentives among general practitioners in France," Health Policy, Elsevier, vol. 113(1), pages 199-205.
    4. Chunzhou Mu & Shiko Maruyama, 2013. "Salient Gender Difference in the Wage Elasticity of General Practitioners' Labour Supply," Discussion Papers 2013-16, School of Economics, The University of New South Wales.
    5. Stefanie Schurer & Daniel Kuehnle & Anthony Scott & Terence Chai Cheng, 2012. "One Man's Blessing, Another Woman's Curse? Family Factors and the Gender-Earnings Gap of Doctors," Melbourne Institute Working Paper Series wp2012n24, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    6. Stefanie Schurer & Daniel Kuehnle & Anthony Scott & Terence C. Cheng, 2016. "A Man's Blessing or a Woman's Curse? The Family Earnings Gap of Doctors," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 55(3), pages 385-414, July.
    7. Terence C. Cheng & Pravin K. Trivedi, 2015. "Attrition Bias in Panel Data: A Sheep in Wolf's Clothing? A Case Study Based on the Mabel Survey," Health Economics, John Wiley & Sons, Ltd., vol. 24(9), pages 1101-1117, September.
    8. Gravelle, Hugh & Hole, Arne Risa & Santos, Rita, 2011. "Measuring and testing for gender discrimination in physician pay: English family doctors," Journal of Health Economics, Elsevier, vol. 30(4), pages 660-674, July.
    9. Terence Chai Cheng & Anthony Scott & Sung-Hee Jeon & Guyonne Kalb & John Humphreys & Catherine Joyce, 2010. "What Factors Influence the Earnings of GPs and Medical Specialists in Australia? Evidence from the MABEL Survey," Melbourne Institute Working Paper Series wp2010n12, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    10. Song, Jia & Cheng, Terence C., 2020. "How do gender differences in family responsibilities affect doctors' labour supply? Evidence from Australian panel data," Social Science & Medicine, Elsevier, vol. 265(C).
    11. Jones, Melanie K. & Kaya, Ezgi, 2021. "The Gender Pay Gap in UK Medicine," IZA Discussion Papers 14177, Institute of Labor Economics (IZA).
    12. Gong, Yingli & Wang, Hongwei & Xia, Qiangwei & Zheng, Lijuan & Shi, Yunxiang, 2021. "Factors that determine a Patient's willingness to physician selection in online healthcare communities: A trust theory perspective," Technology in Society, Elsevier, vol. 64(C).
    13. María Arrazola & José de Hevia, 2016. "The Gender Wage Gap in Offered, Observed, and Reservation Wages for Spain," Feminist Economics, Taylor & Francis Journals, vol. 22(4), pages 101-128, October.
    14. Isabelle Sin & Bronwyn Bruce-Brand, 2019. "Is the pay of medical specialists in New Zealand gender biased?," Working Papers 19_21, Motu Economic and Public Policy Research.
    15. Magali Dumontet & Carine Franc, 2015. "Gender differences in French GPs’ activity: the contribution of quantile regressions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(4), pages 421-435, May.
    16. Mikol, Fanny & Franc, Carine, 2019. "Gender differences in the incomes of self-employed French physicians: The role of family structure," Health Policy, Elsevier, vol. 123(7), pages 666-674.

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    More about this item

    Keywords

    Gender discrimination. Family doctors. General practitioners. Income. Wages.;

    JEL classification:

    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
    • J44 - Labor and Demographic Economics - - Particular Labor Markets - - - Professional Labor Markets and Occupations
    • J71 - Labor and Demographic Economics - - Labor Discrimination - - - Hiring and Firing
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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