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Related Experiment Videos

Where have all the doctors gone?

J P Newhouse, A P Williams, B W Bennett

    JAMA
    |May 7, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Physician supply increased in the 1970s, leading to specialists in smaller towns. Competition influences physician practice locations, improving access to care outside metropolitan areas.

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    Area of Science:

    • Health Services Research
    • Medical Economics
    • Health Workforce Studies

    Background:

    • Physician supply increased significantly during the 1970s.
    • Medical and surgical specialists began to distribute into smaller communities.
    • In 1979, physician access was nearly universal in towns exceeding 2,500 in population.

    Purpose of the Study:

    • To analyze physician distribution patterns across different geographic regions.
    • To investigate the factors influencing physicians' practice location choices.
    • To assess the impact of physician supply on healthcare access in non-metropolitan areas.

    Main Methods:

    • Analysis of physician distribution data from four disparate geographic regions.
    • Examination of physician population ratios and community size.

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  • Statistical assessment of the correlation between physician supply and practice location.

    • Main Results:

    • Physician distribution patterns were notably consistent across the studied regions.
    • A strong correlation was observed between competitive forces and physicians' practice location decisions.
    • Nearly all towns with populations over 2,500 had physician access by 1979.

    Conclusions:

    • The expansion of the physician pool in the 1980s is expected to increase service availability in non-metropolitan areas.
    • Competitive market forces are a significant determinant of physician practice location.
    • The study's methodologies offer valuable tools for health workforce policy evaluation and development.