Explaining the gender gap in waiting times for scheduled surgery in the portuguese national health service
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2504-31452021000100003 |
Resumo: | Abstract Objective: This paper evaluates the gender gap in waiting times for scheduled surgery, using information on 2.6 million surgical episodes in Portuguese National Health Service hospitals covering the period from 2011 to 2015. Methodology: We estimated the gross gender gap, i.e., the differential between the waiting times of men and women, and then add several explanatory variables that can account for this difference to estimate an adjusted gender gap. The variables are added in a way that permits the most flexible parametric specification. Next, we used Gelbach’s decomposition to understand the contribution of each variable to the difference between the gross and the adjusted gender gaps. Results: The gross gender gap of 10% is reduced to a 3% adjusted gender gap after accounting for observable explanatory factors. Gelbach’s decomposition shows that patient priority and hospital-fixed effects are the variables that contribute the most to the explained component of the gap. The analysis suggests that men tend to be ranked with more severe priorities, and that there are hospital specificities that cause men to have shorter waiting times. Conclusions: Overall, we identified a gender bias against women in surgery waiting times, but the size of the bias is smaller than was previously suggested in the literature. |
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Explaining the gender gap in waiting times for scheduled surgery in the portuguese national health serviceWaiting timesScheduled surgeryGender gapGelbach’s decompositionPortugalAbstract Objective: This paper evaluates the gender gap in waiting times for scheduled surgery, using information on 2.6 million surgical episodes in Portuguese National Health Service hospitals covering the period from 2011 to 2015. Methodology: We estimated the gross gender gap, i.e., the differential between the waiting times of men and women, and then add several explanatory variables that can account for this difference to estimate an adjusted gender gap. The variables are added in a way that permits the most flexible parametric specification. Next, we used Gelbach’s decomposition to understand the contribution of each variable to the difference between the gross and the adjusted gender gaps. Results: The gross gender gap of 10% is reduced to a 3% adjusted gender gap after accounting for observable explanatory factors. Gelbach’s decomposition shows that patient priority and hospital-fixed effects are the variables that contribute the most to the explained component of the gap. The analysis suggests that men tend to be ranked with more severe priorities, and that there are hospital specificities that cause men to have shorter waiting times. Conclusions: Overall, we identified a gender bias against women in surgery waiting times, but the size of the bias is smaller than was previously suggested in the literature.Escola Nacional de Saúde Pública2021-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2504-31452021000100003Portuguese Journal of Public Health v.39 n.1 2021reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2504-31452021000100003Cima,JoanaGuimarães,PauloAlmeida,Álvaroinfo:eu-repo/semantics/openAccess2024-02-06T17:34:33Zoai:scielo:S2504-31452021000100003Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:36:28.484050Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Explaining the gender gap in waiting times for scheduled surgery in the portuguese national health service |
title |
Explaining the gender gap in waiting times for scheduled surgery in the portuguese national health service |
spellingShingle |
Explaining the gender gap in waiting times for scheduled surgery in the portuguese national health service Cima,Joana Waiting times Scheduled surgery Gender gap Gelbach’s decomposition Portugal |
title_short |
Explaining the gender gap in waiting times for scheduled surgery in the portuguese national health service |
title_full |
Explaining the gender gap in waiting times for scheduled surgery in the portuguese national health service |
title_fullStr |
Explaining the gender gap in waiting times for scheduled surgery in the portuguese national health service |
title_full_unstemmed |
Explaining the gender gap in waiting times for scheduled surgery in the portuguese national health service |
title_sort |
Explaining the gender gap in waiting times for scheduled surgery in the portuguese national health service |
author |
Cima,Joana |
author_facet |
Cima,Joana Guimarães,Paulo Almeida,Álvaro |
author_role |
author |
author2 |
Guimarães,Paulo Almeida,Álvaro |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Cima,Joana Guimarães,Paulo Almeida,Álvaro |
dc.subject.por.fl_str_mv |
Waiting times Scheduled surgery Gender gap Gelbach’s decomposition Portugal |
topic |
Waiting times Scheduled surgery Gender gap Gelbach’s decomposition Portugal |
description |
Abstract Objective: This paper evaluates the gender gap in waiting times for scheduled surgery, using information on 2.6 million surgical episodes in Portuguese National Health Service hospitals covering the period from 2011 to 2015. Methodology: We estimated the gross gender gap, i.e., the differential between the waiting times of men and women, and then add several explanatory variables that can account for this difference to estimate an adjusted gender gap. The variables are added in a way that permits the most flexible parametric specification. Next, we used Gelbach’s decomposition to understand the contribution of each variable to the difference between the gross and the adjusted gender gaps. Results: The gross gender gap of 10% is reduced to a 3% adjusted gender gap after accounting for observable explanatory factors. Gelbach’s decomposition shows that patient priority and hospital-fixed effects are the variables that contribute the most to the explained component of the gap. The analysis suggests that men tend to be ranked with more severe priorities, and that there are hospital specificities that cause men to have shorter waiting times. Conclusions: Overall, we identified a gender bias against women in surgery waiting times, but the size of the bias is smaller than was previously suggested in the literature. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-04-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2504-31452021000100003 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2504-31452021000100003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2504-31452021000100003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública |
dc.source.none.fl_str_mv |
Portuguese Journal of Public Health v.39 n.1 2021 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
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1799137416113553408 |