From Health Affairs Today <[email protected]>
Subject Workforce: Gender Pay Disparities, Vertical Integration & Direct Care Workers
Date December 8, 2021 9:09 PM
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On the Blog: Researchers and advocates should focus on Americans of all
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The Latest Research, Commentary, And News From Health Affairs

Wednesday, December 8, 2021

Dear John,

Three recent Health Affairs papers examine the health care workforce.
One of these papers, which examines the pay gap between male and female
physicians, was highlighted in the New York Times
.

Gender Pay Disparities & More

Analyzing data from more than 80,000 full-time physicians, Christopher
Whaley and coauthors found that

**male physicians earn**approximately $2 million
,
or 25 percent, more than female physicians over the course of a
simulated forty-year career. These results account for potentially
confounding factors including hours worked, practice type and location,
and years of experience. 

In a separate paper, Whaley and coauthors explore physician compensation

in the context of rapid growth in health system acquisition of physician
practices.

**Vertical integration is associated with a 0.8 percent reduction in
regression-adjusted income among physicians overall**. Surgical
specialists saw small increases in income, while nonsurgical specialists
experienced small declines.  

Direct care workers, including personal care aides, home health aides,
and nursing assistants, comprise one-fifth of the US health care
workforce. According to a paper

by Esther Friedman and colleagues, almost all states experienced an
increase in the size of their home care workforce between 2009 and 2020,
and most saw a decrease in their nursing home workforce, relative to the
number of people who needed these services.  

Today on Health Affairs Blog, Grant Martsolf and coauthors respond to a
recent Health Affairs Blog post, arguing that policy researchers and
advocates should measure and prioritize

the capabilities that Americans of all ages need to succeed and thrive.

Jamille Fields Allsbrook and Katie Keith argue that the Biden
administration can use its existing authority under federal civil rights
laws to promote anti-racist health care

and insurance.

In a GrantWatch post, a foundation in the Pacific Northwest aims to
bridge the oral health equity gap

and eliminate disparities by taking steps to put equity front and center
in its work.

Enjoying our newsletter but not yet a Health Affairs subscriber? Sign up
today .

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Your Daily Digest

Female Physicians Earn An Estimated $2 Million Less Than Male Physicians
Over A Simulated 40-Year Career

Christopher M. Whaley et al.

Physician Compensation In Physician-Owned And Hospital-Owned Practices

Christopher M. Whaley et al.

Trends In Home Care Versus Nursing Home Workforce Sizes: Are States
Converging Or Diverging Over Time?

Esther M. Friedman et al.

Directing Human Capabilities Toward Flourishing: A Measurement Framework
For Health Services Research

Grant R. Martsolf et al.

ACA Section 1557 As A Tool For Anti-Racist Health Care

Jamille Fields Allsbrook and Katie Keith

An Oral Health Funder Leads With Equity In Its New Strategic Plan

Joe Finkbonner and Vanetta Abdellatif

HEALTH AFFAIRS BRANDED POST:
Five Data Mindset Shifts Critical For Health Systems' Survival

Sponsored by HealthCatalyst

 

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The centerpiece of the December

**Health Affairs** Journal Club meeting is "Despite National Declines In
Kidney Failure Incidence, Disparities Widened Between Low- And
High-Poverty Counties." In the paper, which appears in the December 2021
issue of the journal, Kevin Nguyen and coauthors examine trends in the
incidence of kidney failure by county-level poverty among US adults
between 2000 and 2017. While national estimates suggest that overall
rates are declining, the authors found marked disparity in incidence of
kidney failure between low- and high-poverty counties.

Health Affairs Senior Editor Jessica Bylander will host Nguyen, an
investigator in the Department of Health Services, Policy, and Practice
at the Brown University School of Public Health, to talk in detail about
the research, methods, and conclusions of the paper, including changes
in policy and care delivery that will be required to close the gap for
low-income areas and communities.

Date:     Thursday, December 9, 2021
Time:     1:00 p.m. - 2:00 p.m. (ET)
Place:    Online details will be shared with registrants 24 hours in
advance of the event.

Register Here

 

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