A Comparison of the Requirements for Primary Care Physicians in HMOs with Projections Made by the GMENAC
New England Journal of MedicinePublished 23 January 1986
Donald M. Steinwachs, Jonathan P. Weiner, Sam Shapiro, Paul B. Batalden, Kathy L. Coltin, Fred Wasserman
Citations70
SJR quartileQ1
SJR score19.08
SNIP13.47
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TL;DR
Staffing patterns in primary care specialties in three large health maintenance organizations (HMOs) with the national requirements for physicians in 1990 projected by the Graduate Medical Education National Advisory Committee are compared.
Abstract
We compared staffing patterns in primary care specialties in three large health maintenance organizations (HMOs) with the national requirements for physicians in 1990 projected by the Graduate Medical Education National Advisory Committee (GMENAC). The HMOs varied in their use of nonphysician providers, family practice specialists, and subspecialists in internal medicine. Nevertheless, projections based on the average experience of these HMOs suggest that 20 percent fewer primary care physicians for children and 50 percent fewer primary care physicians for adults will be needed to meet national primary care needs in 1990 than projected by the GMENAC. As enrollment in HMOs continues to grow, their impact on national requirements for medical personnel will increase. The variety of staffing patterns found among HMOs operating in highly competitive markets suggests the importance of considering alternative configurations for meeting national requirements for primary care.
Keywords
Economics, Econometrics and FinanceHealth Professions
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