Low wages and brain drain: an alert from Peru

Mayta‐Tristán, Percy; Dulanto-Pizzorni, Andrés; Miranda, J. Jaime

doi:10.1016/s0140-6736(08)60685-6

Cited by 14 publications

(8 citation statements)

References 3 publications

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“…• In developed economies, 24 Our intuition is that the conclusion that for low values of k banning dominates if δ is high does not depend on the class of convex cost of effort functions we have considered. Considering a strictly convex quadratic disutility function is, however, much more cumbersome.…”

Section: The Health Authority's Choicementioning

confidence: 95%

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A theoretical approach to dual practice regulations in the health sector

González

Macho‐Stadler

2013

Journal of Health Economics

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Internationally, there is wide cross-country heterogeneity in government responses to dual practice in the health sector. This paper provides a uniform theoretical framework to analyze and compare some of the most common regulations. We focus on three interventions: banning dual practice, offering rewarding contracts to public physicians, and limiting dual practice (including both limits to private earnings of dual providers and limits to involvement in private activities). An ancillary objective of the paper is to investigate whether regulations that are optimal for developed countries are adequate for developing countries as well. Our results offer theoretical support for the desirability of different regulations in different economic environments.

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Section: The Health Authority's Choicementioning

confidence: 95%

“…Thus banning dual practice can emerge in developing economies as the best intervention. 24 Finally, when the attractiveness of the private sector is moderate limits are always optimal in developing countries. The reason is two-fold.…”

Section: Propositionmentioning

confidence: 99%

A theoretical approach to dual practice regulations in the health sector

González

Macho‐Stadler

2013

Journal of Health Economics

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“…Underfinanced and fragmented health-care systems cause salaries of all healthcare professionals to be closer to the minimum wage in LMICs 5 than in high-income countries. 6 Because the standards of living of health-care professionals are lower in general in LMICs, gender differences in income might have a larger impact on women in these countries.…”

Section: Gender Income Gap Among Physicians and Nurses In Peru: A Natmentioning

confidence: 99%

Gender income gap among physicians and nurses in Peru: a nationwide assessment

Rosas

Moscoso-Porras

Ormeño

et al. 2019

The Lancet Global Health

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“…Asimismo, serían menores a las expectativas salariales de S/ 8000. (2580,6 USD) que reportaron internos de medicina de una universidad de Lima en el año 2007 (20) .…”

Section: Ingreso Económico Según Densidad De Médicos Del Departamentounclassified

Ingresos económicos en médicos peruanos según especialidad: Un análisis transversal de la ENSUSALUD 2015

Taype-Rondán

Torres-Román

Herrera-Añazco

et al. 2017

Rev Peru Med Exp Salud Publica

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RESUMENObjetivos. Evaluar la asociación entre tener una especialidad médica y el ingreso económico mensual en médicos peruanos, y comparar los ingresos económicos entre áreas con mayor y menor densidad de médicos en Perú. Materiales y métodos. Se analizaron los datos de la Encuesta Nacional de Satisfacción de Usuarios de Salud realizada en Perú el año 2015. Esta encuesta con nivel de inferencia nacional fue realizada a médicos que laboran en establecimientos de salud de Perú. Se evaluó el ingreso económico considerando todas las actividades remuneradas del médico. Se calcularon las razones de prevalencia crudas y ajustadas (RP y RPa) y sus intervalos de confianza al 95% (IC95%) mediante regresiones de Poisson con varianza robusta, tomando en cuenta el muestreo complejo de la encuesta. Resultados. De 2219 médicos encuestados, se analizaron 2154 (97,0%) observaciones. La frecuencia de ganar >S/ 5000 (1572,3 USD) mensuales fue de 29,1% en médicos generales; 65,6% en especialistas; 63,0% en especialidades clínicas; 70,5% en especialidades quirúrgicas, y 55,7% en otras especialidades. En comparación a los médicos generales, los médicos con especialidades clínicas, quirúrgicas, y otras especialidades, tuvieron más probabilidades de ganar >S/ 5000 mensuales (RPa = 1,44, 1,49, y 1,26, respectivamente). La probabilidad de ganar >S/ 5000 fue mayor en quienes laboraban en departamentos con baja densidad de médicos. Conclusiones. Los ingresos económicos fueron mayores en médicos especialistas que en no especialistas. Los ingresos económicos fueron mayores en departamentos con menor densidad de médicos, lo cual puede animar a que los médicos laboren en dichos departamentos. Palabras clave: Salarios y beneficios; Recursos humanos; Emigración e inmigración (fuente: DeCS BIREME). ECONOMIC INCOME IN PERUVIAN PHYSICIANS ACCORDING TO THE SPECIALTY: A CROSS-SECTIONAL ANALYSIS OF THE ENSUSALUD 2015 ABSTRACTObjectives. 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, s...

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Low wages and brain drain: an alert from Peru

Cited by 14 publications

References 3 publications

A theoretical approach to dual practice regulations in the health sector

A theoretical approach to dual practice regulations in the health sector

Gender income gap among physicians and nurses in Peru: a nationwide assessment

Ingresos económicos en médicos peruanos según especialidad: Un análisis transversal de la ENSUSALUD 2015

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