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Studies show that female doctors work hard with less money

 


Female doctors pay less than male doctors, but a new study disagrees with the general belief that female doctors have less work.

In fact, female doctors spend more time with patients than male doctors, order more tests, and spend more time discussing preventive care, the team of researchers said. The New England Journal of Medicine.

“It raises the question of whether we are paying for what we really care about in healthcare,” said a physician at Harvard Medical School and Brigham and Women’s Hospital, who led the research team. Dr. Ishani Gangli said.

Ganguli et al. Examined billing and time data covering more than 24 million visits to US primary care physicians in 2017.

“We calculated that women would be paid 87 cents for $ 1 per hour of work compared to their male colleagues,” Ganguli told CNN.

Female doctors spent an average of two minutes more per visit than men. It doesn’t sound like much, but it sums up over time, Gangli said. And they don’t spend that time chatting.

“Comparing the visits, the woman actually did a lot during the visit,” said Gangli, her own primary care provider. “They issued more medical orders and discussed more medical diagnoses and preventive care. They spend more time on each visit.”

Gangli and her team did not participate in the visit, so they cannot say exactly what is happening. “We use clues from billing information about what orders were placed or what diagnoses were spoken, like blood tests,” she said.

However, other studies have shown that patients and doctors likewise prefer to spend more time on visits, and that the more time doctors spend with them, the healthier the patient becomes. ..

“After adjusting for primary care providers, patients, and visit characteristics on a visit-by-visit basis, female primary care providers generated comparable income, but spent 15.7% more time with patients,” said the team. Is writing.

“We know that all family doctors are time-bound, and that doctors and all patients want more time to visit,” Gangli said.

“So it seems that female doctors are spending that time, but it is costly. Female doctors are responding to social pressures to be kind, attentive and talk to patients. And male doctors are responding to the pressure from society to cancel through visits so that they can make more money through visits. “

Hannah Neprash, a health economist at the University of Minnesota’s School of Public Health, who worked on the study, said the findings show that the US health system pays doctors using defective prescriptions.

“Female doctors report the highest incidence of burnout, and our findings may help explain why. Long-term visits are time pressure and a chaotic work environment. It’s understandable that low wages can lead to low job satisfaction if it contributes to the feeling of, “she said in a statement.

Male doctors are also good at other things. “We also found evidence of billing differences,” the team wrote.

“Female primary care providers have recorded more diagnoses and placed more orders, but may miss the opportunity to charge a higher visit code based on the time spent with the patient. Higher. This is a study showing that female radiation oncologists charge less for lucrative procedures than male radiation oncologists. “

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