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

Downsizing the physician workforce

B J McClendon1, R M Politzer, E Christian

  • 1Bureau of Health Professions, Health Resources and Services Administration, Rockville, MD, USA.

Public Health Reports (Washington, D.C. : 1974)
|May 1, 1997
PubMed
Summary

The US physician workforce needs downsizing, particularly in internal medicine subspecialties and hospital-based fields. Current physician supply exceeds needs, indicating a surplus of new doctors entering the field annually.

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

Validation of a suite of ERP and QEEG biomarkers in a pre-competitive, industry-led study in subjects with schizophrenia and healthy volunteers.

Schizophrenia research·2023
Same author

Application of the research electronic data capture (REDCap) system in a low- and middle income country- experiences, lessons, and challenges.

Health and technology·2022
Same author

No sympatric speciation here: multiple data sources show that the ant Myrmica microrubra is not a separate species but an alternate reproductive morph of Myrmica rubra.

Journal of evolutionary biology·2006
Same author

Community Health Centers and racial/ethnic disparities in healthy life.

International journal of health services : planning, administration, evaluation·2001
Same author

Inequality in America: the contribution of health centers in reducing and eliminating disparities in access to care.

Medical care research and review : MCRR·2001
Same author

Family medicine faculty development fellowships and the medically underserved.

Family medicine·2001

Area of Science:

  • Health Policy
  • Medical Economics
  • Physician Workforce Analysis

Background:

  • The healthcare landscape is evolving, necessitating an evaluation of physician supply.
  • Managed care models are increasingly influencing healthcare delivery and physician demand.

Purpose of the Study:

  • To estimate the required reduction in physician workforce numbers.
  • To assess physician supply needs in a changing healthcare environment, particularly under managed care.

Main Methods:

  • Calculated the annual number of new physicians required to maintain 1993 physician-to-population ratios.
  • Compared projected needs with the actual number of new physicians entering practice (1990-1994).
  • Estimated specialty-specific downsizing needs for a managed care-dominated system.

Related Experiment Videos

Main Results:

  • Maintaining 1993 physician-to-population ratios would require 14,644 new physicians annually; the actual supply (20,655) indicated a surplus of 6,011.
  • Non-primary care specialties required a 33% downsizing (4,829 physicians), while primary care needed a 20% reduction (1,182 physicians).
  • Seventeen specialties, including most internal medicine subspecialties, needed over 40% downsizing; managed care would exacerbate this need.

Conclusions:

  • Data indicate a clear need to reduce the overall physician supply in the United States.
  • Internal medicine subspecialties and hospital-based specialties show the most significant need for downsizing.
  • Surgeons and primary care physicians also require some degree of workforce reduction.