TY - BOOK AU - Berényi,Adam TI - Physician Supply and Demand T2 - Health Care Issues, Costs and Access SN - 9781614705840 AV - RA410.7 -- .P472 2010eb U1 - 338.4/761 PY - 2010/// CY - Hauppauge PB - Nova Science Publishers, Incorporated KW - Physicians -- Supply and demand -- United States KW - Electronic books N1 - Intro -- PHYSICIAN SUPPLY AND DEMAND -- PHYSICIAN SUPPLY AND DEMAND -- CONTENTS -- PREFACE -- Chapter 1 GRADUATE MEDICAL EDUCATION: TRENDS IN TRAINING AND STUDENT DEBT -- ENCLOSURE I -- Graduate Medical Education: Trends in Training and Student Debt -- Overview -- Introduction -- Objectives -- Scope and Methodology -- Background -- Medical education -- Key Policy Changes in Postgraduate Medical Training -- Federal student loans -- Most specialties can fall into three categories -- Summary of Findings -- 1. Surgical and Procedural Specialties Preferred, and Subspecialization Increasing -- Surgical and Procedural Specialties Have Been More Competitive -- U.S. MD students fill higher proportions of available surgical and procedural positions -- More doctors are pursuing training to become subspecialists -- 2. Multiple Factors, Demographic Characteristics Influence Specialty Choice -- Students consider multiple factors -- Factors lead students to pursue or avoid certain specialties -- Demographics and personality traits are important -- 3. Debt Is Rising but Federal Assistance Is Available and Physicians Can Earn High Incomes -- Debt, Federal Assistance, Physician Income -- Nearly half of graduating medical students are at least 150,000 in debt -- Medical school tuition is also increasing -- Federal loans are available to cover the full cost of medical education -- Options for reducing repayment burdens until after training -- Physicians incur more debt but can earn high incomes to repay it -- ENCLOSURE II -- Trends in Postgraduate Dental Education and Student Debt -- ENCLOSURE III -- Trends in Thoracic Surgery Fellowships -- ENCLOSURE IV -- Scope and Methodology -- Data Analysis -- Literature and Document Review -- Interviews with Government Officials and Professional Groups -- ENCLOSURE V; Comments from the Department of Health and Human Services -- End Notes -- Chapter 2 PHYSICIAN SUPPLY AND DEMAND: PROJECTIONS TO 2020 -- BACKGROUND -- ACKNOWLEDGMENTS -- Physician Supply Model -- Current Physician Workforce -- New Entrants and Choice of Medical Specialty -- Separations from the Physician Workforce -- Trends in Physician Productivity -- Physician Supply Projections -- Physician Requirements Model -- Growth and Aging of the Population -- Medical Insurance Trends -- Economic Factors -- Other Potential Determinants of Demand for Physician Services -- Physician Requirements Projections -- Assessing the Adequacy of Current and Future Supply -- SUMMARY -- REFERENCES -- End Notes -- Chapter 3 PRIMARY CARE PROFESSIONALS: RECENT SUPPLY TRENDS, PROJECTIONS AND VALUATION OF SERVICES -- WHY GAO DID THIS STUDY -- WHAT GAO FOUND -- BACKGROUND -- Primary Care Education and Training Programs -- SUPPLY OF PRIMARY CARE PROFESSIONALS INCREASED -- LITTLE DATA AVAILABLE ON MINORITY REPRESENTATION -- In Recent Years, Supply of Primary Care Professionals Increased -- Number of Primary Care Professionals in U.S. Training Programs Increased from 1995 to 2006 -- Little Information Available Regarding Minorities in Training or Actively Practicing In Primary Care Specialties -- UNCERTAINTIES EXIST IN PROJECTING FUTURE SUPPLY OF HEALTH CARE PROFESSIONALS -- FEW PROJECTIONS ARE SPECIFICALLY FOR PRIMARY CARE -- History of Physician Workforce Supply Predictions Illustrates Uncertainties in Forecasting -- Few Projections Address Future Supply of Primary Care Professionals -- MOVE TOWARD PRIMARY CARE MEDICINE, A KEY TO BETTER QUALITY AND LOWER COSTS, IS IMPEDED BY HEALTH CARE SYSTEM'S CURRENT FINANCING MECHANISMS -- Payment Systems That Undervalue Primary Care Appear to Be Counterproductive; Some Health Care Reform Proposals Seek to Reemphasize Primary Care Medicine -- CONCLUDING OBSERVATIONS -- End Notes -- CHAPTER SOURCES -- INDEX UR - https://ebookcentral.proquest.com/lib/orpp/detail.action?docID=3020372 ER -