With the increasing participation of women in the physician workforce, it is important to understand the sources of differences between male and female physicians' market labour supply for developing effective human resource policies in the health care sector. Gendered associations between family status and physician labour supply are explored in the Canadian labour market, where physicians are paid according to a common fee schedule and have substantial discretion in setting their hours of work. Canadian 1991, 1996, 2001 and 2006 twenty percent census files with 22,407 physician observations are used for the analysis. Although both male and female physicians have statistically indistinguishable hours of market work when never married and without children, married male physicians have higher market hours, and their hours are unchanged or increased with parenthood. In contrast, female physicians have lower market hours when married, and much lower hours when a parent. Little change over time in these patterns is observed for males, but for females two offsetting trends are observed: the magnitude of the marriage-hours effect declined, whereas that for motherhood increased. Preferences and/or social norms induce substantially different labour market outcomes. In terms of work at home, the presence of children is associated with higher hours for male physicians, but for females the hours increase is at least twice as large. A male physician's spouse is much less likely to be employed, and if employed, has lower market hours in the presence of children. In contrast, a female physician's spouse is more likely to be employed if there are three or more children. Both male and female physicians have lower hours of work when married to another physician. Overall, there is no gender difference in physician market labour supply after controlling for family status and demographics.

译文

随着女性越来越多地参与医师队伍,了解男性和女性医师市场劳动力供应差异的根源对于在医疗保健部门制定有效的人力资源政策非常重要。在加拿大的劳动力市场中,探索了家庭状况和医师劳动力供应之间的性别关联,在该市场中,医师根据共同的费用表获得报酬,并在确定工作时间方面拥有充分的酌处权。加拿大1991年,1996年,2001年和2006年的20%人口普查文件中有22407位医生的观察结果用于分析。尽管从没有结婚和没有孩子的情况下,男性和女性医生的市场工作时间在统计上是无法区分的,但已婚男性医生的市场工作时间更长,并且他们的工作时间随着父母的养育而保持不变或增加。相比之下,女性医师结婚时的市场营业时间较短,而父母一方的市场营业时间较低。在男性中,这些模式随时间的变化很小,但是在女性中,观察到了两个相互抵消的趋势:结婚时间影响的幅度减小了,而孕育时间的影响增大了。偏好和/或社会规范导致劳动力市场的结果大不相同。在家庭工作方面,男医生的工作时间较长,而女性的工作时间至少增加了两倍。男性医师的配偶受雇的可能性要小得多,如果受雇,则在有孩子的情况下其营业时间较短。相反,如果有三个或三个以上的孩子,则更有可能雇用女医生的配偶。与另一位医生结婚时,男性和女性医生的工作时间都较短。总体而言,控制家庭状况和人口统计后,医师市场劳动力供应没有性别差异。

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