Race and gender differences in general internists’ annual incomes
- Cite this article as:
- Weeks, W.B. & Wallace, A.E. J Gen Intern Med (2006) 21: 1167. doi:10.1111/j.1525-1497.2006.00592.x
- 42 Views
BACKGROUND: Specialty, work effort, and female gender have been shown to be associated with physicians’ annual incomes; however, racial differences in physician incomes have not been examined.
OBJECTIVE: To determine the influence of race and gender on General Internists’ annual incomes after controlling for work effort, provider characteristics, and practice characteristics.
DESIGN: Retrospective survey-weighted analysis of survey data.
PARTICIPANTS: One thousand seven hundred and forty-eight actively practicing General Internists who responded to the American Medical Association’s annual survey of physicians between 1992 and 2001.
MEASUREMENTS: Work effort, provider and practice characteristics, and adjusted annual incomes for white male, black male, white female, and black female General Internists.
RESULTS: Compared with white males, white females completed 22% fewer patient visits and worked 12.5% fewer hours, while black males and females reported completing 17% and 2.8% more visits and worked 15% and 5.5% more annual hours, respectively. After adjustment for work effort, provider characteristics, and practice characteristics, black males’ mean annual income was $188,831 or $7,193 (4%) lower than that for white males (95% CI: −$31,054, $16,669; P=.6); white females’ was $159,415 or $36,609 (19%) lower (95% CI: −$25,585, −$47,633; P<.001); and black females’ was $139,572 or $56,452 (29%) lower (95% CI: −$93,383, −$19,520; P=.003).
CONCLUSIONS: During the 1990s, both black race and female gender were associated with lower annual incomes among General Internists. Differences for females were substantial. These findings warrant further exploration.