Trends in Gender Representation and Impact of Practice Setting on Productivity and Reimbursement Gap for Female Mohs Micrographic Surgery Physicians: A Cross-sectional Study.

Autor:	Sakunchotpanit G; Department of Dermatology, Tufts University School of Medicine, Boston, Massachusetts., Trepanowski N; Boston University School of Medicine, Boston, Massachusetts., Awerman JL; Department of Dermatology, Tufts University School of Medicine, Boston, Massachusetts., Benlagha I; Department of Dermatology, Tufts University School of Medicine, Boston, Massachusetts., Nguyen B; Department of Dermatology, Tufts University School of Medicine, Boston, Massachusetts.
Jazyk:	angličtina
Zdroj:	Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] [Dermatol Surg] 2024 Dec 01; Vol. 50 (12S), pp. S207-S211. Date of Electronic Publication: 2024 Oct 16.
DOI:	10.1097/DSS.0000000000004457
Abstrakt:	Background: Mohs micrographic surgery (MMS) is a male-predominant dermatologic subspecialty. The impact of practice setting and gender composition on the productivity and reimbursement of female MMS surgeons has not been thoroughly examined. Objective: To determine changes in female representation, productivity, and Medicare reimbursement across practice types. Materials and Methods: Retrospective cross-sectional analysis of Centers for Medicare and Medicaid Services database for Medicare Part B claims during pre-COVID-19 (2013-2019) and post-COVID-19 (2019-2022) pandemic. Results: From 2013 to 2019, the number of MMS surgeons billing Medicare increased by 22% from 2,135 to 2,605, with proportion of female physicians increased by only 4% (28% to 32%, p = .012). In 2019, female MMS surgeons performed fewer total cases and earned less payments than male counterparts across all practice settings. Productivity and reimbursement gaps, as compared to national median values for male MMS surgeons, were highest for female MMS surgeons working in mixed-gender practices (39% and 39%) and lowest in single-surgeon practices (17% and 27%). All-female multisurgeon practices saw the greatest improvement in both productivity and reimbursement gaps (55% to 25% and 47% to 29%, respectively). From 2019 to 2022, case volume decreased across all practice types, reflecting a significant COVID-19 impact on MMS services. Conclusion: Proportion of female MMS surgeons nationwide increased very slightly between 2013 and 2022. However, productivity and reimbursement gaps remained significant and varied across practice settings. (Copyright © 2024 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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