The impact of pay on Navy physician retention in a health care reform environment
Lane, Michael N.
Melody, Brendan T.
Mehay, Stephen L.
MetadataShow full item record
Physicians are the most difficult health care professional group to retain on active duty beyond their first obligated tour. A major problem is the disparity between military and civilian physician income. In fiscal year 1997, the Department of the Navy spent approximately $135 million in specialty pay on the Navy's 4,000 active duty physicians. Health care reform has altered the demand for specialty and primary care physicians, accelerating the movement toward managed care. In this thesis, the authors quantify the role of the pay differential using a multivariate logistic model and conclude that the civilian- military pay differential has a significant influence on the probability that a physician remains in the Navy. Physician personnel and earnings data were gathered from the Defense Manpower Data Center, the American Association of Medical Colleges, and the Hay Group. Results indicate that recent shifts in demand have resulted in a greater sensitivity of retention to pay for primary care physicians. Specialty specific elasticities can be applied to analyze the expected impact of pay on retention of representative pay plans. Increases in pay to the civilian median level would substantially increase retention, but would be costly. This changing military environment in union with health care reform may be cause for the Navy to re-evaluate its physician pay structure and examine options for the amount, attached obligation, and recipients of medical special pays
Approved for public release; distribution is unlimited
Showing items related by title, author, creator and subject.
Integrating monetary and non-monetary retention incentives for the U.S. Navy Dental Corps officers utilizing the Combinatorial Retention Auction Mechanism (CRAM) Kumar, Sandeep (Monterey, California. Naval Postgraduate School, 2010-03);This research focused on the Navy Dental Corps community because of the retention challenges encountered, especially at the senior Lieutenant and Lieutenant Commander Ranks. The Dental Corps has retention goals by accession ...
Improving hospital productivity: an analysis of the contribution of administrative/clerical staff to physician productivity Nixon, Cynthia A. (Monterey, California. Naval Postgraduate School, 1993-06);During the mid 1980s, Navy medicine was under constant criticism by its users, and members of Congress. Between FY85 and FY88, the number of outpatient visits decline 21 percent within Navy Medical Treatment Facilities ...
Influences on the retention of residency-trained and non-residency trained Navy Dental Corps officers Christian, Alan B. (Monterey California. Naval Postgraduate School, 2004-06);This research project identifies key influences on the retention of Navy Dental Officers beyond their post-obligation period. Two sample groups were selected. The first sample group was selected from Dental Officers who ...