Dataset Information

GENDER DIFFERENCES IN CAREERS AND PAY: Changes in the US Gender Gap in Wages in the 1960s.

ABSTRACT: In the 1960s, landmark legislation targeted the long-standing practice of labor market discrimination against US women. The Equal Pay Act of 1963, an amendment to the Fair Labor Standards Act (FLSA), became the first piece of federal legislation mandating equal pay for equal work. Title VII of the Civil Rights Act followed in 1964 with a provision that more broadly prohibited any sex-based discrimination in employment. Complementing this legislation, the 1961 and 1966 FLSA amendments increased the real minimum wage by 24 percent by 1970 and almost doubled the number of workers it covered, extending the FLSA's provisions to an additional 22.6 million individuals (US Department of Labor 1961, 1970). These changes benefited many workers in some of the economy's lowest-earning industries, such as services, retail trade, and government (that is, schools and hospitals)-industries where many women worked.

SUBMITTER: Bailey MJ

PROVIDER: S-EPMC9005043 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature

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Publications

GENDER DIFFERENCES IN CAREERS AND PAY: Changes in the US Gender Gap in Wages in the 1960s.

Bailey Martha J MJ Helgerman Thomas T Stuart Bryan A BA

AEA papers and proceedings. American Economic Association 20210501

In the 1960s, landmark legislation targeted the long-standing practice of labor market discrimination against US women. The Equal Pay Act of 1963, an amendment to the Fair Labor Standards Act (FLSA), became the first piece of federal legislation mandating equal pay for equal work. Title VII of the Civil Rights Act followed in 1964 with a provision that more broadly prohibited <i>any</i> sex-based discrimination in employment. Complementing this legislation, the 1961 and 1966 FLSA amendments incr ...[more]

PMID: 35419516

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Project description:BackgroundThe gender gap in physician pay is often attributed in part to women working fewer hours than men, but evidence to date is limited by self-report and a lack of detail regarding clinical revenue and gender differences in practice style.MethodsUsing national all-payer claims and data from electronic health records, we conducted a cross-sectional analysis of 24.4 million primary care office visits in 2017 and performed comparisons between female and male physicians in the same practices. Our primary independent variable was physician gender; outcomes included visit revenue, visit counts, days worked, and observed visit time (interval between the initiation and the termination of a visit). We created multivariable regression models at the year, day, and visit level after adjustment for characteristics of the primary care physicians (PCPs), patients, and types of visit and for practice fixed effects.ResultsIn 2017, female PCPs generated 10.9% less revenue from office visits than their male counterparts (-$39,143.2; 95% confidence interval [CI], -53,523.0 to -24,763.4) and conducted 10.8% fewer visits (-330.5 visits; 95% CI, -406.6 to -254.3) over 2.6% fewer clinical days (-5.3 days; 95% CI, -7.7 to -3.0), after adjustment for age, academic degree, specialty, and number of sessions worked per week, yet spent 2.6% more observed time in visits that year than their male counterparts (1201.3 minutes; 95% CI, 184.7 to 2218.0). Per visit, after adjustment for PCP, patient, and visit characteristics, female PCPs generated equal revenue but spent 15.7% more time with a patient (2.4 minutes; 95% CI, 2.1 to 2.6). These results were consistent in subgroup analyses according to the gender and health status of the patients and the type and complexity of the visits.ConclusionsFemale PCPs generated less visit revenue than male colleagues in the same practices owing to a lower volume of visits, yet spent more time in direct patient care per visit, per day, and per year. (Funded in part by the Robert Wood Johnson Foundation.).

Dataset Information

GENDER DIFFERENCES IN CAREERS AND PAY: Changes in the US Gender Gap in Wages in the 1960s.

Publications

GENDER DIFFERENCES IN CAREERS AND PAY: Changes in the US Gender Gap in Wages in the 1960s.

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