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Health Affairs, Vol 12, Supplement 1, 138-151
Copyright © 1993 by Project HOPE

JOURNAL ARTICLE

Doctors, Dollars, And Determination: Making Physician Work-Force Policy

Because managed care is likely to feature prominently in a reformed health care system, policymakers need to examine the impact managed care will have on medical practice, physician supply, and access to primary care providers. Goals for work-force reform should focus on five areas: (1) training physicians in the generalist disciplines of family practice, general internal medicine, and general pediatrics; (2) shaping the physician work force to reflect the nation's ethnic diversity; (3) distributing physicians in a geographically equitable way; (4) maintaining the current physician-to-population ratio rather than letting it continue to grow; and (5) establishing supply needs for nurse practioners, primary care physician assistants, and certified nurse midwives.

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