Same job, different rewards : the gender pay gap among physicians in Italy

Women have made significant progress in the medical profession, but despite this trend towards equality, the gender pay gap persists. This study investigates the determinants of earning differentials among physicians in Italy. This analysis is based on a dataset of more than 1000 doctors working in five hospitals in the Lombardy region. Data were collected through an online survey with a response rate of 48.7 per cent. Women's concentration in the lower ranks of the career ladder, their lower propensity to work as private practitioners and their lower concentration in surgical specialties contribute to the gender income gap. Having children and a spouse or a cohabiting partner entails a premium on income for men, but no penalty for women, which suggests that positive discrimination towards fathers and husbands is stronger than negative discrimination towards mothers and wives. On the other hand, the gender gap associated with marital and parental status is stronger in public hospitals than in private hospitals, at least up to the second child. Once differences in characteristics are controlled, women earn 18 per cent less than men. This penalty should be ascribed to employer's discrimination and/or unobserved characteristics. These findings challenge the human capital perspective by calling for the role of structural mechanisms in producing inequalities.