Work force planning for anesthesia care

International Anesthesiology Clinics

Volumn 33, Issue 4, 1995, Pages 69-101

  Orkin, Fredrick K ^a  

^a DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHESIA; ANESTHESIST; ARTICLE; HEALTH CARE PLANNING; HEALTH SERVICE; MARKET; NURSE; PRIORITY JOURNAL;

ANESTHESIA DEPARTMENT, HOSPITAL; ANESTHESIOLOGY; EDUCATION, MEDICAL, GRADUATE; FORECASTING; FOREIGN MEDICAL GRADUATES; HEALTH CARE REFORM; HEALTH MAINTENANCE ORGANIZATIONS; HEALTH MANPOWER; HUMANS; MEDICARE; NURSE ANESTHETISTS; PHYSICIAN ASSISTANTS; UNITED STATES;

EID: 0029582687     PISSN: 00205907     EISSN: 15371913     Source Type: Journal    
DOI: 10.1097/00004311-199503340-00007     Document Type: Article

References (51)

1. McCue JD. The effects of stress on physicians and their medical practice. N Engl J Med 1982;306:458-463
2. Keeve JP. Physicians at risk: some epidemiologic considerations of alcoholism, drug abuse, and suicide. J Occup Med 1984;26:503-508
3. Cromwell J, Rosenbach ML, Pope GC, et al. CRNA manpower forecasts: 1990-2010. Med Care 1991;29:628-644
4. Rosenbach ML. CRNA vacancy rates in US hospitals. Nurse Anesthesia 1990; 1: 61-70
5. Jolly P, Hudley DM. AAMC data book: statistical information related to medical education. Washington, DC: Association of American Medical Colleges, January 1994: Tables Al and B1
6. Roback G, Randolph L, Seidman B, Pasko T. Physician characteristics and distribution in the U.S., 1994. Chicago: American Medical Association, 1994: Table A-3
7. Black EA, Deming PA. Anesthesiology research: a workshop report. DHEW Pub. No. (NIH) 77-80. Washington, DC: US Department of Health, Education, and Welfare, 1977
8. Summary Report of the Graduate Medical Education National Advisory Committee, vol. 1. DHEW Pub. No. (HRA) 81-651. Washington, DC: Office of Graduate Medical Education, Health Resources Administration, US Department of Health, Education, and Welfare, September 1980
9. Bowman MA, Katzoff JM, Garrison LP Jr, Wills J. Estimates of physician requirements for 1990 for the specialties of neurology, anesthesiology, nuclear medicine, pathology, physical medicine and rehabilitation, and radiology. JAMA 1983;250: 2624-2627
10. Anders G. Once hot specialty, anesthesiology cools as insurers scale back. Wall Street Journal, March 17, 1995, Al
11. Gravenstein JS, Steinhaus JE, Volpitto PP. Analysis of manpower in anesthesiology. Anesthesiology 1970;33:350-357
12. Lee PR, Soffel D, Luft HS. Costs and coverage. Pressures toward health care reform. West J Med 1992;157:576-583
13. Eisenberg JM. Doctors’ decisions and the cost of medical care. Ann Arbor, MI: Health Administration Press, 1986:38-49
14. Bindman AB. Primary and managed care. Ingredients for health care reform. West J Med 1994;161:78-82
15. Schwartz A, Ginsburg PB, LeRoy LB. Reforming graduate medical education. JAMA 1993;270:1079-1082
16. Rivo ML, Jackson DM, Clare FL. Comparing physician workforce reform recom-mendations. JAMA 1993;270:1083-1084
17. Mullan F, Rivo ML, Plitzer RM. Doctors, dollars and determination: making physi¬cian workforce policy. Health Aff 1993; 12(Suppl): 138-150
18. Foreman S, Kerr WB, Mullins CB, et al. Academic medical centers, proposed Medicare cuts, and the emerging price-competitive environment. Acad Med 1995;70: 510-511
19. Eisenberg JM. Local logic and national nonsense: financing of graduate medical education encourages expansion of residencies. J Gen Intern Med 1993;8:639-640
20. Whitcomb ME, Caswell J. The market structure of residency training. N Engl J Med 1986;314:710-712
21. Schroeder SA. Managed care collides with physician supply. JAMA 1994;272: 239-240
22. Brown JG. A study of graduate medical education costs. Pubi. No. A-09-93-00096. Washington, DC: Office of Inspector General, US Department of Health and Human Services, July 1994
23. Stoddard JJ, Kindig DA, Libby D. Graduate medical education reform: service provision transition costs. JAMÀ 1994;272:53-58
24. Meskauskas JA, Benson JA Jr, Hopkins E. Performance of graduates of foreign medical schools on the examinations of the American Board of Internal Medicine. N Engl J Med 1977;297:808-810
25. Weinberg E, Bell AI. Performance of United States citizens with foreign medical education on standardized medical examinations. N Engl J Med 1978;299:858-862
26. Johnson DG, Swanson AG, Jolly P, et al. United States citizens studying medicine abroad: their backgrounds and test performance. N Engl J Med 1986;315: 1525-1532
27. Mullan F, Politzer RM, Davis CH. Medical migration and the physician workforce: international medical graduates and American medicine. JAMA 1995;273: 1521-1527
28. Ernst RL, Yett DE. Physician location and specialty choice. Ann Arbor, MI: Health Administration Press, 1985:156-289
29. Orkin FK. Analysis of the geographical distribution of anesthesia manpower in the United States. Anesthesiology 1976;45:592-603
30. Orkin FK. The geographical distribution of anesthesia care providers in the United States. Park Ridge, IL: American Society of Anesthesiologists, August 1983
31. Schwartz WB, Newhouse JP, Bennett BW, et al. The changing geographic distribution of board-certified physicians. N EnglJ Med 1980;303:1032-1038
32. Orkin FK. The geographic distribution of anesthesiologists during rapid growth in their supply. Anesthesiology 1994;81:A1295
33. Vaughan RW, Vaughan MS, Aluise J. Anesthesiologists in North Carolina: a survey reflecting emerging subspecialization. J Clin Anesth 1989;1:313-319
34. Orkin FK. Why do anesthesiologists shun rural hospitals? Submitted for presentation at the annual meeting of the International Anesthesia Research Society, March 1996
35. Grundy BL, Medsger A, Silverman M, et al. Characteristics of nurse anesthetists working with and without anesthesiologists. Med Care 1987;25:1129-1138
36. Abt Associates. Estimation of physician workforce requirements in anesthesiology. Bethesda, MD: 1994. Park Ridge, IL: American Society of Anesthesiologists
37. Feil EC, Welch HG, Fisher ES. Why estimates of physician supply and requirements disagree. JAMA 1993;269:2659-2663
38. Rosenbach ML, Cromwell J. A profile of anesthesia practice patterns. Health Aff 1988;7(4):118-131
39. Orkin FK. Patient outcome following anesthesia care: role of the provider. Problems in Anesthesia 1992;6:212-227
40. Bechtoldt AA Jr. Committee on anesthesia study of anesthetic-related deaths: 1969-1976. NC Med J 1981;2:253-258
41. Gilbert J. Outcome—experience and training of the anesthetist. In: Hirsh RA, Forrest WH Jr, Orkin FK, Wollman H, eds. Health care delivery in anesthesia. Philadelphia: George F Stickley, 1980:143-150
42. Forrest WH Jr. Outcome—the effect of the provider. In: Hirsh RA, Forrest WH Jr, Orkin FK, Wollman H, eds. Health care delivery in anesthesia. Philadelphia: George F Stickley, 1980:137-142
43. Silber JH, Williams SV, Krakauer H, Schwartz JS. Hospital and patient characteris¬tics associated with death after surgery: a study of adverse occurrence and failure to rescue. Med Care 1992;30:615-629
44. Kronick R, Goodman DC, Wennberg JE, Wagner E. The marketplace in health care reform: the demographic limitations of managed competition. N Engl J Med 1993;328:148-152
45. Wennberg JE, Goodman DC, Nease RF, Keller RB. Finding equilibrium in US physician supply. Health Aff 1993; 12(2):89-103
46. Weiner JP. Forecasting the effects of health reform on US physician workforce requirement. Evidence from HMO staffing patterns. JAMA 1994;272:222-230
47. Wennberg JE, et al. The Dartmouth atlas of health care. Hanover, NH: Center for the Evaluative Clinical Sciences, Dartmouth Medical School, in preparation
48. Orkin FK. Moving toward value-based anesthesia care. J Clin Anesth 1993;5:91-98
49. Orkin FK. Studies of anesthesia manpower. In: Hirsh RA, Forrest WH Jr, Orkin FK, Wollman H, eds. Health care delivery in anesthesia. Philadelphia: George F Stickley, 1980:123-135
50. Fogelman AM. Strategies for training generalists and subspecialists. Ann Intern Med 1994;120:579-583
51. Greenlick MR. Educating physicians for the twenty-first century. Acad Med 1995; 70:179-185