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Record W4406991675 · doi:10.3390/healthcare13030273

Intersectionality of the Gender Wage Gap Among Healthcare Professionals: A Scoping Review

2025· review· en· W4406991675 on OpenAlexafffund
Neeru Gupta

Bibliographic record

VenueHealthcare · 2025
Typereview
Languageen
FieldSocial Sciences
TopicDiversity and Career in Medicine
Canadian institutionsUniversity of New Brunswick
FundersSocial Sciences and Humanities Research CouncilSocial Sciences and Humanities Research Council of Canada
KeywordsCINAHLEarningsSexual orientationEthnic groupWorkforceIntersectionalityHealth careOperationalizationPsycINFOHealth equityDemographic economicsPolitical sciencePsychologyMEDLINEGender studiesSociologyBusinessSocial psychologyAccountingEconomics

Abstract

fetched live from OpenAlex

Background: A growing body of research has documented persistent wage gaps between women and men in the healthcare workforce, a pattern widely observed across cadres and countries. Less well known is whether various intersecting characteristics often associated with social discrimination may exacerbate or attenuate gendered disparities. This review scopes contemporary research from diverse settings focusing on how race, ethnicity, and sexual and gender minority status may intersect in shaping earnings differentials among healthcare practitioners to help inform policy and management decisions. Methods: Studies quantifying the intersecting axes of gender and other postulated social drivers of differed practitioner earnings were identified by systematically searching five bibliographic databases (Embase, CINAHL, EconLit, SocIndex, and PsychInfo) and scanning the reference lists of review articles and other forms of the global health literature. A total of 2123 reports were retrieved; after screening, 21 articles were retained for narrative synthesis. Results: The studies covered data from four countries (Brazil, Norway, the United Kingdom, and the United States). Physicians were researched most often (43% of the synthesized articles) followed by nurses (38%). No uniform patterns were found in gendered earnings variations stratified by race, ethnicity, and/or ancestry; however, wide variations were seen in the way the relationships were operationalized across studies and contexts. One investigation included sexual orientation as a factor in earnings gaps, but presented results combined with other personal characteristics. None of the studies examined wage data by gender minority status. Conclusions: This review highlighted notable limitations in the available research in relation to disaggregated measures of ethnocultural heterogeneity, robust methodologies and transparent reporting, and the underlying health workforce information systems for incorporating more diversity elements and enhancing cross-national comparability in assessments of structural wage gaps among healthcare practitioners.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.307
Threshold uncertainty score0.998

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.248
GPT teacher head0.514
Teacher spread0.265 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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