Constant Alexandra, Léger Pierre Thomas
Economist Health Policy Research Division, Health Canada, Ottawa, Ont., Canada.
Health Econ. 2008 Nov;17(11):1295-315. doi: 10.1002/hec.1344.
Using panel data, we estimate the impact of an increasing share of female physicians on the total output of Canadian physicians. A micro-econometric model is developed specifically for the Canadian context and estimated using administrative data on all Canadian physicians paid on a fee-for-service basis from 1989 to 1998. Our results suggest that female physicians systematically provide fewer services than their male counterparts for almost all specialties and provinces studied. Given that females account for an increasing share of the physician population and that female physicians provide, on average, fewer services, potentially important future reductions in total health-care service provision are likely.
利用面板数据，我们估计了女性医生占比增加对加拿大医生总产出的影响。我们专门针对加拿大的情况建立了一个微观计量经济学模型，并使用1989年至1998年所有按服务收费的加拿大医生的行政数据进行了估计。我们的结果表明，在所研究的几乎所有专科和省份中，女性医生系统性地比男性医生提供的服务更少。鉴于女性在医生群体中的占比不断增加，且女性医生平均提供的服务较少，未来医疗保健服务总供给可能会出现潜在的重大减少。
