Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Benchmarking the US physician workforce. An alternative to needs-based or demand-based planning

D C Goodman1, E S Fisher, T A Bubolz

  • 1Center for the Evaluative Clinical Sciences, Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH 03755, USA.

JAMA
|December 11, 1996
PubMed
Summary

Population-based benchmarking provides a practical method for estimating physician workforce needs. This approach is superior to needs- or demand-based planning for ensuring adequate physician supply.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Excess mortality following hip fracture: the role of underlying health status.

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·2007
Same author

The burden of prevention: downstream consequences of Pap smear testing in the elderly.

Journal of medical screening·2004
Same author

The uneven landscape of newborn intensive care services: variation in the neonatology workforce.

Effective clinical practice : ECP·2001
Same author

Hospice use in Medicare managed care and fee-for-service systems.

The American journal of managed care·2001
Same author

The development of a survey instrument for community health improvement.

Health services research·2001
Same author

Are neonatal intensive care resources located according to need? Regional variation in neonatologists, beds, and low birth weight newborns.

Pediatrics·2001

Area of Science:

  • Health Services Research
  • Medical Workforce Planning
  • Public Health Policy

Background:

  • Traditional physician workforce planning relies on needs- or demand-based models.
  • These methods may not accurately reflect the actual physician supply required for regional healthcare markets.
  • An alternative approach is needed to estimate a clinically active physician workforce.

Purpose of the Study:

  • To propose and evaluate population-based benchmarking as an alternative planning method.
  • To estimate a reasonably sized, clinically active physician workforce for the United States.
  • To compare physician supply across different regional healthcare markets.

Main Methods:

  • Cross-sectional analysis of 1993 physician masterfiles (American Medical Association and American Osteopathic Association).

Related Experiment Videos

  • Analysis of resident populations within 306 US hospital referral regions.
  • Comparison of per capita physician numbers (adjusted for demographics and utilization) against benchmarks including a large health maintenance organization (HMO) and specific regional markets.

    • Main Results:

    • 96% of the US population resided in regions with a higher generalist physician workforce than the HMO benchmark.
    • The specialist workforce exceeded all three benchmarks for 74% of the population.
    • No significant relationship was found between the per capita generalist workforce and the proportion of generalists within regions.

    Conclusions:

    • Population-based benchmarking offers practical advantages over needs- or demand-based planning for physician workforce estimation.
    • Physician workforce benchmarks highlight varying regional employment opportunities.
    • The generalist-to-specialist ratio does not adequately measure generalist workforce supply; further research on workforce size and population outcomes is needed.