Market Structure and Gender Disparity in Health Care: Preferences, Competition, and Quality of Care

Posted: 29 Aug 2010 Last revised: 29 Jun 2015

See all articles by James W. Roberts

James W. Roberts

Duke University

Ryan C. McDevitt

Fuqua Graduate School of Business - Duke University; Duke Innovation & Entrepreneurship Initiative

Date Written: April 1, 2013

Abstract

This paper considers the relationship between market structure and health outcomes in a setting where patients have stark preferences: urology patients disproportionately match with a urologist of the same gender. In the United States, however, fewer than 6% of urologists are women despite women constituting 30% of patients. We explain a portion of this disparity with a model of imperfect competition in which urology groups strategically differentiate themselves by employing female urologists. These strategic effects may influence women's health, as markets without a female urologist have a 7.3% higher death rate for female bladder cancer, all else equal.

Keywords: Health Economics, Gender Discrimination, Structural Market Entry and Product Choice Models

Suggested Citation

Roberts, James W. and McDevitt, Ryan C., Market Structure and Gender Disparity in Health Care: Preferences, Competition, and Quality of Care (April 1, 2013). Available at SSRN: https://ssrn.com/abstract=1667552 or http://dx.doi.org/10.2139/ssrn.1667552

James W. Roberts

Duke University ( email )

100 Fuqua Drive
Durham, NC 27708-0204
United States

Ryan C. McDevitt (Contact Author)

Fuqua Graduate School of Business - Duke University ( email )

100 Fuqua Dr
Durham, NC 27708
United States

HOME PAGE: http://www.ryanmcdevitt.com

Duke Innovation & Entrepreneurship Initiative ( email )

215 Morris St., Suite 300
Durham, NC 27701
United States

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