Abstract
BACKGROUND: Perceived salary satisfaction of physicians is crucial because it affects work enthusiasm and team stability. However, research on whether perceived salary satisfaction and its determinants differ by gender is limited. This study aimed to fill this gap and promote equity in health policy in the medical field. METHODS: We conducted a cross-sectional survey in six hospitals in China from April to May 2024 to collect data on sociodemographic information, perceived salary distribution scheme transparency, and perceived salary satisfaction. Ultimately, 343 valid questionnaires were included in the final analysis. A factor analysis was conducted to determine the common factors of perceived salary transparency and salary satisfaction, whereas generalized linear regression was used to analyse the determinants of perceived salary satisfaction by gender. RESULTS: No differences in perceived salary satisfaction were identified between male and female physicians. Perceived salary distribution scheme transparency is associated with perceived salary satisfaction in both groups. Higher salary levels contributed to higher perceived salary satisfaction for male physicians, whereas fewer weekly working hours and higher academic rank led to higher perceived salary satisfaction for their female peers. CONCLUSIONS: The determinants of perceived salary satisfaction for male and female physicians were inconsistent. The identified similarities and differences in perceived salary satisfaction determinants across genders will enable health organizations to facilitate a transparent salary distribution scheme and equitable promotion regardless of gender and promote flexible working hours for female physicians.