Demographic Variations in Patient Populations and Regional Distributions Between Male and Female Ophthalmologists in the United States: Cross-Sectional Analysis

Semin Ophthalmol. 2021 Nov 17;36(8):633-640. doi: 10.1080/08820538.2021.1891264. Epub 2021 Feb 22.

Abstract

Purpose: To determine if patient demographics differ by ophthalmologist gender.Methods: Demographic data on U.S. ophthalmologists were collected from the 2017 Medicare Physician and Other Supplier National Provider Identifier Aggregate Report.Results: Of the 17,230 ophthalmologists included, female ophthalmologists (23.7%) provided care for a smaller proportion of White patients (77.4% ± 24.9% female, 81.0% ± 22.1% male; p < .001), had younger beneficiaries (73.8 ± 3.2 years old females, 74.8 ± 2.9 years old males; p < .001) and had a higher proportion of female beneficiaries per provider (61.1% ± 4.6% females, 59.6% ± 4.0% males; p < .001). Average age of beneficiaries and number of beneficiaries were correlated with years since medical school (rho = 0.283, rho = 0.148; both p < .001). The number of Medicare beneficiaries, proportion of female beneficiaries, years since medical school and group practice size were independently associated with physician gender (p < .001).Conclusion: Female ophthalmologists saw a larger proportion of ethnically diverse, younger, female patients.

Keywords: Medicare; gender disparities; geography; practice size; racial disparities.

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Demography
  • Female
  • Humans
  • Male
  • Medicare
  • Ophthalmologists*
  • Practice Patterns, Physicians'
  • United States / epidemiology