Thursday, September 18, 2014
YOLO COUNTY NEWS
99 CENTS

UCD study finds medical wage discrepancies

By
November 3, 2010 |

Special to the Enterprise

\n

SACRAMENTO — A national study of physician wages conducted by UC Davis Health System has found that specialists are paid as much as 52 percent more than primary-care doctors, even though primary-care doctors see far more patients.

\n

As efforts to implement health care reform evolve, the study is important because it quantifies wage disparities and explores the need for wage reform to help assure a strong primary-care workforce.

\n

“Addressing the generalist-specialist income gap is critical to increasing access to cost-effective preventive care,” said J. Paul Leigh, a professor in the UCD Center for Healthcare Policy and Research and lead author of the study, published in the Oct. 25 issue of the Archives of Internal Medicine.

\n

“There is a huge shortage of primary-care physicians, and in years to come many more of them will be needed to meet health care reform goals.”

\n

The wage differences add up to millions of dollars over a lifetime, according to senior author Richard Kravitz, a professor of internal medicine and investigator with the Center for Healthcare Policy and Research. The result, he said, is a critical shortfall in the number of U.S. medical students entering generalist careers, in part because of the realization that peers in specialties such as radiology and dermatology will be making more money for less work.

\n

“There is this sense that society simply doesnt value primary care,” he said.

\n

For the nationwide study, the investigators compared wages of more than 6,000 doctors practicing in 41 specialties in 60 communities. The data came from the 2004 to 2005 Community Tracking Study, a periodic evaluation of physician demographic, geographic and market trends.

\n

Unlike previous studies analyzing income disparities, the research team compared hourly wages, factoring in the hours per day physicians reported working and excluding vacation time. The 2005 hourly wages for four broad specialty categories were as follows:

\n

* Primary care, including pediatrics, geriatrics, family practice and internal medicine: $60.48 per hour.

\n

* Internal medicine and pediatric subspecialties, including allergy and immunology, gastrointestinal, cardiovascular, rheumatology, pulmonary, critical care, medical oncology and neonatal: $84.85 per hour.

\n

* Other medical specialties, including radiation oncology, physical medicine and rehabilitation, emergency medicine, psychiatry, neurology, ophthalmology and dermatology: $88.08 per hour.

\n

* Surgery, including neurological, plastic, ortho-paedic and obstetrics/gynecologic: $92.10 per hour.

\n

The specialists with the highest wages were neurological surgeons, radiation and medical oncologists, dermatologists, orthopaedic surgeons and ophthalmologists. In general, physicians who earned the most money either performed surgery, deployed sophisticated technologies or administered expensive drugs in office settings.

\n

Lower-paid specialties primarily relied on talking with and examining patients.

\n

An over-reliance on highly specialized medicine results in skyrocketing costs as well as poorer overall health, as prevention and primary medical care are de-emphasized, according to Kravitz.

\n

The solution, he said, lies in reducing the wage disparities and redesigning the payment structure for care.

\n

— UC Davis Health System

\n

Comments

comments

.

News

Grace Garden: Five years of feeding the needy

By Special to The Enterprise | From Page: A1

 
 
Per Capita Davis: What to think

By John Mott-Smith | From Page: A3

International Festival moves to park for fourth year

By Special to The Enterprise | From Page: A3

 
Essay contest underway

By Special to The Enterprise | From Page: A4

Sudwerk Wet Hop Lager plants seeds for area hops rebirth

By Wendy Weitzel | From Page: A4 | Gallery

 
Speakers plumb issues around the Constitution

By Enterprise staff | From Page: A4

RepowerYolo hosts solar seminar

By Enterprise staff | From Page: A5

 
Local Girl Scouts are looking for a few good leaders

By Anne Ternus-Bellamy | From Page: A5

Reneau, Silberstein will read their poetry Thursday

By Enterprise staff | From Page: A5 | Gallery

 
Parents host campaign coffees for Archer

By Enterprise staff | From Page: A5

Nominate deserving volunteers for top citizen honors

By Enterprise staff | From Page: A5

 
Governor signs bill to support state’s ailing bee population

By Special to The Enterprise | From Page: A5

Backyard poultry symposium Sunday at UCD

By Tanya Perez | From Page: A5

 
Forum will answer questions about new license law

By Enterprise staff | From Page: A5

Australian pop band Dick Diver plays Third Space

By Enterprise staff | From Page: A5

 
PG&E, Dixon company unveil truck that can restore power

By Enterprise staff | From Page: A7 | Gallery

$12M earmarked for UCD life sciences center in Chile

By Karen Nikos-Rose | From Page: A7

 
.

Forum

.

Sports

Davis captures final nonleague volleyball outing

By Enterprise staff | From Page: B1 | Gallery

 
DHS golfers blow past St. Francis

By Enterprise staff | From Page: B1 | Gallery

Devils blow out Marauders at Brown Stadium

By Evan Ream | From Page: B1 | Gallery

 
DHS girls pound Mustangs in the pool

By Enterprise staff | From Page: B1

Youth softball: Hurricanes win one of two slugfests with Woodland

By Enterprise staff | From Page: B2 | Gallery

 
Youth roundup: These Diamonds are forever in the record books

By Enterprise staff | From Page: B2 | Gallery

Davis falls to Vintage in a JV shootout

By Spencer Ault | From Page: B3

 
Young Devil harriers carry the day

By Enterprise staff | From Page: B3

DHS girls tennis team stunned at Franklin

By Enterprise staff | From Page: B8

 
.

Features

Students get into the act with Shakespeare

By Anne Ternus-Bellamy | From Page: A8 | Gallery

 
Street-smart tips for safe cycling

By Anne Ternus-Bellamy | From Page: A8

What’s happening, Sept. 18

By Anne Ternus-Bellamy | From Page: A8

 
Eagle Scout project makes life easier for Yolo Basin volunteers

By Anne Ternus-Bellamy | From Page: A10 | Gallery

.

Arts

 
Wineaux: Back and forth in the high and low debate

By Susan Leonardi | From Page: A9

Catie Curtis brings folk-rock ‘Flying Dream’ to The Palms on Friday Sept. 19

By Special to The Enterprise | From Page: A9 | Gallery

 
.

Business

.

Obituaries

Jean Botelli

By Special to The Enterprise | From Page: A4

 
.

Comics

Comics: Thursday, September 18, 2014

By Creator | From Page: B6