Canadian Healthcare Technology Logo
  • Issues
    • Current Print Issue
    • Print Archive
  • Advertise
    • Publishing Schedule
    • Circulation
    • Unit Sizes and Rates
    • Mechanical Requirements
    • Electronic Advertising
    • White Papers
  • Subscribe
    • Print Edition
    • e-Messenger
    • White Papers
  • Events
  • Vendors
  • About Us

GE Revolution Ascend

GE Revolution Ascend

Enovacom EPC

Enovacom EPC

Research & Development

Unexplained pay gap between male, female physicians

September 22, 2021


Dr Adam KassamTORONTO – An in-depth analysis by the Ontario Medical Association of the 13.5-per-cent daily pay gap between male and female physicians suggests that a multipronged approach will be needed to achieve gender pay equity in medicine.

The study published in JAMA Network Open found that in addition to the unexplained daily pay gap there is an even bigger annual pay gap, reflecting the different number of days in a year male and female physicians worked. This may be driven partly by women assuming a greater share of family responsibilities.

“The lack of pay equity between physicians of different genders is troubling for doctors and also for patients,” said OMA president Dr. Adam Kassam (pictured). “If women are deterred or discouraged from entering or continuing in the profession due to a lack of pay equity, patients and the entire healthcare system stands to lose the enormous impact they make and could make in the future.”

In the largest study of its kind in Canada, the OMA examined the 2017-18 OHIP daily billings from 31,481 physicians, nearly all doctors practising in Ontario. After adjusting for factors such as years of experience and geography, it found a gap of 13.5 per cent in daily billings that can’t be explained. The unadjusted gap was 22.5 per cent.

Speciality type accounted for a substantial portion – two-thirds – of the part of the daily pay gap that can be explained by observable factors. Thirteen specialities had gaps of more than 15 per cent.

Neurosurgery, cardiology and vascular surgery – specialties with more men – showed the greatest gaps. However, significant gaps were also found in some female-dominated specialities, such as geriatrics and pediatrics.

The way physicians are paid also plays a role in the gap. The adjusted daily gap was greatest among physicians practicing in fee-for-service models, where doctors bill OHIP for each medical service performed, and smallest among those practicing within a capitation, or fixed payment per patient, model.

The annual pay gap of 32.8 per cent was larger than the daily gap, reflecting the impact of gender-based differences in the number of days worked. Further research is needed to understand the reasons why women worked fewer days, be it personal choice, maternity leave or family responsibilities.

However, the paper says the gap in both annual and daily payments suggests the need to financially support parents and caregivers of all genders. Other remedies include modernizing the province’s fee schedule and ensuring pay equity between different specialties. The paper suggests that future research is needed to determine whether a gender-blind referral system would help to reduce the pay gap for some specialties.

“Our findings suggest that no single factor fully explains the gender pay gap and this implies that no single intervention is likely to fully address it,” said Sharada Weir, the OMA’s director of healthcare evaluative research, and one of the report’s authors.

About the OMA
The Ontario Medical Association represents Ontario’s 43,000 plus physicians, medical students and retired physicians, advocating for and supporting doctors while strengthening the leadership role of doctors in caring for patients. Our vision is to be the trusted voice in transforming Ontario’s healthcare system.

PreviousNext

CHT print [900×150]

CHT print [900x150]

News and Trends

  • NS improves care by deploying Command Centres
  • Panel identifies threats from faxes, snooping, cyber-attacks
  • Bringing portable X-ray imaging to Canada’s remote communities
  • In Ontario, real steps are being taken to reach EHR interoperability
  • Care-givers need improved technology to reduce stress in the LTC sector
More from the Print Edition

Subscribe

Subscribe

Free of charge to Canadian hospital managers and executives in nursing homes and home-care organizations. Learn More

Follow us on Social Media!

Follow us on Social Media!

Softworks

Softworks

Nihi Spring 2023

Nihi Spring 2023

Advertise with us

Advertise with us

Sectra [Feb]

Sectra [Feb]

Change Healthcare [2]

Change Healthcare [2]

Infoway [March2023]

Infoway [March2023]

Zebra [Mar2023]

Zebra [Mar2023]

RealTime

RealTime

CHT print [900×150]

CHT print [900x150]

Advertise with us

Advertise with us

Sectra [Feb]

Sectra [Feb]

Change Healthcare [2]

Change Healthcare [2]

Infoway [March2023]

Infoway [March2023]

Zebra [Mar2023]

Zebra [Mar2023]

RealTime

RealTime

Contact Us

Canadian Healthcare Technology
1118 Centre Street, Suite 207
Thornhill, Ontario, Canada L4J 7R9
Tel: 905-709-2330
Fax: 905-709-2258
info2@canhealth.com

  • Quick Links
    • Current Print Issue
    • Print Archive
    • Events
    • Vendors
    • About Us
  • Advertise
    • Publishing Schedule
    • Circulation
    • Unit Sizes and Rates
    • Mechanical Requirements
    • Electronic Advertising
    • White Papers
  • Subscribe
    • Print Edition
    • e-Messenger
    • White Papers
  • Resources
    • White Papers
    • Writers’ Guidelines
    • Privacy Policy
  • Topics
    • Administrative Solutions
    • Clinical Solutions
    • Companies
    • Continuing Care
    • Diagnostics
    • Education & Training
  •  
    • Electronic Records
    • Government & Policy
    • Infrastructure
    • Innovation
    • People
    • Privacy and Security

© 2023 Canadian Healthcare Technology

The content of Canadian Healthcare Technology is subject to copyright. Reproduction in whole or in part without prior written permission is strictly prohibited. Send all requests for permission to Jerry Zeidenberg, Publisher.

Search Site

Error: Enter a search term

  • Issues
    • Current Print Issue
    • Print Archive
  • Advertise
    • Publishing Schedule
    • Circulation
    • Unit Sizes and Rates
    • Mechanical Requirements
    • Electronic Advertising
    • White Papers
  • Subscribe
    • Print Edition
    • e-Messenger
    • White Papers
  • Events
  • Vendors
  • About Us