JRSM > Volume 101, Number 1 > Pp. 27-33

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Gender and variation in activity rates of hospital consultants

Karen Bloor¹ Nick Freemantle²   Alan Maynard¹

¹ Department of Health Sciences, University of York, UK,
² Health Care Evaluation Group, University of Birmingham, UK,

Correspondence to: Karen Bloor. E-mail: keb3{at}york.ac.uk

Objective To explore whether or not gender predicts consultant activity rates.

Design Using data from the Hospital Episode Statistics for England 2004/2005, we explored inpatient activity rates of male and female hospital consultants, with and without adjustment for case-mix differences. As a sensitivity analysis we also explored outpatient attendances for male and female hospital consultants.

Setting Data from the Hospital Episode Statistics for England.

Main outcome measures Finished consultant episodes per year, with and without adjustment for case-mix differences, age and gender of consultant, contract held, hospital trust, specialty of practice, and clinical excellence awards, discretionary points and distinction awards.

Results Including only consultants on full-time or maximum part-time contracts, men have significantly higher activity rates than women, after accounting for age, specialty and hospital trust.

Conclusions The reasons for the different activity rates of male and female consultatns are unclear, but the implications of these results for the planning of the medical workforce are important.

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