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  1. Gastroenterology workforce modeling.

    Article - En anglais

    Objective

    - To examine the current supply and distribution of gastroenterologists and project future supply under various scenarios to provide a paradigm for workforce reform.

    Design

    - An analysis of current practices and distribution of gastroenterologists and a demographic model, using the 1992 gastroenterology workforce as a baseline.

    Main Outcome Measure

    - Comparison of current supply, distribution, and practice profiles with past data and future projections, using analyses of data from the 1993 Area Resource File, 1992 Medicare Part B file, age-and sex-specific death and retirement rates from the Bureau of Health Professions, managed care staffing pattems, the National Survey of Internal Medicine Manpower, and the Bureau of the Census.

    Results

    - Rapid growth in the number of US gastroenterologists has resulted in a gastroenterologist-to-population ratio double that used on average by health maintenance organizations.

    In addition, the work profile of gastroenterologists is shared significantly by primary care physicians and other specialists, with the exception of a few specific and uncommon procedures.

    Conclusions

    - Empirical evidence suggests that, even in the absence of detailed models to describe the desired supply/need balance for gastroenterology, the US health care system and clinicians may benefit from a reduction in gastroenterology training programs. (...)

    Mots-clés Pascal : Gastroentérologie, Médecin, Répartition géographique, Etats Unis, Amérique du Nord, Amérique, Prévision statistique, Nombre, Homme, Réforme

    Mots-clés Pascal anglais : Gastroenterology, Physician, Geographic distribution, United States, North America, America, Statistical forecasting, Number, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0439921

    Code Inist : 002B30A05. Création : 10/04/1997.