The Nation's Physician Workforce Options for Balancing Supply and Requirements (1996) / Chapter Skim
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1 INTRODUCTION
1 INTRODUCTION
Pages 15-22
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From page 15... ...
With the collapse of efforts between 1992 and 1994 to enact comprehensive health care reform, much of this restructuring is taking place through changes in the private sector, with as-yet-unforeseen consequences. What can be anticipated is a continued debate over how many and what mix of health care personnel the nation needs and judges affordable.
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From page 16... ...
Foundation has kept steadily in view the interests of two classes, which in the over-multiplication of medical schools has been forgotten-first, the youths who are to study medicine and to become the future practitioners, and, secondly, the general public, which is to live and die under their ministrations. That is, this committee, like that of nearly a century ago, sought to be sensitive to the best interests of the nation's young people and cognizant of the public need for expert health care.
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From page 17... ...
More recently, the focus on physician supply was intensified by attempts (now ended) to enact health care reform proposals that were intended, among other things, to extend access to health care.
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From page 18... ...
. Such advocates also believe that the billions of dollars the federal government now spends to support physician residency training through payments from Medicare, Medicaid, and Title VII of the Health Professions Act are ill-directed if that funding induces an even greater physician surplus; this is especially so at a time when the Medicare and Medicaid budgets for providing health care to vulnerable populations are under severe pressure.
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From page 19... ...
Many experts take the position that the physician supply will continue to increase at a rate faster than growth of the general population-with unknown but potentially negative repercussions for individual health professionals, the health care system, and the nation as a whole unless new steps are taken by the public sector, the private sector, or both. ORIGINS AND ORGANIZATION OF THE STUDY Charge to the Committee and Project Activities Concerned about the lack of a clear locus for informed debate and decisionmaking, the IOM, through its Board on Health Care Services, decided to initiate a short but substantive review of existing data about the U.S.
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From page 20... ...
First, the nation should not tie national workforce policy or graduate medical education to the service delivery needs of selected parts of the health care system. Second, long-term physician workforce policy should be driven by aggregate requirements nationally, and meeting, those requirements should be cued more to the output of U.S.
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From page 21... ...
It explores these topics in terms of the costs of health care, access to that care, and the quality of that care. It also considers questions relating to the efficient use of human resources, trade-offs between opportunities in the medical profession for graduates of U.S.
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