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Strategic issues for managing the future physician workforce.

D A Kindig1

  • 1Wisconsin Network for Health Policy Research, University of Wisconsin-Madison, School of Medicine, USA.

The Baxter Health Policy Review
|January 1, 1996
PubMed
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This study examines U.S. physician workforce goals, supply, and distribution. It analyzes market forces versus regulation for achieving policy objectives and ensuring access to care.

Area of Science:

  • Health Policy
  • Health Workforce Research
  • Medical Economics

Background:

  • National health care reform efforts intensely debated physician workforce issues.
  • Understanding U.S. physician workforce goals is critical for effective health policy.
  • Current physician supply, distribution, and future projections require analysis.

Purpose of the Study:

  • To provide policymakers with a framework for evaluating U.S. physician workforce goals.
  • To analyze physician supply, requirements, and potential shortages or surpluses.
  • To explore the role of market forces versus regulatory intervention in workforce management.

Main Methods:

  • Discussion of current U.S. physician workforce size and physician-to-population ratios.
  • Projection of future physician workforce growth and requirements.

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  • Analysis of graduate medical education, nonphysician provider substitution, and geographic distribution.
  • Main Results:

    • Overall U.S. physician supply may be adequate, but significant access gaps exist in rural and inner-city areas.
    • Geographic maldistribution and imbalances between generalists and subspecialists are key concerns.
    • Nonphysician provider capabilities, productivity, and cost-effectiveness warrant consideration.

    Conclusions:

    • Policy decisions must address geographic disparities and workforce balance.
    • Market forces alone may be insufficient; regulatory strategies are likely necessary.
    • Future health policy must integrate workforce considerations with access, cost-effectiveness, and technological advancements.