首页 | 本学科首页   官方微博 | 高级检索  
   检索      


Absence of race- or gender-specific income disparities among full-time white and Asian general internists working for the Veterans Administration
Authors:William B Weeks  Amy E Wallace
Institution:1. Professor, The Departments of Psychiatry and of Community and Family Medicine, Geisel School of Medicine, The Dartmouth Institute for Health Policy and Clinical Research, Lebanon, NH;2. Instructor, The Geisel School of Medicine, The Dartmouth Institute for Health Policy and Clinical Research, Lebanon, NH;3. Research Associate, The Dartmouth Institute for Health Policy and Clinical Research, Lebanon, NH;4. Vice Chancellor, Palmer College of Chiropractic, Davenport, IA;1. Palmer College of Chiropractic, Palmer Center for Chiropractic Research, 741 Brady St, Davenport, IA 52803, USA;2. The Spine Institute for Quality, PO Box 4731, Davenport, IA 52808, USA;3. Geisel School of Medicine at Dartmouth, 1 Rope Ferry Rd, Hanover, NH 03755, USA;4. The Dartmouth Institute for Health Policy and Clinical Practice, 1 Medical Center Drive, Lebanon, NH 03766, USA;5. Excellus Blue Cross Blue Shield, 165 Court St, Rochester, NY 14647, USA;6. Spine Care Partners, LLC, 1687 English Rd, Rochester, NY 14616, USA;7. World Spine Care, 17602 17th St, Suite 102-263, Tustin, CA 92780, USA
Abstract:Background: Gender-based, but not race-based, income disparities exist among general internists who practice medicine in the private sector.Objective: The aim of this study was to assess whether race- or gender-based income disparities existed among full-time white and Asian general internists who worked for the Veterans Health Administration of the US Department of Veterans Affairs (VA) between fiscal years 2004 and 2007, and whether any disparities changed after the VA enacted physician pay reform in early 2006.Methods: A retrospective study was conducted of all nonsupervisory, board-certified, full-time white or Asian VA general internists who did not change their location of practice between fiscal years 2004 and 2007. A longitudinal cohort design and linear regression modeling, adjusted for physician characteristics, were used to compare race- and gender-specific incomes in fiscal years 2004–2007.Results: A total of 176 physicians were included in the study: 82 white males, 33 Asian males, 30 white females, and 31 Asian females. In all fiscal years examined, white males had the highest mean annual incomes, though not statistically significantly so. Regression analyses for fiscal years 2004 through 2006 revealed that physician age and years of service were predictive of total income. After physician pay reform was enacted, Asian male VA primary care physicians had higher annual incomes than did physicians in all other race or gender categories, after adjustment for age and years of VA service, though these differences were not statistically significant.Conclusions: No significant gender-based income disparities were noted among these white and Asian VA physicians. Our findings for white and Asian general internists suggest that the VA' s goal of maintaining a racially diverse workforce may have been effected, in part, through use of market pay among primary care general internists.
Keywords:
本文献已被 ScienceDirect 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号