The Nation's Physician Workforce: Options for Balancing Supply and Requirements / Edition 1

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Overview

Enormous changes are occurring in the organization and financing of the U.S. health care system--rapid changes that are being driven by market forces rather than by government initiatives. Although it is difficult to predict what they system will look like once it begins to stabilize, the changes will affect all components of the health care workforce, and the numbers and types of health care professionals that will be needed in the future--as well as the roles they will fill--will surely be much different than they were in the past. Despite numerous studies in the past 15 years showing that we might have more doctors than we need, the number of physicians in residency training continues to grow. At the same time, there is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is taking place at a time when, coincident with the result of failure of comprehensive health care reform, there is no coordinated and widely accepted physician workforce policy in the United States. The present study examines the following three questions: (1) Is there a physician policy in the United States? (2) If there a surplus, what is its likely impact on the cost, quality, and access to health care and on the efficient use of human resources? (3) What realistic steps can be taken to deal with a physician surplus? December
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Editorial Reviews

Booknews
A response to the alarming observation that doctors are being trained in increasing number at a time when the number needed in the US is expected to decline with the spread of managed care. The Institute of Medicine has investigated the aggregate supply of physicians in the country, without considering such issues a specialty and geographic maldistribution. The study asks whether there are or will soon be too many doctors, what impact a surplus might have on health care and the efficient use of human resources, and what steps might be taken to deal with the problem. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780309054317
  • Publisher: National Academies Press
  • Publication date: 1/19/1996
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 124
  • Product dimensions: 6.09 (w) x 9.00 (h) x 0.36 (d)

Table of Contents

Summary 1
1 Introduction 15
2 U.S. Physician Supply and Requirements: Match Or Mismatch? 23
3 Relationship of Physician Supply to Key Elements of the Health Care System 49
4 Strategies for Addressing Physician Supply Issues 75
References 97
Appendix: Biographies of Committee Members 105
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