PMID: 375790Feb 1, 1979Paper

Physician manpower expansionism: a policy review

Annals of Internal Medicine
B S Bloom, O L Peterson

Abstract

A lack of national health goals has allowed physician manpower policy to be dominated by an expansionist philosophy. Scarce resources have been channeled into the production of specialist physicians trained to provide complex and expensive care for uncommon diseases, using other scare and expensive resources and adding to the steep rise in medical care costs. Society seems to want access to primary care--a lack it views with dismay--and simultaneously fears increasing costs of care. Lack of access plus high cost might lead to rash implementation of other inappropriate policies. Success of policy decisions is pure serendipity if made without reliable and relevant information or based on inappropriate data, such as opinions alone. If information is unavailable, then physician manpower decisions should be delayed or, if made, implemented cautiously.

Citations

Nov 26, 1988·Lancet·P J Imperato
Nov 20, 1980·The New England Journal of Medicine·B S Bloom, O L Peterson
Nov 26, 1981·The New England Journal of Medicine·D C Williams
Jan 1, 1990·Journal of Public Health Dentistry·H S Goodman, R J Weyant
Mar 12, 1983·Health Policy and Education·S E Peterson, A E Rodin

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