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Differences in incomes of physicians in the United States by race and sex: observational study.


ABSTRACT:

Objectives

 To estimate differences in annual income of physicians in the United States by race and sex adjusted for characteristics of physicians and practices.

Design

 Cross sectional survey study.

Setting

 Nationally representative samples of US physicians.

Participants

 The 2000-13 American Community Survey (ACS) included 43?213 white male, 1698 black male, 15?164 white female, and 1252 black female physicians. The 2000-08 Center for Studying Health System Change (HSC) physician surveys included 12?843 white male, 518 black male, 3880 white female, and 342 black female physicians.

Main outcome measures

 Annual income adjusted for age, hours worked, time period, and state of residence (from ACS data). Income was adjusted for age, specialty, hours worked, time period, years in practice, practice type, and percentage of revenue from Medicare/Medicaid (from HSC physician surveys).

Results

 White male physicians had a higher median annual income than black male physicians, whereas race was not consistently associated with median income among female physicians. For example, in 2010-13 in the ACS, white male physicians had an adjusted median annual income of $253?042 (95% confidence interval $248?670 to $257?413) compared with $188?230 ($170?844 to $205?616) for black male physicians (difference $64?812; P<0.001). White female physicians had an adjusted median annual income of $163?234 ($159?912 to 166?557) compared with $152?784 ($137?927 to $167?641) for black female physicians (difference $10?450; P=0.17). $100?000 is currently equivalent to about £69?000 (€89?000). Patterns were unaffected by adjustment for specialty and characteristics of practice in the HSC physician surveys.

Conclusions

 White male physicians earn substantially more than black male physicians, after adjustment for characteristics of physicians and practices, while white and black female physicians earn similar incomes to each other, but significantly less than their male counterparts. Whether these differences reflect disparities in job opportunities is important to determine.

SUBMITTER: Ly DP 

PROVIDER: S-EPMC4897176 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature

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Publications

Differences in incomes of physicians in the United States by race and sex: observational study.

Ly Dan P DP   Seabury Seth A SA   Jena Anupam B AB  

BMJ (Clinical research ed.) 20160607


<h4>Objectives</h4> To estimate differences in annual income of physicians in the United States by race and sex adjusted for characteristics of physicians and practices.<h4>Design</h4> Cross sectional survey study.<h4>Setting</h4> Nationally representative samples of US physicians.<h4>Participants</h4> The 2000-13 American Community Survey (ACS) included 43 213 white male, 1698 black male, 15 164 white female, and 1252 black female physicians. The 2000-08 Center for Studying Health System Change  ...[more]

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