研究发现女医生工作更努力，收入更少

Why does the gender wage gap still exist?

为什么性别工资差距仍然存在?

Female doctors get paid less than male doctors, but a new study disputes the common wisdom that it's because they work less.

女医生的收入比男医生低，但一项新的研究反驳了这是因为女医生工作较少的普遍看法。

In fact, female doctors spend more time with patients, order more tests and spend more time discussing preventive care than their male counterparts, a team of researchers reported in the New England Journal of Medicine.

事实上，一组研究人员在《新英格兰医学杂志》上报道说，事实上，女医生比男医生花更多的时间陪病人，安排更多的检查，花更多的时间讨论预防性护理。

"That raises the question of whether we are paying for what we really care about in health care," said Dr. Ishani Ganguli, an internal medicine specialist at Harvard Medical School and Brigham and Women's Hospital, who led the study team.

“这就提出了一个问题:我们是否在为我们真正关心的医疗保健买单，”哈佛医学院和布里格姆妇女医院的内科专家、该研究团队的负责人伊沙尼·冈古力博士说。

Ganguli and colleagues looked at billing and time data covering more than 24 million visits to primary care doctors in the US in 2017.

冈古力和她的同事研究了2017年美国2400万次初级保健医生就诊的账单和时间数据。

"We calculated that women were paid 87 cents to the dollar for every hour worked compared to their male colleagues," Ganguli told CNN.

冈古力在接受CNN采访时表示:“我们计算出，与男医生同事相比，女医生每小时的工资为87美分。”

Female doctors spent an average of two minutes more per visit than men did. It doesn't sound like much, but it adds up over time, Ganguli said. And they are not spending that time chit-chatting.

女医生每次就诊的时间比男医生平均多两分钟。冈古力说，这听起来并不多，但随着时间的推移，会累积起来。她们不会把时间花在闲聊上。

"When you compare by visit, women actually did more during the visit," said Ganguli, herself a primary care provider. "They put in more medical orders, they discussed more medical diagnoses and preventive care. They are spending more time per visit."

冈古力自己也是一名初级保健服务提供者，她说:“当你按就诊情况进行比较时，女医生实际上在就诊期间做的事情更多。”“她们提出了更多的医疗指令，她们讨论了更多的医疗诊断和预防护理。她们每次就诊都要花更多的时间。”

Ganguli and her team did not sit in on visits, so they cannot say precisely what is going on. "We are using clues from billing information about what orders are put in, like for blood tests, or what diagnosis was talked about," she said.

冈古力和她的团队没有旁听，所以她们不能确切地说出发生了什么。她说:“我们正在利用账单信息中的线索来了解(医生)提出了什么指令，比如验血，或者讨论的诊断内容。”

But other studies have indicated that patients and doctors alike prefer to spend more time in visits, and that patients do better, healthwise, when physicians spend more time with them.

但其他研究表明，在就诊时病人和医生都更愿意花更多的时间，如果医生花更多的时间和病人在一起，病人的健康状况会更好。

"Per visit, after adjustment for primary care provider, patient and visit characteristics, female primary care providers generated equal revenue but spent 15.7% more time with a patient," the team wrote.

研究小组写道:“每次就诊，在调整了初级保健提供者、患者和就诊者的特点后，女性初级保健提供者得到了相同的收入，但花在患者身上的时间多了15.7%。”

"We know that all primary care doctors are strapped for time and that doctors and patients all want more time in visits," Ganguli said.

“我们知道，所有的初级保健医生的时间都很紧张，而医生和病人都希望有更多的时间来就诊，” 冈古力说。

"So it seems that female doctors are spending that time, but at a cost. Female doctors are responding to pressure from society to be kind and to pay attention and talk to patients. And male doctors are responding to pressure from society to churn through visits so they can make more money from those visits."

“所以女医生似乎花费了这些时间，但也有代价。女医生们正对来自社会的压力做出回应，这些压力要求她们善待病人，关注病人，与病人交谈。来自社会的压力促使男医生减少就诊次数，这样他们就能从就诊中赚更多钱。”