Alvaro Taype-Rondan1, J Smith Torres-Roman2, Percy Herrera-Añazco3,4, Carlos Alva Diaz5,6, Ana Brañez-Condorena7, Miguel G Moscoso-Porras7. 1. CRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia. Lima, Perú. 2. Facultad de Medicina, Universidad Nacional San Luis Gonzaga. Ica, Perú. 3. Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. 4. Hospital Nacional Dos de Mayo. Lima, Perú. 5. Unidad de Posgrado, Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú. 6. Red de Eficacia Clínica y Sanitaria (REDECS), Lima, Perú. 7. Asociación para el Desarrollo de la Investigación Estudiantil en Ciencias de la Salud - ADIECS. Lima, Perú.
Abstract
OBJECTIVES: To evaluate the relationship between having a medical specialty and the monthly income of Peruvian doctors, and to compare the economic incomes among areas with higher and lower density of medical doctors in Peru. MATERIALS AND METHODS: : We analyzed data of the National Satisfaction Survey of Health Users (in Spanish: ENSUSALUD) carried out in Peru in the year 2015. This survey, with a national level of inference, was performed on physicians working at health facilities in Peru. Monthly income was measured considering all paid activities of the physician. Crude and adjusted prevalence ratios (PR and aPR) and their 95% confidence intervals (95% CI) were calculated through Poisson regression models with robust variance, taking into account the complex sampling of the survey. RESULTS: Out of 2 219 Physicians surveyed, 2 154 (97.0%) observations were analyzed. The probability of earning > S/5 000 (1 572.3 USD) per month was 29.1% for general practitioners; 65.6% for specialists; 63.0% for clinical specialists; 70.5% for surgeons, and 55.7% for other specialties. Compared to general practitioners, physicians with clinical, surgical, and other specialties were more likely to earn > S/5 000 per month (aPR = 1.44, 1.49, and 1.26, respectively). The probability of earning > S/5 000 was higher in those working in departments with low medical density. CONCLUSIONS: Monthly incomes were higher for specialist physicians than for non-specialists. Economic incomes were higher in departments with lower density of physicians, which may encourage physicians to work in these departments.
OBJECTIVES: To evaluate the relationship between having a medical specialty and the monthly income of Peruvian doctors, and to compare the economic incomes among areas with higher and lower density of medical doctors in Peru. MATERIALS AND METHODS: : We analyzed data of the National Satisfaction Survey of Health Users (in Spanish: ENSUSALUD) carried out in Peru in the year 2015. This survey, with a national level of inference, was performed on physicians working at health facilities in Peru. Monthly income was measured considering all paid activities of the physician. Crude and adjusted prevalence ratios (PR and aPR) and their 95% confidence intervals (95% CI) were calculated through Poisson regression models with robust variance, taking into account the complex sampling of the survey. RESULTS: Out of 2 219 Physicians surveyed, 2 154 (97.0%) observations were analyzed. The probability of earning > S/5 000 (1 572.3 USD) per month was 29.1% for general practitioners; 65.6% for specialists; 63.0% for clinical specialists; 70.5% for surgeons, and 55.7% for other specialties. Compared to general practitioners, physicians with clinical, surgical, and other specialties were more likely to earn > S/5 000 per month (aPR = 1.44, 1.49, and 1.26, respectively). The probability of earning > S/5 000 was higher in those working in departments with low medical density. CONCLUSIONS: Monthly incomes were higher for specialist physicians than for non-specialists. Economic incomes were higher in departments with lower density of physicians, which may encourage physicians to work in these departments.
Authors: Andrea Anampa-Guzmán; Andrea Denise Brito-Hijar; Cristian Antonio Gutierrez-Narvaez; Anthony Raul Molina-Ruiz; Victor Simo-Mendoza; Miguel González-Woge; Andrea de la O Murillo; Roberto Leon-Ferre Journal: JCO Glob Oncol Date: 2020-09