IDEAS home Printed from https://ideas.repec.org/p/hal/journl/inserm-00761590.html
   My bibliography  Save this paper

What determines the income gap between French male and female GPs - the role of medical practices

Author

Listed:
  • Magali Dumontet

    (CERMES3 - UMR 8211 / U988 / UM 7 - CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société - EHESS - École des hautes études en sciences sociales - UPD5 - Université Paris Descartes - Paris 5 - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique, EconomiX - EconomiX - UPN - Université Paris Nanterre - CNRS - Centre National de la Recherche Scientifique)

  • Marc Le Vaillant

    (CERMES3 - UMR 8211 / U988 / UM 7 - CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société - EHESS - École des hautes études en sciences sociales - UPD5 - Université Paris Descartes - Paris 5 - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique)

  • Carine Franc

    (CERMES3 - UMR 8211 / U988 / UM 7 - CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société - EHESS - École des hautes études en sciences sociales - UPD5 - Université Paris Descartes - Paris 5 - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique)

Abstract

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.

Suggested Citation

  • Magali Dumontet & Marc Le Vaillant & Carine Franc, 2012. "What determines the income gap between French male and female GPs - the role of medical practices," Post-Print inserm-00761590, HAL.
    • Handle: RePEc:hal:journl:inserm-00761590
    DOI: 10.1186/1471-2296-13-94
    Note: View the original document on HAL open archive server: https://inserm.hal.science/inserm-00761590
    as

    Download full text from publisher

    File URL: https://inserm.hal.science/inserm-00761590/document
    Download Restriction: no
    File URL: https://libkey.io/10.1186/1471-2296-13-94?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. David J. Bashaw & John S. Heywood, 2001. "The Gender Earnings Gap for US Physicians: Has Equality been Achieved?," LABOUR, CEIS, vol. 15(3), pages 371-391, September.
    2. repec:dau:papers:123456789/1624 is not listed on IDEAS
    3. Francine D. Blau & Lawrence M. Kahn, 2003. "Understanding International Differences in the Gender Pay Gap," Journal of Labor Economics, University of Chicago Press, vol. 21(1), pages 106-144, January.
    4. Fortin, Nicole & Lemieux, Thomas & Firpo, Sergio, 2011. "Decomposition Methods in Economics," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 1, pages 1-102, Elsevier.
    5. B. Dormont & A.‐L. Samson, 2008. "Medical demography and intergenerational inequalities in general practitioners' earnings," Health Economics, John Wiley & Sons, Ltd., vol. 17(9), pages 1037-1055, September.
    6. Eric Delattre & Brigitte Dormont, 2003. "Fixed fees and physician‐induced demand: A panel data study on French physicians," Health Economics, John Wiley & Sons, Ltd., vol. 12(9), pages 741-754, September.
    7. Kathryn M. Langwell, 1982. "Factors Affecting the Incomes of Men and Women Physicians: Further Explorations," Journal of Human Resources, University of Wisconsin Press, vol. 17(2), pages 261-275.
    8. Barbara H. Kehrer, 1976. "Factors Affecting the Incomes of Men and Women Physicians: An Exploratory," Journal of Human Resources, University of Wisconsin Press, vol. 11(4), pages 526-545.
    9. Rizzo, John A. & Zeckhauser, Richard J., 2007. "Pushing incomes to reference points: Why do male doctors earn more?," Journal of Economic Behavior & Organization, Elsevier, vol. 63(3), pages 514-536, July.
    10. Wiji Arulampalam & Alison L. Booth & Mark L. Bryan, 2007. "Is There a Glass Ceiling over Europe? Exploring the Gender Pay Gap across the Wage Distribution," ILR Review, Cornell University, ILR School, vol. 60(2), pages 163-186, January.
    11. 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.
    12. Dominique Meurs & Sophie Ponthieux, 2000. "Une mesure de la discrimination dans l'écart de salaire entre hommes et femmes," Économie et Statistique, Programme National Persée, vol. 337(1), pages 135-158.
    13. Greg Hundley, 2001. "Why Women Earn Less Than Men in Self-Employment," Journal of Labor Research, Transaction Publishers, vol. 22(4), pages 817-829, October.
    14. Dominique Meurs & Sophie Ponthieux, 2006. "L'écart des salaires entre les femmes et les hommes peut-il encore baisser ?," Économie et Statistique, Programme National Persée, vol. 398(1), pages 99-129.
    15. Oaxaca, Ronald L. & Ransom, Michael R., 1994. "On discrimination and the decomposition of wage differentials," Journal of Econometrics, Elsevier, vol. 61(1), pages 5-21, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kralj, Boris & O'Toole, Danielle & Vanstone, Meredith & Sweetman, Arthur, 2022. "The gender earnings gap in medicine: Evidence from Canada," Health Policy, Elsevier, vol. 126(10), pages 1002-1009.
    2. Magali Dumontet & Carine Franc, 2015. "Gender differences in French GPs’ activity: the contribution of quantile regressions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(4), pages 421-435, May.
    3. repec:dau:papers:123456789/11717 is not listed 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. 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.
    2. 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.
    3. Gravelle, Hugh & Hole, Arne Risa & Santos, Rita, 2011. "Measuring and testing for gender discrimination in physician pay: English family doctors," Journal of Health Economics, Elsevier, vol. 30(4), pages 660-674, July.
    4. Robert Breunig & Sandrine Rospabe, 2013. "The male-female wage gap in France - differences across the wage distribution," Australian Journal of Labour Economics (AJLE), Bankwest Curtin Economics Centre (BCEC), Curtin Business School, vol. 16(1), pages 155-199.
    5. Inés P. Murillo & Hipólito Simón, 2014. "La Gran Recesión y el diferencial salarial por género en España," Hacienda Pública Española / Review of Public Economics, IEF, vol. 208(1), pages 39-76, March.
    6. Stefanie Schurer & Daniel Kuehnle & Anthony Scott & Terence Chai Cheng, 2012. "One Man's Blessing, Another Woman's Curse? Family Factors and the Gender-Earnings Gap of Doctors," Melbourne Institute Working Paper Series wp2012n24, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    7. Jones, Melanie K. & Kaya, Ezgi, 2021. "The Gender Pay Gap in UK Medicine," IZA Discussion Papers 14177, Institute of Labor Economics (IZA).
    8. Christofides, Louis N. & Polycarpou, Alexandros & Vrachimis, Konstantinos, 2013. "Gender wage gaps, ‘sticky floors’ and ‘glass ceilings’ in Europe," Labour Economics, Elsevier, vol. 21(C), pages 86-102.
    9. repec:dau:papers:123456789/11717 is not listed on IDEAS
    10. H Gravelle & A Risa Hole, 2008. "Measuring and testing for gender discrimination in professions: the case of English family doctors," Discussion Papers 08/27, Department of Economics, University of York.
    11. Joanna Tyrowicz & Lucas van der Velde, 2017. "When the opportunity knocks: large structural shocks and gender wage gaps," GRAPE Working Papers 2, GRAPE Group for Research in Applied Economics.
    12. Emilia Ene Jones & Florent Sari, 2016. "L’adresse contribue-t-elle à expliquer les écarts de salaires ?. Le cas de jeunes sortant du système scolaire," Revue d'économie régionale et urbaine, Armand Colin, vol. 0(1), pages 203-244.
    13. Thierry Laurent & Ferhat Mihoubi, 2012. "Sexual Orientation and Wage Discrimination in France: The Hidden Side of the Rainbow," Journal of Labor Research, Springer, vol. 33(4), pages 487-527, December.
    14. Matuszewska-Janica Aleksandra, 2018. "Differences in Men’s and Women’s Wages in the Education Sector in the Baltic Sea Region States," Folia Oeconomica Stetinensia, Sciendo, vol. 18(1), pages 157-168, June.
    15. Sonja C. Kassenboehmer & Mathias G. Sinning, 2014. "Distributional Changes in the Gender Wage Gap," ILR Review, Cornell University, ILR School, vol. 67(2), pages 335-361, April.
    16. Arceo-Gómez, Eva O. & Campos-Vázquez, Raymundo M., 2014. "Evolución de la brecha salarial de género en México," El Trimestre Económico, Fondo de Cultura Económica, vol. 0(323), pages .619-653, julio-sep.
    17. Caliendo, Marco & Lee, Wang-Sheng & Mahlstedt, Robert, 2017. "The gender wage gap and the role of reservation wages: New evidence for unemployed workers," Journal of Economic Behavior & Organization, Elsevier, vol. 136(C), pages 161-173.
    18. Sile Padraigin O'Dorchai, 2008. "Do women gain or lose from becoming mothers? A comparative wage analysis in 20 European countries," ULB Institutional Repository 2013/135835, ULB -- Universite Libre de Bruxelles.
    19. Ramskogler, Paul & Riedl, Aleksandra & Schoiswohl, Florian, 2020. "Swinging female labor demand – How the public sector influences gender wage gaps in Europe," Department of Economics Working Paper Series 302, WU Vienna University of Economics and Business.
    20. René Böheim & Klemens Himpele & Helmut Mahringer & Christine Zulehner, 2013. "The gender wage gap in Austria: eppur si muove!," Empirica, Springer;Austrian Institute for Economic Research;Austrian Economic Association, vol. 40(4), pages 585-606, November.
    21. Shantanu Khanna, 2012. "Gender wage discrimination in India-- Glass ceiling or sticky floor?," Working papers 214, Centre for Development Economics, Delhi School of Economics.

    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:hal:journl:inserm-00761590. 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: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    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.