Losing ground: physician income, 1995-2003.
Losing ground: physician income, 1995-2003.
复制标题
节节败退：医生收入，1995-2003 年。
DOI：
--
复制
发表时间：
2006
期刊：
影响因子：
--
通讯作者：
P. Ginsburg
中科院分区：
文献类型：
--
作者：
H. Tu;P. Ginsburg
根据卫生系统改革研究中心（HSC）的一项全国性研究，1995年至2003年间，扣除通货膨胀因素后，医生的平均净收入下降了约7%。医生实际收入的下降与其他专业人士的工资趋势形成鲜明对比，在调整通货膨胀后，其他专业人士的工资在同一时期增长了约7%。在不同类型的医生中，初级保健医生的实际收入在1995年至2003年间下降了10.2%，而外科医生的实际收入下降了8.2%。但医学专家的实际收入基本保持不变。医生报告说，总的来说工作时间略少，但花在直接照顾病人上的时间更多。来自公共和私人支付者的费用持平或下降似乎是导致医生实际收入下降的主要因素。自20世纪90年代中期以来，实际收入的下降趋势可能是越来越多的医生不愿从事公益工作的一个重要原因，包括慈善护理和志愿服务于医院委员会。
Between 1995 and 2003, average physician net income from the practice of medicine declined about 7 percent after adjusting for inflation, according to a national study from the Center for Studying Health System Change (HSC). The decline in physicians' real income stands in sharp contrast to the wage trends for other professionals who saw about a 7 percent increase after adjusting for inflation during the same period. Among different types of physicians, primary care physicians fared the worst with a 10.2 percent decline in real income between 1995 and 2003, while surgeons' real income declined by 8.2 percent. But medical specialists' real income essentially remained unchanged. Physicians reported working slightly fewer hours overall but spent more time on direct patient care. Flat or declining fees from both public and private payers appear to be a major factor underlying declining real incomes for physicians. The downward trend in real incomes since the mid-1990s likely is an important reason for growing physician unwillingness to undertake pro bono work, including charity care and volunteering to serve on hospital committees.