The future need for geriatric manpower in the United States

The New England Journal of Medicine
Robert L KaneR Kane

Abstract

Additional medical manpower will be required to meet the growth in the elderly segment of the United States population over the next 50 years. This paper provides estimates of the needs for medical geriatric manpower under four different models: continuation of the status quo; academic geriatricians only; provision of care by academic and consultant geriatricians; and provision of care by academic, consultant, and primary-care geriatric practitioners. Each option is further analyzed in terms of three levels of delegation to nonphysician clinicians. We project the implications of these 12 patterns through the year 2030, assuming present usage levels and allowing for improved care of the elderly. The need for geropsychiatric care is explored separately. We think that geriatricians should provide improved care, including both consultant and primary care, to people aged 75 years and older, and that they should delegate a moderate amount of responsibility to nurse practitioners, physician assistants, and social workers. On the basis of these assumptions, and allowing for an academic role as well, we estimate that the United States will require between 7000 and 10,300 geriatricians by the year 1990; the best intermediate figure is ab...Continue Reading

References

Jul 15, 1978·Lancet·J C BrocklehurstJ M Robinson
Jun 14, 1979·The New England Journal of Medicine·L H AikenD E Rogers
Jun 14, 1979·The New England Journal of Medicine·V A Portnoi
Nov 1, 1979·Annals of Internal Medicine·J Williamson
Nov 1, 1977·Journal of the American Geriatrics Society·E Pfeiffer
Sep 1, 1978·JAMA : the Journal of the American Medical Association·R C MendenhallS Abrahamson
Sep 8, 1978·JAMA : the Journal of the American Medical Association·R C MendenhallS Abrahamson
Feb 1, 1977·Medical Care·R L KaneN Byrnes
Dec 10, 1973·JAMA : the Journal of the American Medical Association·T F WilliamsK G Knox
Jun 1, 1974·Medical Care·J A Solon, L F Greenawalt
Jan 11, 1980·JAMA : the Journal of the American Medical Association·V A Portnoi

❮ Previous
Next ❯

Citations

Jan 1, 1988·Journal of Community Health·W D Bottom
Dec 11, 1984·Socio-economic Planning Sciences·D L Rabin, M A Haske
Dec 11, 1984·Socio-economic Planning Sciences·J C Harvey
May 25, 2002·Journal of the American Geriatrics Society·Annette Medina-WalpoleWilliam J Hall
Nov 29, 2002·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Robert L Kane
Jun 27, 2008·Academic Medicine : Journal of the Association of American Medical Colleges·Chad BoultLinda P Fried
Oct 1, 1990·Journal of the American Academy of Nurse Practitioners·S Scanland
Dec 1, 1991·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·B LiptzinD G Blazer
Oct 1, 1981·Psychosomatics·C E Wells
May 2, 2003·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Elizabeth J Bragg, Gregg A Warshaw
Jun 26, 2003·Journal of the American Geriatrics Society·Gregg A Warshaw, Elizabeth J Bragg
Oct 17, 1994·The American Journal of Medicine·R W Besdine
Oct 17, 1994·The American Journal of Medicine·W B Abrams
Jan 1, 1982·Journal of Chronic Diseases·S R GambertR A Rabinovitch
Dec 1, 1984·Journal of the American Geriatrics Society·D C Thomasma
Dec 1, 1986·Journal of the American Geriatrics Society·G P Wolf-KleinC J Foley
Aug 1, 1985·Journal of the American Geriatrics Society·J C RomeisJ F Keith
Feb 1, 1987·Journal of the American Geriatrics Society·L G Pawlson
Dec 1, 1982·Journal of the American Geriatrics Society·V CrooksT T Yoshikawa
Dec 1, 1987·Journal of the American Geriatrics Society·A L Siu
Dec 1, 1987·Journal of the American Geriatrics Society·S VivellJ C Beck
May 1, 1986·Annals of Emergency Medicine·S R LowensteinK Steel
Mar 11, 2008·The American Journal of Medicine·Victor A HirthMaureen Dever-Bumba
Apr 1, 1991·Journal of the American Geriatrics Society·T W Moloney, B Paul
Oct 1, 1993·Journal of the American Geriatrics Society·J E Morley
Jul 13, 2016·Journal of the American Geriatrics Society·Robert L KaneJames T Pacala
May 1, 1983·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·R Tideiksaar
May 1, 1982·Journal of the American Geriatrics Society·A S RobbinsJ C Beck
Apr 1, 1982·Journal of the American Geriatrics Society·A S RobbinsJ C Beck
May 28, 1987·The New England Journal of Medicine·J W RoweE Bond
Apr 1, 1986·Journal of the American Geriatrics Society·C H Winograd, L F Jarvik
Mar 1, 1989·Journal of the American Geriatrics Society·A L SiuJ C Beck
Jul 1, 1982·Drug Intelligence & Clinical Pharmacy·P P Lamy
Oct 1, 1982·Postgraduate Medicine·R W Ballard
Mar 7, 2020·Journal of the National Comprehensive Cancer Network : JNCCN·Ryan D NippJennifer S Temel
May 28, 2021·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Ryan D NippMatthew Loscalzo

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cell Aging (Keystone)

This feed focuses on cellular aging with emphasis on the mitochondria, autophagy, and metabolic processes associated with aging and longevity. Here is the latest research on cell aging.