2023-09-28 14:46:10 +00:00
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abstract: 'Background General practitioners (GPs) are among the most important
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resources of healthcare system and public health is considerably
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influenced by the function of this group. Income inequality among GPs
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considerably affects the motivation and performance of this group. The
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present study aims to examine the income inequality among Iranian GPs in
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order to provide the necessary evidence for health human resource
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policy. Methods In this cross-sectional study, the distribution of
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income and wage inequality among GPs was investigated using income
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quintiles. We also used the Dagum''s model to analyze the inequality
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between different groups of GPs through the decomposition of the Gini
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coefficient. Moreover, a regression model was used to determine the
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effective factors on GPs'' income. Results The results of this study
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indicated that income and wages of GPs in the highest quintile were
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eight times more than those of doctors at the lowest quintile.
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Regression estimates showed that factors such as gender, practice
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setting, and activity as the family physician (P < 0.001) were effective
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on income of GPs; and also male and self-employed GPs had significantly
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more wage (P < 0.001). Total Gini coefficient of GPs'' income and wage
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were estimated at 0.403 and 0.412, respectively. Highest monthly income
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was found in GPs with 16-20 years practice experience (\$8358) based on
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Purchasing Power Parity (PPP), male (\$8339 PPP), and self-employed GPs
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(\$8134 PPP) subgroup. However, the female (\$5389 PPP) and single
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(\$5438 PPP) GPs had the lowest income. Population share; income/wage
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share; income/wage mean; Gini coefficient; and within, between and
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overlap decomposed components of Gini coefficient are also reported for
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each GPs subgroups. Conclusions We found significant inequalities in
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income and wages among Iranian GPs. Adjustment of income based on
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working hours indicated that one of the most common causes of income
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inequality among GPs in Iran was different workloads among different
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groups. Since the motivation and function of physicians can be
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influenced by income inequality, policymakers in the health system
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should consider factors increasing such inequalities.'
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affiliation: 'Sarikhani, Y (Corresponding Author), Shiraz Univ Med Sci, Sch Management
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\& Informat Sci, Student Res Comm, Almas Bldg,Alley 29,Qasrodasht Ave, Shiraz, Iran.
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Bayati, Mohsen; Lohivash, Saeed, Shiraz Univ Med Sci, Hlth Human Resources Res Ctr,
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Sch Management \& Informat Sci, Shiraz, Iran.
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Rashidian, Arash, Univ Tehran Med Sci, Sch Publ Hlth, Dept Hlth Management \& Econ,
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Tehran, Iran.
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Rashidian, Arash, WHO, Informat Evidence \& Res, Cairo, Eastern Mediter, Egypt.
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Sarikhani, Yaser, Shiraz Univ Med Sci, Sch Management \& Informat Sci, Student Res
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Comm, Almas Bldg,Alley 29,Qasrodasht Ave, Shiraz, Iran.'
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article-number: '620'
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author: Bayati, Mohsen and Rashidian, Arash and Sarikhani, Yaser and Lohivash, Saeed
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author-email: yasersarikhani@yahoo.com
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author_list:
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- family: Bayati
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given: Mohsen
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- family: Rashidian
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given: Arash
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- family: Sarikhani
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given: Yaser
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- family: Lohivash
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given: Saeed
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da: '2023-09-28'
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doi: 10.1186/s12913-019-4473-7
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eissn: 1472-6963
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files: []
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journal: BMC HEALTH SERVICES RESEARCH
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keywords: Income gap; Income inequality; General practitioner; Remuneration
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keywords-plus: 'INFORMAL PAYMENTS; PRIMARY-CARE; HEALTH-CARE; GAP; DETERMINANTS;
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EARNINGS'
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language: English
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month: SEP 2
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number: '1'
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number-of-cited-references: '29'
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orcid-numbers: 'Sarikhani, Yaser/0000-0002-0615-9210
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Bayati, Mohsen/0000-0002-9118-5447
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Rashidian, Arash/0000-0002-4005-5183'
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papis_id: fb4ac1375d5eb98ebf57bba70be41cbf
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ref: Bayati2019incomeinequality
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researcherid-numbers: 'Bayati, Mohsen/AAV-7010-2020
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Sarikhani, Yaser/J-5324-2012
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Rashidian, Arash/E-5061-2011
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Bayati, Mohsen/R-7729-2017
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'
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times-cited: '6'
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title: 'Income inequality among general practitioners in Iran: a decomposition approach'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000483605500006
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usage-count-last-180-days: '2'
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usage-count-since-2013: '42'
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volume: '19'
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web-of-science-categories: Health Care Sciences \& Services
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year: '2019'
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