DOCTORS, DOLLARS, AND DETERMINATION - MAKING PHYSICIAN WORK-FORCE POLICY

被引:53
|
作者
MULLAN, F [1 ]
RIVO, ML [1 ]
POLITZER, RM [1 ]
机构
[1] US DEPT HHS,HLTH RESOURCES & SERV ADM,BUR HLTH PROFESS,WASHINGTON,DC 20201
来源
HEALTH AFFAIRS | 1993年 / 12卷
关键词
D O I
10.1377/hlthaff.12.suppl_1.138
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Because managed care is likely to feature prominently in a reformed health care system, policymakers need to examine the impact managed care will have on medical practice, physician supply, and access to primary care providers. Goals for work-force reform should focus on five areas: (1) training physicians in the generalist disciplines of family practice, general internal medicine, and general pediatrics; (2) shaping the physician work force to reflect the nation's ethnic diversity; (3) distributing physicians in a geographically equitable way; (4) maintaining the current physician-to-population ratio rather than letting it continue to grow; and (5) establishing supply needs for nurse practitioners, primary care physician assistants, and certified nurse midwives.
引用
收藏
页码:138 / 151
页数:14
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