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Finding equilibrium in U.S. physician supply. 1993

J E Wennberg, and D C Goodman, and R F Nease, and R B Keller
Center for the Study of the Clinical Evaluative Sciences, Dartmouth Medical School.

One essential component of health system reform is to bring the number of physicians in line with the needs of the population. The physician supply policies of prepaid group practice health maintenance organizations have been cited as one model to achieve this goal. Planning for physician supply should be an explicit public-sector activity and should not be left to the private sector, because some areas are not sufficiently populated to support competing providers under a managed competition scheme. A new model for planning for physician supply should include the following strategies: (1) erecting barriers to entry into medical practice; (2) encouraging early retirement; (3) restructuring economic incentives; (4) reallocating physicians to underserved areas in the United States and abroad; and (5) creating new areas of professional responsibility for physicians.

UI MeSH Term Description Entries
D008329 Managed Care Programs Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS. Case Management, Insurance,Insurance Case Management,Managed Health Care Insurance Plans,Managed Care,Care, Managed,Managed Care Program,Management, Insurance Case,Program, Managed Care,Programs, Managed Care
D008507 Medically Underserved Area A geographic location which has insufficient health resources (manpower and/or facilities) to meet the medical needs of the resident population. National Health Service Corps,Physician Shortage Area,Area, Medically Underserved,Health Service Corps, National,Medically Underserved Population,Area, Physician Shortage,Areas, Medically Underserved,Areas, Physician Shortage,Medically Underserved Areas,Medically Underserved Populations,Physician Shortage Areas,Population, Medically Underserved,Populations, Medically Underserved,Shortage Area, Physician,Shortage Areas, Physician,Underserved Area, Medically,Underserved Areas, Medically,Underserved Population, Medically,Underserved Populations, Medically
D010820 Physicians Individuals licensed to practice medicine. Physician
D004501 Education, Medical Use for general articles concerning medical education. Medical Education
D006280 Health Workforce The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization. Health Manpower,Health Occupations Manpower,Manpower, Health,Manpower, Health Occupations,Workforce, Health
D006285 Health Planning Planning for needed health and/or welfare services and facilities. Health and Welfare Planning,National Health Planning and Resources Development Act of 1974,Planning, Health and Welfare,State Health Planning, United States,PL93-641,Public Law 93-641,Planning, Health,Public Law 93 641
D006301 Health Services Needs and Demand Health services required by a population or community as well as the health services that the population or community is able and willing to pay for. Health Services Needs,Needs,Needs and Demand, Health Services,Target Population,Health Services Need,Need, Health Services,Needs, Health Services,Population, Target,Populations, Target,Target Populations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013038 Specialization An occupation limited in scope to a subsection of a broader field. Specialism,Specialists,Specialist
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.

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