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The COVID‐19 pandemic and primary care appointment availability by physician age and gender

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  • Janna Wisniewski
  • Brigham Walker
  • Sarah Tinkler
  • Miron Stano
  • Rajiv Sharma

Abstract

Using data generated through simulated patient calls to a national random sample of primary care physicians between February and July 2020, we examine the effects of the first wave of COVID‐19 on the availability of the U.S. primary care physician workforce for routine new patient appointments. As states enacted stay‐at‐home orders, physicians overall became less selective by insurance, and there was a 7 percentage‐point increase in acceptance of patient insurance. Telemedicine appointment offers increased 10.2 percentage points from near zero. However, relative to younger counterparts, physicians older than the sample mean (53.1 years) became 18.1 percentage points less likely to offer appointments and decreased their estimated appointment duration by 7.1 min. Compared to male physicians, female physicians became 10 percentage points more likely to accept new patients. These insights into appointment offers during the first wave of COVID‐19 may help policymakers seeking to ensure an adequate physician workforce during future crises.

Suggested Citation

  • Janna Wisniewski & Brigham Walker & Sarah Tinkler & Miron Stano & Rajiv Sharma, 2024. "The COVID‐19 pandemic and primary care appointment availability by physician age and gender," Southern Economic Journal, John Wiley & Sons, vol. 90(3), pages 541-576, January.
  • Handle: RePEc:wly:soecon:v:90:y:2024:i:3:p:541-576
    DOI: 10.1002/soej.12669
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    1. Almudena Sevilla & Sarah Smith, 2020. "Baby steps: the gender division of childcare during the COVID-19 pandemic," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 36(Supplemen), pages 169-186.
    2. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    3. Marianne Bertrand & Sendhil Mullainathan, 2004. "Are Emily and Greg More Employable Than Lakisha and Jamal? A Field Experiment on Labor Market Discrimination," American Economic Review, American Economic Association, vol. 94(4), pages 991-1013, September.
    4. Matin, Nilufar & Forrester, John & Ensor, Jonathan, 2018. "What is equitable resilience?," World Development, Elsevier, vol. 109(C), pages 197-205.
    5. Frank Sloan & Janet Mitchell & Jerry Cromwell, 1978. "Physician Participation in State Medicaid Programs," NBER Chapters, in: The Economics of Physician and Patient Behavior, pages 211-245, National Bureau of Economic Research, Inc.
    6. Sharma, Rajiv & Mitra, Arnab & Stano, Miron, 2015. "Insurance, race/ethnicity, and sex in the search for a new physician," Economics Letters, Elsevier, vol. 137(C), pages 150-153.
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