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Do Female Physicians Capture Their Scarcity Value? The Case of OB/GYNs

  • Jessica Wolpaw Reyes
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    This paper analyzes how the imperfectly competitive market for Obstetricians and Gynecologists clears in the face of an excess demand for female OB/GYNs. This excess demand results from the convergence of three factors: i) all OB/GYN patients are women, ii) many women prefer to be treated by a female OB/GYN, iii) only a small portion of OB/GYNs are female. The paper finds that both money and non-money prices adjust: female OB/GYNs charge higher fees and also have longer waiting times. Furthermore, these effects are mediated by institutional structure: in contract settings in which money prices are rigid (i.e. managed care), waiting times are more likely to adjust, and in settings in which money prices are more flexible, the reverse occurs. In the end, female OB/GYNs are able to capture some of the value of the preferred service they provide but do not entirely close the gender income gap.

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    File URL: http://www.nber.org/papers/w12528.pdf
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    Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 12528.

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    Date of creation: Sep 2006
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    Handle: RePEc:nbr:nberwo:12528
    Note: HC HE LS
    Contact details of provider: Postal: National Bureau of Economic Research, 1050 Massachusetts Avenue Cambridge, MA 02138, U.S.A.
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    1. Kathryn M. Langwell, 1980. "Real Returns to Career Decisions: The Physician's Specialty and Location Choices," Journal of Human Resources, University of Wisconsin Press, vol. 15(2), pages 278-286.
    2. Ronald Oaxaca, 1971. "Male-Female Wage Differentials in Urban Labor Markets," Working Papers 396, Princeton University, Department of Economics, Industrial Relations Section..
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    6. Even, William E, 1990. "Sex Discrimination in Labor Markets: The Role of Statistical Evidence: Comment," American Economic Review, American Economic Association, vol. 80(1), pages 287-89, March.
    7. Frech, H E, III & Lee, William C, 1987. "The Welfare Cost of Rationing-by-Queuing across Markets: Theory and Estimates from the U.S. Gasoline Crises," The Quarterly Journal of Economics, MIT Press, vol. 102(1), pages 97-108, February.
    8. Ohsfeldt, Robert L. & Culler, Steven D., 1986. "Differences in income between male and female physicians," Journal of Health Economics, Elsevier, vol. 5(4), pages 335-346, December.
    9. Manning, Willard G, et al, 1987. "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment," American Economic Review, American Economic Association, vol. 77(3), pages 251-77, June.
    10. West, Candace, 1993. "Reconceptualizing gender in physician-patient relationships," Social Science & Medicine, Elsevier, vol. 36(1), pages 57-66, January.
    11. Mary B. Hampton & John S. Heywood, 1993. "Do Workers Accurately Perceive Gender Wage Discrimination?," ILR Review, Cornell University, ILR School, vol. 47(1), pages 36-49, October.
    12. Dranove, David & Satterthwaite, Mark A., 2000. "The industrial organization of health care markets," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 20, pages 1093-1139 Elsevier.
    13. Nichols, D & Smolensky, E & Tideman, T N, 1971. "Discrimination by Waiting Time in Merit Goods," American Economic Review, American Economic Association, vol. 61(3), pages 312-23, June.
    14. Kuhn, Peter J, 1987. "Sex Discrimination in Labor Markets: The Role of Statistical Evidenc e," American Economic Review, American Economic Association, vol. 77(4), pages 567-83, September.
    15. Kathryn M. Langwell, 1982. "Factors Affecting the Incomes of Men and Women Physicians: Further Explorations," Journal of Human Resources, University of Wisconsin Press, vol. 17(2), pages 261-275.
    16. Barbezat, Debra A & Hughes, James W, 1990. "Sex Discrimination in Labor Markets: The Role of Statistical Evidence: Comment," American Economic Review, American Economic Association, vol. 80(1), pages 277-86, March.
    17. Barbara H. Kehrer, 1976. "Factors Affecting the Incomes of Men and Women Physicians: An Exploratory," Journal of Human Resources, University of Wisconsin Press, vol. 11(4), pages 526-545.
    18. Becker, Gary S., 1971. "The Economics of Discrimination," University of Chicago Press Economics Books, University of Chicago Press, edition 2, number 9780226041162.
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