IDEAS home Printed from https://ideas.repec.org/p/jku/econwp/2024-04.html
   My bibliography  Save this paper

When women take over: Physician gender and health care provision

Author

Listed:
  • Gerald J. Pruckner
  • Flora Stiftinger
  • Katrin Zocher

    (Department of Economics, Johannes Kepler University Linz)

Abstract

The share of female physicians has risen in OECD countries in recent decades, but we know little about the effects of physician gender. We exploit quasi-random assignment of primary care providers (PCPs) to patients and estimate the causal effect of female PCPs on health care provision. Using Austrian register data and a difference-in-differences strategy, we find that female PCPs generate 14% less revenue than male PCPs. This gap is driven by a 6% reduction in the number of patients and a 6.5% decrease in services per patient. Our findings are not consistent with discrimination; instead, female PCPs work fewer hours.

Suggested Citation

  • Gerald J. Pruckner & Flora Stiftinger & Katrin Zocher, 2024. "When women take over: Physician gender and health care provision," Economics working papers 2024-04, Department of Economics, Johannes Kepler University Linz, Austria.
  • Handle: RePEc:jku:econwp:2024-04
    Note: English
    as

    Download full text from publisher

    File URL: http://www.economics.jku.at/papers/2024/wp2404.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. David Card & Stefano DellaVigna & Patricia Funk & Nagore Iriberri, 2020. "Are Referees and Editors in Economics Gender Neutral?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 135(1), pages 269-327.
    2. Scott E. Carrell & Marianne E. Page & James E. West, 2010. "Sex and Science: How Professor Gender Perpetuates the Gender Gap," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 125(3), pages 1101-1144.
    3. Dan Zeltzer, 2020. "Gender Homophily in Referral Networks: Consequences for the Medicare Physician Earnings Gap," American Economic Journal: Applied Economics, American Economic Association, vol. 12(2), pages 169-197, April.
    4. Mark Hoekstra & Brittany Street, 2021. "The Effect of Own-Gender Jurors on Conviction Rates," Journal of Law and Economics, University of Chicago Press, vol. 64(3), pages 513-537.
    5. Alberto Abadie & Susan Athey & Guido W Imbens & Jeffrey M Wooldridge, 2023. "When Should You Adjust Standard Errors for Clustering?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 138(1), pages 1-35.
    6. Fadlon, Itzik & Van Parys, Jessica, 2020. "Primary care physician practice styles and patient care: Evidence from physician exits in Medicare," Journal of Health Economics, Elsevier, vol. 71(C).
    7. James Andreoni & Lise Vesterlund, 2001. "Which is the Fair Sex? Gender Differences in Altruism," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 116(1), pages 293-312.
    8. Natalia Danzer & Martin Halla & Nicole Schneeweis & Martina Zweimüller, 2022. "Parental Leave, (In)formal Childcare, and Long-Term Child Outcomes," Journal of Human Resources, University of Wisconsin Press, vol. 57(6), pages 1826-1884.
    9. Marcella Alsan & Owen Garrick & Grant Graziani, 2019. "Does Diversity Matter for Health? Experimental Evidence from Oakland," American Economic Review, American Economic Association, vol. 109(12), pages 4071-4111, December.
    10. Seth Gershenson & Cassandra M. D. Hart & Joshua Hyman & Constance A. Lindsay & Nicholas W. Papageorge, 2022. "The Long-Run Impacts of Same-Race Teachers," American Economic Journal: Economic Policy, American Economic Association, vol. 14(4), pages 300-342, November.
    11. Andrea Weber & Christine Zulehner, 2010. "Female Hires and the Success of Start-Up Firms," American Economic Review, American Economic Association, vol. 100(2), pages 358-361, May.
    12. Zhang, Xuan, 2022. "The effects of physician retirement on patient outcomes: Anticipation and disruption," Journal of Public Economics, Elsevier, vol. 207(C).
    13. Shamena Anwar & Patrick Bayer & Randi Hjalmarsson, 2019. "A Jury of Her Peers: The Impact of the First Female Jurors on Criminal Convictions," The Economic Journal, Royal Economic Society, vol. 129(618), pages 603-650.
    14. Currie, Janet & MacLeod, W. Bentley & Van Parys, Jessica, 2016. "Provider practice style and patient health outcomes: The case of heart attacks," Journal of Health Economics, Elsevier, vol. 47(C), pages 64-80.
    15. Franz Hackl & Martin Halla & Michael Hummer & Gerald J. Pruckner, 2015. "The Effectiveness of Health Screening," Health Economics, John Wiley & Sons, Ltd., vol. 24(8), pages 913-935, August.
    16. Engelbert Theurl & Hannes Winner, 2011. "The male–female gap in physician earnings: evidence from a public health insurance system," Health Economics, John Wiley & Sons, Ltd., vol. 20(10), pages 1184-1200, October.
    17. Marianne Bertrand & Sandra E Black & Sissel Jensen & Adriana Lleras-Muney, 2019. "Breaking the Glass Ceiling? The Effect of Board Quotas on Female Labour Market Outcomes in Norway," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 86(1), pages 191-239.
    18. Hill, Andrew J. & Jones, Daniel B. & Woodworth, Lindsey, 2023. "Physician-patient race-match reduces patient mortality," Journal of Health Economics, Elsevier, vol. 92(C).
    19. Alexander Ahammer, 2018. "Physicians, sick leave certificates, and patients' subsequent employment outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 27(6), pages 923-936, June.
    20. Walker, Brigham & Wisniewski, Janna & Tinkler, Sarah & Stano, Miron & Sharma, Rajiv, 2023. "Foreign Physicians: Discriminatory Patient Preferences and Doctor Availability," IZA Discussion Papers 15951, Institute of Labor Economics (IZA).
    21. Serena Canaan & Pierre Mouganie, 2023. "The Impact of Advisor Gender on Female Students’ STEM Enrollment and Persistence," Journal of Human Resources, University of Wisconsin Press, vol. 58(2), pages 593-632.
    22. Simonsen, Marianne & Skipper, Lars & Skipper, Niels & Thingholm, Peter Rønø, 2021. "Discontinuity in care: Practice closures among primary care providers and patient health care utilization," Journal of Health Economics, Elsevier, vol. 80(C).
    23. Shamena Anwar & Patrick Bayer & Randi Hjalmarsson, 2012. "The Impact of Jury Race in Criminal Trials," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(2), pages 1017-1055.
    24. Attema, Arthur E. & Galizzi, Matteo M. & Groß, Mona & Hennig-Schmidt, Heike & Karay, Yassin & L’Haridon, Olivier & Wiesen, Daniel, 2023. "The formation of physician altruism," Journal of Health Economics, Elsevier, vol. 87(C).
    25. Zoë Cullen & Ricardo Perez-Truglia, 2023. "The Old Boys' Club: Schmoozing and the Gender Gap," American Economic Review, American Economic Association, vol. 113(7), pages 1703-1740, July.
    26. Sabety, Adrienne, 2023. "The value of relationships in healthcare," Journal of Public Economics, Elsevier, vol. 225(C).
    27. Marika Cabral & Marcus Dillender, 2024. "Gender Differences in Medical Evaluations: Evidence from Randomly Assigned Doctors," American Economic Review, American Economic Association, vol. 114(2), pages 462-499, February.
    28. Gerald J. Pruckner & Thomas Schober & Katrin Zocher, 2020. "The company you keep: health behavior among work peers," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(2), pages 251-259, March.
    29. Esteves-Sorenson, Constança & Snyder, Jason, 2012. "The gender earnings gap for physicians and its increase over time," Economics Letters, Elsevier, vol. 116(1), pages 37-41.
    30. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    31. Marika Cabral & Marcus Dillender, 2021. "Disparities in Health Care and Medical Evaluations by Gender: A Review of Evidence and Mechanisms," AEA Papers and Proceedings, American Economic Association, vol. 111, pages 159-163, May.
    32. Alicia C. Sasser, 2005. "Gender Differences in Physician Pay: Tradeoffs Between Career and Family," Journal of Human Resources, University of Wisconsin Press, vol. 40(2).
    33. Orzella, Letizia & Chini, Francesco & Giorgi Rossi, Paolo & Borgia, Piero, 2010. "Physician and patient characteristics associated with prescriptions and costs of drugs in the Lazio region of Italy," Health Policy, Elsevier, vol. 95(2-3), pages 236-244, May.
    34. Cody Cook & Rebecca Diamond & Jonathan V Hall & John A List & Paul Oyer, 2021. "The Gender Earnings Gap in the Gig Economy: Evidence from over a Million Rideshare Drivers [Measuring the Gig Economy: Current Knowledge and Open Issues]," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 88(5), pages 2210-2238.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hjalmarsson, Linn & Kaiser, Boris & Bischof, Tamara, 2023. "The impact of physician exits in primary care: A study of practice handovers," Health Policy, Elsevier, vol. 135(C).
    2. Sabety, Adrienne, 2023. "The value of relationships in healthcare," Journal of Public Economics, Elsevier, vol. 225(C).
    3. Shan Huang & Hannes Ullrich, 2023. "Provider effects in antibiotic prescribing: Evidence from physician exits," Berlin School of Economics Discussion Papers 0018, Berlin School of Economics.
    4. Marika Cabral & Marcus Dillender, 2021. "Gender Differences in Medical Evaluations: Evidence from Randomly Assigned Doctors," NBER Working Papers 29541, National Bureau of Economic Research, Inc.
    5. Stefanie Schurer & Daniel Kuehnle & Anthony Scott & Terence C. Cheng, 2016. "A Man's Blessing or a Woman's Curse? The Family Earnings Gap of Doctors," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 55(3), pages 385-414, July.
    6. Bohdana Kurylo, 2021. "The Impact of Same-Race Teachers on Student Behavioral Outcomes," CERGE-EI Working Papers wp695, The Center for Economic Research and Graduate Education - Economics Institute, Prague.
    7. Delhommer, Scott, 2022. "High school role models and minority college achievement," Economics of Education Review, Elsevier, vol. 87(C).
    8. Abi Adams-Prassl & Kristiina Huttunen & Emily Nix & Ning Zhang, 2022. "Violence Against Women at Work," Opportunity and Inclusive Growth Institute Working Papers 064, Federal Reserve Bank of Minneapolis.
    9. Tamara Bischof & Boris Kaiser, 2021. "Who cares when you close down? The effects of primary care practice closures on patients," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2004-2025, September.
    10. Katrin Zocher, 2024. "Exiting primary care providers," Health Economics, John Wiley & Sons, Ltd., vol. 33(5), pages 1033-1054, May.
    11. Moritz Drechsel-Grau & Felix Holub, 2020. "Gender Gaps and the Role of Bosses," CRC TR 224 Discussion Paper Series crctr224_2020_237, University of Bonn and University of Mannheim, Germany.
    12. Ida Lykke Kristiansen & Sophie Yanying Sheng, 2022. "Doctor Who? The Effect of Physician-Patient Match on The SES-Health Gradient," CEBI working paper series 22-05, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).
    13. Ivan Badinski & Amy Finkelstein & Matthew Gentzkow & Peter Hull, 2023. "Geographic Variation in Healthcare Utilization: The Role of Physicians," NBER Working Papers 31749, National Bureau of Economic Research, Inc.
    14. Ursina Schaede & Ville Mankki, 2022. "Quota vs Quality? Long-Term Gains from an Unusual Gender Quota," CESifo Working Paper Series 9811, CESifo.
    15. Shan Huang & Hannes Ullrich, 2021. "Physician Effects in Antibiotic Prescribing: Evidence from Physician Exits," Discussion Papers of DIW Berlin 1958, DIW Berlin, German Institute for Economic Research.
    16. Jones, Melanie K. & Kaya, Ezgi, 2021. "The Gender Pay Gap in UK Medicine," IZA Discussion Papers 14177, Institute of Labor Economics (IZA).
    17. Itzik Fadlon & Frederik Plesner Lyngse & Torben Heien Nielsen, 2022. "Early Career Setbacks and Women’s Career-Family Trade-Off," CEBI working paper series 22-06, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).
    18. Stefan Sliwa Ruiz & Malte Becker & Thomas Hone & Rudi Rocha, 2023. "Doctor Turnover and Health Outcomes: Evidence from the Exit of Cuban Doctors in Brazil," Working Papers 18, Instituto de Estudos para Políticas de Saúde.
    19. Simonsen, Marianne & Skipper, Lars & Skipper, Niels & Thingholm, Peter Rønø, 2021. "Discontinuity in care: Practice closures among primary care providers and patient health care utilization," Journal of Health Economics, Elsevier, vol. 80(C).
    20. J. Michelle Brock & Ralph De Haas, 2023. "Discriminatory Lending: Evidence from Bankers in the Lab," American Economic Journal: Applied Economics, American Economic Association, vol. 15(2), pages 31-68, April.

    More about this item

    Keywords

    physician gender; primary care; gender medicine;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:jku:econwp:2024-04. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: René Böheim (email available below). General contact details of provider: https://edirc.repec.org/data/vlinzat.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.