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Specialists/primary care professionals: striking a balance

¹Oregon Health Sciences University, Portland 97201-3098.

Inquiry : a Journal of Medical Care Organization, Provision and Financing

|January 1, 1994

Summary

The US faces a surplus of medical specialists and a shortage of general physicians. A national commission could guide physician training needs to address this imbalance.

Area of Science:

Healthcare policy
Medical workforce analysis
Physician training

Background:

Evidence suggests an oversupply of medical and surgical specialists predates managed care.
There is a concurrent shortage of generalist physicians and non-physician healthcare providers.

Purpose of the Study:

To address the imbalance in physician specialty distribution.
To propose solutions for the surplus of specialists and deficit of generalists.

Main Methods:

Discussion of economic principles and market-based solutions.
Consideration of a national commission for training recommendations.
Exploration of regional consortia for implementation.

Main Results:

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Market corrections for physician distribution are slow in voluntary systems.

A national commission could provide data-driven recommendations on training numbers.

Regional consortia offer a potential implementation framework.

Conclusions:

Addressing physician specialty surplus requires strategic planning.
A national commission is proposed to guide future physician training.
Multistate regional consortia could facilitate the implementation of training recommendations.