Gender-Specific Trends in Ophthalmologist Medicare Collections
Gender-Specific Trends in Ophthalmologist Medicare Collections
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DOI：
10.1016/j.ajo.2019.12.024
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发表时间：
2020-06-01
影响因子：
4.2
通讯作者：
Klawe, Janek
中科院分区：
文献类型：
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作者：
Ahmad, Sumayya;Ramulu, Pradeep;Klawe, Janek
目得：设计：回顾性队列研究。方法：将2012-2015年的医疗保险提供者利用和支付数据与2015年的医师比较全国Downtown文件和美国人口普查数据相结合。三个互补的回归模型生成的病人看到的数量，每名病人进行的服务数量，每次服务收集的金额。预测变量包括性别、日历年、地理、医学院毕业后的年数和亚专业。“结果：在调整了年龄、地理和亚专业后，女性眼科医生的收入比男性眼科医生少42%，几乎在所有年龄组、执业类别和地理区域中，男性眼科医生的收入中位数超过了第75百分位的女性眼科医生。虽然妇女正在进入更有利可图的亚专科（白内障和视网膜）在比以前更高的速度，追求这些亚专科的妇女的比例仍然低于男性。结论：与男性相比，女性眼科医生看到更少的病人，并有较低的医疗保险收藏。所观察到的性别差距，在收藏是高度持久的跨年的实践，专科和地理区域。未来的研究有必要研究所观察到的性别收集差距是否来自结构性不平等，社会环境或个人选择。(C)2020爱思唯尔公司All rights reserved.
PURPOSE: To assess the factors influencing the Medicare collections disparity between male and female ophthalmologists.DESIGN: Retrospective cohort study.METHODS: The Medicare Provider Utilization and Payment Data from 2012-2015 were combined with the 2015 Physician Compare National Downloadable file and US Census data. Three complementary regression models were generated for number of patients seen, number of services performed per patient, and the amount collected per service. Predictor variables included gender, calendar year, geography, years since medical school graduation, and subspecialty. "RESULTS: After adjusting for age, geography, and subspecialty, women ophthalmologists collected 42% less as compared to male ophthalmologists, with the median male ophthalmologist out -earning the 75th -percentile female ophthalmologist across almost all age groups, practice categories, and geographic regions. Although women are entering more lucrative subspecialties (cataract and retina) at a higher rate than before, the percentage of women pursuing these subspecialties remains lower than that of men.CONCLUSIONS: Compared with men, women ophthalmologists see fewer patients and have lower Medicare collections. The observed gender gap in collections was highly persistent across years in practice, subspecialty, and geographic region. Future studies are warranted to examine whether the observed gender collections gap results from structural inequities, social circumstances, or personal choices. (C) 2020 Elsevier Inc. All rights reserved.