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Doctors, dollars, and determination: making physician work-force policy

F Mullan, M L Rivo, R M Politzer

    Health Affairs (Project Hope)
    |January 1, 1993
    PubMed
    Summary
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    Managed care reforms require examining impacts on medical practice and provider access. Workforce reform should prioritize generalist training, diversity, equitable distribution, stable physician ratios, and advanced practice provider needs.

    Area of Science:

    • Health Policy
    • Medical Workforce Development

    Background:

    • Managed care is poised to be a significant component of healthcare reform.
    • Understanding its effects on medical practice and provider access is crucial for policymakers.

    Purpose of the Study:

    • To analyze the anticipated impact of managed care on medical practice.
    • To evaluate the effects on physician supply and primary care access.
    • To outline key goals for healthcare workforce reform.

    Main Methods:

    • Policy analysis of managed care's influence.
    • Examination of physician workforce trends.
    • Assessment of primary care provider distribution and supply.

    Main Results:

    • Managed care necessitates a focus on generalist physician training (family practice, internal medicine, pediatrics).

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  • Workforce reform must address ethnic diversity and geographic equity in physician distribution.
  • Maintaining the current physician-to-population ratio is recommended over continued growth.
  • Defining supply needs for nurse practitioners, physician assistants, and nurse midwives is essential.

    • Conclusions:

    • Strategic workforce reforms are vital to adapt to managed care.
    • Recommendations include enhancing generalist training, promoting diversity, ensuring equitable distribution, and stabilizing physician numbers.
    • Proactive planning for advanced practice providers is necessary to meet future healthcare demands.