- To propose population-based benchmarking as an alternative to needs-or demand-based planning for estimating a reasonably sized, clinically active physician workforce for the United States and its regional health care markets.
- Cross-sectional analysis of 1993 American Medical Association and American Osteopathic Association physician masterfiles.
Population. - The resident population of the 306 hospital referral regions in the United States.
- Per capita number of clinically active physicians by specialty adjusted for age and sex population differences and out-of-region health care utilization.
The measured physician workforce was compared with 4 benchmarks : the staffing within a large (2.4 million members) health maintenance organization (HMO), a hospital referral region dominated by managed care (Minneapolis, Minn), a hospital referral region dominated by fee-for-service (Wichita, Kan), and the proposed « balanced » physician supply (50% generalists).
- The proportion of the US population residing in hospital referral regions with a higher per capita generalist workforce than the benchmark was 96% for the HMO benchmark, 60% for Wichita, and 27% for Minneapolis.
The specialist workforce exceeded all 3 benchmarks for 74% of the population.
The per capita workforce of generalists was not related to the proportion of generalists among regions (Pearson correlation coefficient=0.06 ; P=26).
Mots-clés Pascal : Demande information, Rendement professionnel, Médecin généraliste, Etude transversale, Fonction demande, Besoin, Cote nivellement, Service hospitalier, Planification travail, Etude marché, Homme, Analyse statistique, Etats Unis, Amérique du Nord, Amérique, Politique sanitaire, Organisation santé, Benchmarking
Mots-clés Pascal anglais : Call for information, Professional performance, General practitioner, Cross sectional study, Demand function, Need, Bench mark, Hospital ward, Production schedule, Market survey, Human, Statistical analysis, United States, North America, America, Health policy, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0065799
Code Inist : 002B30A05. Création : 21/05/1997.