Health Affairs

Health Affairs, 25, no. 2 (2006): 521-531 doi: 10.1377/hlthaff.25.2.521 © 2006 by Project HOPE	New Online   September Issue: Malpractice & Errors   Uninsured Children   Workers' Insurance Burden   Policy Brief: Meaningful Use

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End-Of-Life Care At Academic Medical Centers: Implications For Future Workforce Requirements

David C. Goodman, Thérèse A. Stukel, Chiang-hua Chang and John E. Wennberg

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.

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