全球精选文摘 - 妇产科医生的收入和工作能力的性别差异

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妇产科医生的收入和工作能力的性别差异

Gender Gaps in Income and Productivity of Obstetricians and Gynecologists

Reyes JW 2009/5/27 10:50:39

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Obstet Gynecol, 2007,

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Abstract
Objective:
To investigate differences in income, productivity, and practice style between male and female obstetrician–gynecologists between 1990 and 2002.

Methods:
The primary data were the Socioeconomic Surveys of Fellows conducted by the American College of Obstetricians and Gynecologists (ACOG). The surveys contained complete responses from 3,698 obstetrician–gynecologists. Linear regression analysis was used to investigate gender differences in income, productivity, and practice style.

Results:
Female obstetrician–gynecologists were younger, had been in medical practice fewer years, earned lower annual incomes ($196,000 versus $257,000), and exhibited lower productivity. Even when considering only young obstetrician–gynecologists (40 years old or younger), women earned annual incomes that were 23% lower, worked 10% fewer hours, saw 9% fewer patients, and performed 21% fewer procedures. The raw income gap between male and female obstetrician–gynecologists of all ages fell from 31% in 1990 to 19% in 2002, whereas for young obstetrician–gynecologists it remained stable at approximately 19%. However, despite this apparent stability, the nature of the income gap changed: whereas differences in productivity and practice style explained only half of the income gap in the 1990s, by 2002 these factors explained nearly all of the income gap.

Conclusion:
Between 1990 and 2002, female obstetrician–gynecologists earned lower annual incomes than male obstetrician–gynecologists, even when matched on age. However, by 2002 this income gap was almost entirely explained by gender differences in productivity and practice patterns.

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脂肪性肝病	糖尿病
卒中	肺癌
冠心病	子宫内膜异位症
结直肠癌	乳腺癌
心力衰竭	心律失常

病例分析 [栏目介绍]

甲状腺功能亢进合并黄疸

王燕燕王曙

上海交通大学附属瑞金医院内分泌科

患者，女，69岁。2009年1月无明显诱因下出现乏力，当时程度较轻，未予以重视。2009年3月患者乏力症状加重，尿色逐渐加深，大便习惯改变，颜色变淡。4月18日入我院感染科治疗，诉轻度头晕、心慌，体重减轻10kg。无肝区疼痛，无发热，无腹痛、腹泻、腹胀、里急后重，无恶性、呕吐等。入院半月前于外院就诊，查肝功能：ALT 601IU/L，AST 785IU/L，TBIL 97.7umol/L，白蛋白 41g/L，甲状腺功能：游离T3 30.6pmol/L，游离T4 51.9pmol/L，心电图示快速房颤。

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