Gender-Related Differences in the Organization and Provision of Services Among General Practitioners in Europe

Boerma, W.G.W.; Brink-Muinen, A. van den

doi:10.1097/00005650-200010000-00003

Cited by 52 publications

(65 citation statements)

References 18 publications

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“…The coefficients and associated elasticities from uncorrected OLS regressions are shown on the leftside of Table 4; the IV-corrected estimates are shown on the right side. Similar to other literature on physician practice patterns, which has documented systematic differences according to commonly measured characteristics (e.g., Boerma and van den Brink-Muinen 2000;Chan 2002;Cohen et al 1991;Hurley, Woodward and Brown 1996;McMurray et , we find systematic differences in service intensity among physicians: (a) female physicians work less intensely than male physicians, (b) rural physicians work more intensely than urban physicians, (c) group practice physicians work less intensely than solo practice physicians, and (d) younger graduation cohorts work more intensely than older cohorts.…”

Section: Resultssupporting

confidence: 72%

The Relationship Between Physician Hours of Work, Service Volume and Service Intensity

Jeon¹,

Hurley²

2007

Canadian Public Policy

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Avoir accès aux soins d'un médecin est de plus en plus difficile au Canada, et ce, alors que le temps de travail des médecins s'est beaucoup modifié. Au cours de cette étude, nous avons examiné le lien entre, d'une part, le nombre d'heures que les médecins consacrent directement à des patients et, d'autre part, la disponibilité des médecins. Pour cela, nous avons eu recours aux données individuelles d'un échantillon aléatoire de médecins familiaux et généralistes de l'Ontario. Les résultats empiriques révèlent que, parmi les médecins, la variation de la facturation totale est régie par la variation de la facturation des médecins par heure plutôt que par la variation de leurs heures de travail. On observe également une corrélation négative entre la facturation moyenne par heure et le nombre moyen d'heures de soins consacrées aux patients. Cette constante est démontrée par des analyses de sous-groupes définis selon les critères suivants : le sexe des médecins, le lieu de pratique, le type de pratique et le nombre d'années écoulées depuis l'obtention du diplôme.Problems of access to physician services have arisen in Canada at a time when physician hours of work have been undergoing important changes. This study investigates the relationship between physicians' hours of direct patient care and physicians' service supply using individual-level data from a random sample of Ontario general/family physicians. The empirical findings reveal that the variation across physicians in total billing is dominated by the variation in physicians' billings per hour rather than by the variation in physicians' working hours. There is also negative correlation between average billing per hour and average

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Section: Resultssupporting

confidence: 72%

The Relationship Between Physician Hours of Work, Service Volume and Service Intensity

Jeon¹,

Hurley²

2007

Canadian Public Policy

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“…They were on average nearly 3 years younger and had less experience, but they were not less qualified. It is known from the literature that female patients prefer to be treated by female physicians [8,23]. It may be relevant in this context that a greater supply of female CAM physicians could raise CAM demands in the population of female patients.…”

Section: Discussionmentioning

confidence: 99%

Complementary and Conventional Medicine in Switzerland: Comparing Characteristics of General Practitioners

et al. 2006

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Objectives: Do structural characteristics of general practitioners (GPs) who practice complementary medicine (CAM) differ from those GPs who do not? Assessed characteristics included experience and professional integration of general practitioners (GPs), workload, medical activities, and personal and technical resources of practices. The investigated CAM disciplines were anthroposophic medicine, homoeopathy, traditional Chinese medicine, neural therapy and herbal medicine. Material and Methods: We designed a cross-sectional study with convenience and stratified samples of GPs providing conventional (COM) and/or complementary primary care in Switzerland. The samples were taken from the database of the Swiss medical association (FMH) and from CAM societies. Data were collected using a postal questionnaire. Results: Of the 650 practitioners who were included in the study, 191 were COM, 167 noncertified CAM and 292 certified CAM physicians. The proportion of females was higher in the population of CAM physicians. Gender-adjusted age did not differ between CAM and COM physicians. Nearly twice as many CAM physicians work part-time. Differences were also seen for the majority of structural characteristics such as qualification of physicians, type of practice, type of staff, and presence of technical equipment. Conclusion: The study results show that structural characteristics of primary health care do differ between CAM and COM practitioners. We assumed that the activities of GPs are defined essentially by analyzed structures. The results are to be considered for evaluations in primary health care, particularly when quality of health care is assessed.

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“…Not surprisingly, the gender differential varies over the life-cycle: it is smallest at age 25-29 and greatest during the child-rearing ages of 35-44. Female physicians are more likely to work part-time, work in group practices, bill during fewer months of the year, earn less, and see fewer patients (Cohen et al 1991, Boerma andvan den Brink-Muinen 2000). However, statistical differences between male and female physicians diminish substantially after controlling for part-time work.…”

Section: Physician Labour Supply: the Empirical Literaturementioning

confidence: 99%

Physician labour supply in Canada: a cohort analysis

2008

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Abstract:This paper employs cohort analysis to examine the relative importance of different factors in explaining changes in the number of hours spent in direct patient care by Canadian general/ family practitioners (GP/FPs) over the period 1982 to 2002. Cohorts are defined by year of graduation from medical school. The results for male GP/FPs indicate that: there is little age effect on hours of direct patient care, especially among physicians aged 35 to 55; there is no strong cohort effect on hours of direct patient care; but there is a secular decline in hours of direct patient care over the period. The results for female GP/FPs indicate that: female physicians on average work fewer hours than male physicians; there is a clear age effect on hours of direct patient care; there is no strong cohort effect; there has been little secular change in average hours of direct patient care. The changing behaviour of male GP/FPs accounted for a greater proportion of the overall decline in hours of direct patient care from the 80's through the mid 90's than did the growing proportion of female GP/FPs in the physician stock.

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Gender-Related Differences in the Organization and Provision of Services Among General Practitioners in Europe

Abstract: The results may have important implications for working arrangements, training, education, and planning of resources for general practice in the future.

Cited by 52 publications

References 18 publications

The Relationship Between Physician Hours of Work, Service Volume and Service Intensity

The Relationship Between Physician Hours of Work, Service Volume and Service Intensity

Complementary and Conventional Medicine in Switzerland: Comparing Characteristics of General Practitioners

Physician labour supply in Canada: a cohort analysis

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