Physician workforce shortages: Implications and issues for academic health centers and policymakers
Physician workforce shortages: Implications and issues for academic health centers and policymakers
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DOI：
10.1097/00001888-200609000-00003
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发表时间：
2006-09-01
影响因子：
7.4
通讯作者：
Grover, Atul
中科院分区：
文献类型：
--
作者：
Salsberg, Edward;Grover, Atul
考虑到目前的医学教育和培训水平，医生短缺可能会出现。由于通过扩大美国医学院的能力来增加医生供应需要十年或更长时间，到2020年，当大量婴儿潮一代超过70岁时，几乎没有时间来影响新医生的供应。即使医学教育和培训能力大幅度提高，医生也不可能满足所有增加的保健服务需求。除了扩大医学院入学人数的挑战外，美国还需要应对供不应求的其他后果。这包括评估如何更有效地提供服务，以及医生和其他卫生专业人员的未来作用。这些挑战对于医学院和教学医院来说尤其困难，因为它们是美国医学教育和培训的基石。整骨疗法和关闭。-以美国人为目标的海岸学校愿意也能够比美国医学院发展得更快、更便宜，部分原因是它们的医学教育方法更狭窄。此外，来自欠发达国家的医生继续大量移居美国。医学院、教学医院和警察在应对短缺时需要解决几个主要问题。他们要么在未来几年面对和解决这些问题，要么在未来被迫改变。
A physician shortage is likely given current levels of medical education and training. Because an increase in physician supply through expansion of U.S. medical school capacity will require ten or more years, there is little time left to affect the supply of new physicians in 2020 when a substantial number of baby boomers will be over 70 years of age. Even with a substantial increase in medical education and training capacity, it is unlikely that all of the increased demand for health services can be met with physicians. In addition to the challenges of expanding medical school enrollment, the nation will need to grapple with other ramifications of demand exceeding supply. This includes assessing how to deliver services more effectively and efficiently and the future roles of the physician and other health professionals. These challenges are particularly difficult for medical schools and teaching hospitals, the cornerstones of medical education and training in the United States. Osteopathic and off.-shore schools targeted to Americans have been willing and able to grow more quickly and less expensively than U.S. medical schools, in part because of their more narrow approaches to medical education. In addition, physicians from less developed countries continue to migrate to the United States in significant numbers. Medical schools, teaching hospitals, and policyrnakers will need to address several major questions as they respond to the shortages. They will either confront and address these issues in the next few years or they will be forced to change by others in the future.