Market structure and gender disparity in health care: Preferences, competition, and quality of care

Journal Article (Journal Article)

We consider 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. © 2014, RAND.

Full Text

Duke Authors

Cited Authors

  • Mcdevitt, RC; Roberts, JW

Published Date

  • March 1, 2014

Published In

Volume / Issue

  • 45 / 1

Start / End Page

  • 116 - 139

Electronic International Standard Serial Number (EISSN)

  • 1756-2171

International Standard Serial Number (ISSN)

  • 0741-6261

Digital Object Identifier (DOI)

  • 10.1111/1756-2171.12044

Citation Source

  • Scopus