End-of-life care at academic medical centers: implications for future workforce requirements

Health Affairs
David C GoodmanJohn E Wennberg

Abstract

The expansion of U.S. physician workforce training has been justified on the basis of population growth, technological innovation, and economic expansion. Our analyses found threefold differences in physician full-time-equivalent (FTE) inputs for Medicare cohorts cared for at academic medical centers (AMCs); AMC inputs were highly correlated with the number of physician FTEs per Medicare beneficiary in AMC regions. Given the apparent inefficiency of current physician practices, the supply pipeline is sufficient to meet future needs through 2020, with adoption of the workforce deployment patterns now seen among AMCs and regions dominated by large group practices.

References

Mar 11, 1998·International Journal of Health Services : Planning, Administration, Evaluation·R L Vogel, R J Ackermann
May 17, 2002·The New England Journal of Medicine·David C GoodmanKenneth S Schoendorf
Sep 29, 2004·Health Affairs·Katherine Baicker, Amitabh Chandra
Oct 9, 2004·Health Affairs·Elliott S FisherDaniel J Gottlieb
Mar 17, 2005·Health Affairs·Barbara StarfieldJames Macinko

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Citations

May 26, 2011·JAMA : the Journal of the American Medical Association·Chiang-Hua ChangDavid C Goodman
Oct 1, 2013·Lancet·John D BirkmeyerJohn E Wennberg
Apr 19, 2008·The New England Journal of Medicine·John K Iglehart
Aug 4, 2007·BMJ : British Medical Journal·David C Goodman
Dec 8, 2011·Circulation. Cardiovascular Quality and Outcomes·Gregory A RothJonathan Skinner
Oct 1, 2011·Advances in Surgery·Richard A Cooper
Dec 15, 2010·Journal of Pain and Symptom Management·Dale Lupu, UNKNOWN American Academy of Hospice and Palliative Medicine Workforce Task Force
Aug 8, 2009·Pediatric Clinics of North America·David C Goodman
May 29, 2007·Journal of Pain and Symptom Management·Richard A MularskiRobert S Krouse
Jan 29, 2010·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Tracy OnegaDavid Goodman
May 26, 2007·The American Journal of Medicine·Eugene C Rich, Anna Maio
Jun 4, 2016·Health Services Research·Chiang-Hua ChangDavid C Goodman
Jul 17, 2007·Health Affairs·L Gary HartThomas R Konrad
Dec 6, 2008·Health Affairs·Richard A Cooper
May 1, 2008·Health Affairs·Jack M ColwillRobin L Kruse
Jan 15, 2008·Cancer·Tracy OnegaDavid Goodman
Jan 22, 2009·Nursing in Critical Care·Martin Christensen
Oct 13, 2009·Medical Care·Amber E BarnatoDerek C Angus
Jun 5, 2014·Nursing Administration Quarterly·Natalie LandmanDenis A Cortese
Feb 25, 2021·Indian Journal of Palliative Care·Erin Raine, Majid Taghavi

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