UCLH/UCL Comprehensive Biomedical Research Centre, UCL Division of Research Strategy, UCL Research Department of Epidemiology and Public Health, University College London, London, UK.
Health Econ. 2011 Feb;20(2):147-60. doi: 10.1002/hec.1573.
We analyse the determinants of annual net income and wages (net income/hours) of general practitioners (GPs) using data for 2271 GPs in England recorded during Autumn 2008. The average GP had an annual net income of £97,500 and worked 43 h per week. The mean wage was £51 per h. Net income and wages depended on gender, experience, list size, partnership size, whether or not the GP worked in a dispensing practice, whether they were salaried of self-employed, whether they worked in a practice with a nationally or locally negotiated contract, and the characteristics of the local population (proportion from ethnic minorities, rurality, and income deprivation). The findings have implications for pay discrimination by GP gender and ethnicity, GP preferences for partnership size, incentives for competition for patients, and compensating differentials for local population characteristics. They also shed light on the attractiveness to GPs in England of locally negotiated (personal medical services) versus nationally negotiated (general medical services) contracts.
我们使用 2008 年秋季记录的英格兰 2271 名全科医生的数据，分析了全科医生（GP）的年度净收入和工资（净收入/小时）的决定因素。平均每位 GP 的年收入为 97500 英镑，每周工作 43 小时。平均工资为每小时 51 英镑。净收入和工资取决于性别、经验、名单规模、合作伙伴规模、GP 是否在配药诊所工作、是否受薪或自营、是否在全国或地方协商合同的诊所工作，以及当地人口的特征（少数民族、农村和收入贫困的比例）。这些发现对按性别和族裔对 GP 进行薪酬歧视、GP 对合作伙伴规模的偏好、对患者竞争的激励以及对当地人口特征的补偿性差异具有重要意义。它们还揭示了在英格兰，对于本地协商（个人医疗服务）与全国协商（一般医疗服务）合同，GP 的吸引力。
