The nation's physician workforce options for balancing supply and requirements
| Autor principal: | |
|---|---|
| Autor Corporativo: | |
| Otros Autores: | , , |
| Formato: | Libro electrónico |
| Idioma: | Inglés |
| Publicado: |
Washington, D.C. :
National Academy Press
1996.
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| Edición: | 1st ed |
| Materias: | |
| Ver en Biblioteca Universitat Ramon Llull: | https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009820305406719 |
Tabla de Contenidos:
- The Nation's Physician Workforce: Options for Balancing Supply and Requirements
- Copyright
- Preface
- Acknowledgments
- Contents
- The Nation's Physician Workforce: Options for Balancing Supply and Requirements
- Summary
- U.S. PHYSICIAN SUPPLY AND REQUIREMENTS
- RELATIONSHIP OF PHYSICIAN SUPPLY TO KEY ELEMENTS OF THE HEALTH CARE SYSTEM
- STRATEGIES FOR ADDRESSING PHYSICIAN SUPPLY ISSUES
- Producing Physicians from U.S. Medical Schools
- Revamping Graduate Medical Training
- Controlling IMG Numbers through GME
- Replacement Funding for IMG-Dependent Hospitals
- Data Collection and Information Dissemination
- CONCLUDING STATEMENT
- 1 Introduction
- THE PHYSICIAN WORKFORCE
- THE MATCH-OR MISMATCH-BETWEEN SUPPLY AND REQUIREMENTS
- ORIGINS AND ORGANIZATION OF THE STUDY
- Charge to the Committee and Project Activities
- Related Issues
- Principles Underlying Committee Conclusions and Recommendations
- ORGANIZATION OF THIS REPORT
- 2 U.S. Physician Supply and Requirements: Match or Mismatch?
- PHYSICIAN WORKFORCE ISSUES SINCE WORLD WAR II
- General Issues
- Pre-1980s Era
- Current Status
- Physician Workforce Trends
- Overall Trends in Supply
- Trends in Graduate Medical Education
- METHODS OF ESTIMATING PHYSICIAN SUPPLY, PRODUCTIVITY, AND REQUIREMENTS
- Physician Supply
- Physician Productivity
- Physician Requirements
- THE FUTURE REQUIREMENT FOR PHYSICIANS
- Factors That Could Increase Requirements
- Factors That Could Decrease Requirements
- Managed Care
- Use of Nonphysician Personnel
- INTERNATIONAL COMPARISONS
- MATCH OR MISMATCH?
- Conclusions of Physician Workforce Studies
- Evidence from the Marketplace
- Physician Incomes
- Other Evidence
- CONCLUSION
- NOTES
- APPENDIX
- A Brief Note on Managed Care
- 3 Relationship of Physician Supply to Key Elements of the Health Care System.
- HEALTH CARE EXPENDITURES
- Competition
- Physician Incomes
- Health Care Costs
- ACCESS TO CARE
- Geographic Distribution
- Specialty Distribution
- Summary Comment About Access to Care
- QUALITY OF CARE
- High Numbers of Physicians Overall
- General Effects
- Volume and Quality
- Provider and Consumer Satisfaction
- Specialist-Generalist Issues
- Education and Training
- Issues Relating to IMGs
- Costs, Quality, and Physician Supply
- Summary Comment
- OTHER ISSUES IN PRODUCTION AND UTILIZATION OF THE PHYSICIAN WORKFORCE
- Human Resources Considerations
- Opportunities for Medical Careers
- U.S. Policy and the World Output of Physicians
- Future of Academic Health Centers
- General Issues
- The Service-Training Link and IMG-Dependent Institutions
- CONCLUSION
- NOTES
- 4 Strategies for Addressing Physician Supply Issues
- DO NOTHING: THE FREE OR UNREGULATED MARKET APPROACH
- INSTITUTE CENTRAL FEDERAL REGULATION
- General Approaches to Planning and Managing Physician Supply
- Committee Views
- A CONSTRAINED MARKET APPROACH
- Antitrust Considerations
- Production of Physicians from U.S. Medical Schools
- Revamp Graduate Medical Training
- Reduce GME Positions Without Changing GME Funding
- Reduce First-Year Residency Positions and Change The Approach to GME Funding
- Disconnect Funding of Service Delivery From Physician Training
- Specific Controls on Immigration
- Central Government Regulation
- Controlling IMG Numbers Through GME
- Replacement Funding for IMG-Dependent Hospitals
- Data Collection and Information Dissemination
- CONCLUDING STATEMENT
- NOTES
- References
- APPENDIX Biographies of Committee Members.
