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What determines the income gap between French male and female GPs - the role of medical practices.
Dumontet M., Le Vaillant M., Franc C.
BMC Family Practice 13, 1 (2012) 94 - http://www.hal.inserm.fr/inserm-00761590
What determines the income gap between French male and female GPs - the role of medical practices.
Magali Dumontet1, 2, Marc Le Vaillant2, Carine Franc () 2
1 :  Sciences Economiques
Université Paris IX - Paris Dauphine
Place Mar de Lattre de Tassigny 75016 Paris
2 :  CERMES3 - Centre de recherche, médecine, sciences, santé, santé mentale, société
CNRS : UMR8211 – Université Paris V - Paris Descartes – INSERM : U988 – École des Hautes Études en Sciences Sociales (EHESS)
ABSTRACT: BACKGROUND: In many OECD countries, the gender differences in physicians' pay favour male doctors. Due to the feminisation of the doctor profession, it is essential to measure this income gap in the French context of Fee-for-service payment (FFS) and then to precisely identify its determinants. The objective of this study is to measure and analyse the 2008 income gap between males and females general practitioners (GPs). This paper focuses on the role of gender medical practices differentials among GPs working in private practice in the southwest region of France. METHODS: Using data from 339 private-practice GPs, we measured an average gender income gap of approximately 26% in favour of men. Using the decomposition method, we examined the factors that could explain gender disparities in income. RESULTS: The analysis showed that 73% of the income gap can be explained by the average differences in doctors' characteristics; for example, 61% of the gender income gap is explained by the gender differences in workload, i.e., number of consultations and visits, which is on average significantly lower for female GPs than for male GPs. Furthermore, the decomposition method allowed us to highlight the differences in the marginal returns of doctors' characteristics and variables contributing to income, such as GP workload; we found that female GPs have a higher marginal return in terms of earnings when performing an additional medical service. CONCLUSIONS: The findings of this study help to understand the determinants of the income gap between male and female GPs. Even though workload is clearly an essential determinant of income, FFS does not reduce the gender income gap, and there is an imperfect relationship between the provision of medical services and income. In the context of feminisation, it appears that female GPs receive a lower income but attain higher marginal returns when performing an additional consultation.
Sciences du Vivant/Médecine humaine et pathologie
Sciences du Vivant/Santé publique et épidémiologie

Articles dans des revues avec comité de lecture
BMC Family Practice (BMC Fam Pract)
Publisher BioMed Central
ISSN 1471-2296 

Family doctors – General practitioners – Income – Gender differences – Oaxaca-ransom decomposition
Funding for this study was provided by GIS-IReSP for PROSPERE (Partenariat pluridisciplinaire de recherche sur l'organisation des soins de premiers recours).
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1471-2296-13-94-S1.PDF(635.9 KB)