Abstract

To explore self-reported gender, race, and immigration discrimination in Health Economics, Outcomes Research, and Market Access (HEORMA) professions. A descriptive, cross-sectional web-based survey was fielded in June 2017 to individuals employed directly in HEORMA, recruited from the HealthEconomics.Com global subscriber database of 24,356 plus social media. Workplace perceptions, personal experience, or observation of female gender discrimination (FGD), racial/ethnic discrimination (RED), and visa/immigration discrimination (VID) were evaluated, including perceived reasons for discrimination as part of the 2017 Global Salary Survey. A total of 456 questionnaires were usable, and 352 specifically responded to some or all discrimination questions. A minority (47%) believed women are paid equivalently to men while 53% believed women have the same job promotion opportunity in HEORMA. FGD was reported by 34% (n=118/352) respondents. Of those reporting FGD, 47% (n=56) personally experienced FGD, 32% (n=38) observed someone else experiencing FGD, and 34% (n=40) knew someone who had experienced FGD. Being paid less (25%), not promoted (13%), and not getting an equal opportunity to demonstrate potential (10%) were the top 3 reasons cited for FGD. RED was reported by 19% (n=66/349) of total respondents. Of those, 48% (n=32) personally experienced, 30% (n=20) observed someone else experiencing, and 30% (n=20) knew someone experiencing RED, most commonly displayed in lack of promotion. VID (personally or observed) was reported by 99 of 345 respondents. Of those, personally failing to get hired occurred in 28% (n=28), while 38% (n=38) personally observed someone who was not hired, and 33% (n=33) knew (but did not directly observe) someone who was not hired because of foreign work status. :This study provides much needed information on different types of discrimination observed or experienced among HEORMA professionals. Because data are self-reported, additional research should be conducted to validate findings and address workplace issues.

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