A review of demographic and infrastructural factors and potential solutions to the physician and nursing shortage predicted to impact the growing us elderly population

Journal of Public Health Management and Practice

Volumn 15, Issue 4, 2009, Pages 352-362

  Cohen, Steven A ^a  

^a TUFTS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CULTURAL FACTOR; DEMOGRAPHY; GERIATRIC CARE; HEALTH CARE AVAILABILITY; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HEALTH SERVICE; JOB SATISFACTION; MEDICAL EDUCATION; MEDICOLEGAL ASPECT; NURSE TRAINING; NURSING SHORTAGE; POPULATION DYNAMICS; PRIORITY JOURNAL; PROFESSIONAL COMPETENCE; REVIEW; UNITED STATES; WORK ENVIRONMENT;

AGED; AGED, 80 AND OVER; AGING; DEMOGRAPHY; HEALTH MANPOWER; HUMANS; NURSES; PHYSICIANS; UNITED STATES;

EID: 67650932361     PISSN: 10784659     EISSN: None     Source Type: Journal    
DOI: 10.1097/PHH.0b013e31819d817d     Document Type: Review

References (61)

1. Federal Interagency Forum on Aging-Related Statistics. Older Americans 2000: Key Indicators of Well-Being. Washington, DC: US Government Printing Office; 2000.
2. US Census Bureau. National population estimates- characteristics. http://www.census.gov/popest/national/ asrh/NC-EST2007-sa.html. Published 2007. Accessed November 3, 2008.
3. :eatures-speciaLeditions/ 006105.html. Published 2006. Accessed November 3,2008.
4. He W, Sengupta M, Velkoff VA, DeBarros KA. 65+ in the United States: 2004. Current Population Reports, Special Studies; P23. Washington, DC: US Government Printing Office.
5. US Census Bureau. U.S. interim projections by age, sex, race, and Hispanic origin: 2000-2050. http://www.census. gov/ipc/www/usinterirnproj/. Published 2007. Accessed October 15,2008.
6. Centers for Disease Control and Prevention. The Power of Prevention. Reducing the Health and Economic Burden of Chronic Disease. Atlanta, GA: Department of Health and Human Services, Centers for Disease Control and Prevention; 2003.
7. Keene J, Li X. Age and gender differences in health service utilization. J Public Health. 2005;27:74-79.
8. Manton KG, Gu X, Lamb VL. Change in chronic disability from 1982 to 2004/2005 as measured by long-term changes in function and health in the U.S. elderly population. Proc Natl Acad Sci USA. 2006;103:18374-18379.
9. Mor V. The compression of morbidity hypothesis: a review of research and prospects for the future. J Am Geriatr Soc. 2005;53(9)(suppl):S308-S309.
10. Fries JF. Measuring and monitoring success in compressing morbidity. Ann Intern Med. 2003 139:455-459.
11. Oeppen J, Vaupel JW. Broken limits to life expectancy. Science. 2002;296:1029-1031.
12. Rice DP, Fineman N. Economic implications of increased longevity in the United States. Annu Rev Public Health. 2004;25:457-473.
13. Olshansky SJ, Rudberg MA, Carnes BA, Cassel CK, Brody JA. Trading off longer life for worsening health: the expansion of morbidity hypothesis. J Aging Health. 1991;3:194-216.
14. Grumbach K, Coffman JM, Young JQ, Vranizan K, Blick N. Physician supply and medical education in California. A comparison with national trends. West J Med. 1998;168(5): 412-421.
15. Romano M. Doc shortage gets noticed. Mod Healthc. 2005;35:26-28.
16. Maryland Higher Education Commission. Maryland's top 25 demand healthcare occupations: projected demand and reported supply provided by Maryland higher education institutions. http://www.mhec.state.md.us/publications/ healthMay2004.pdf. Published 2004. Accessed October 15, 2005.
17. State of Wisconsin Department of Workforce Development. Wisconsin health care workforce annual report. http:// dwd.wisconsm.gov/healthcare/pdf/ healthcare-annual-report2005pdf. Published 2005. Accessed October 15, 2005.
18. Massachusetts Medical Society. Physician workforce study 2004. http://www.massmed.org/AM/Template.cfm? Section=Search§ion=MMS- Workforce-Study&template =/CM/ContentDisplay.cfm&ContentFileID=650. Accessed October 15,2005.
19. Institute of Medicine. Retooling for an Aging America: Building the Health Care Workforce. Washington, DC: The National Academies Press; 2008. http://www.iom.edu?id=53452. Accessed December 30, 2008.
20. Martin JC, Avant RF, Bowman MA, et al; Future of Family Medicine Project Leadership Committee. The Future of Family Medicine: a collaborative project of the family medicine community. Ann Fam Med. 2004;2(suppl 1):S3-S32.
21. Besdine R, Boult C, Brangman S, et al. Caring for older Americans: the future of geriatric medicine. J Am Geriatr Soc. 2005;53(6)(suppl):S245- S256.
22. ADGAP. Fellows in geriatric medicine and geriatric psychiatry programs. the status of geriatrics workforce study. Training Pract Update. 2007;5(2):1-7.
23. Buerhaus PI, Staiger DO, Auerbach DI. Implications of an aging registered nurse workforce. JAMA. 2000;283:2948-2954.
24. Cooper EE. Pieces of the shortage puzzle: aging and shift work. Nurs Econ. 2003;21(2):75-79.
25. Skillman SM, Palazzo L, Keepnews D, Hart LG. Characteristics of registered nurses in rural versus urban areas: implications for strategies to alleviate nursing shortages in the United States. J Rural Health. 2006;22:151-157.
26. The Center for Evaluative Services, Dartmouth Medical School. The Dartmouth Atlas of Health Care 1998. http://www.dartmouthatlas.org/atlases/ 98Atlas.pdf. Accessed January 2, 2009.
27. Glasgow N. Rural/urban patterns of aging and caregiving in the United States. J Fam Issues. 2000;21:611-631.
28. US Census Bureau, Census 2000. http://www.census.gov/ main/www/cen2000.html.
29. Buerhaus PI, Staiger DO, Auerbach DI. New signs of a strengthening U.S. nurse labor market? Health Aff. 2004;W4: 526-533.
30. Murray MK. The nursing shortage. Past, present, and future. J Nurs Adm. 2002;32:79-84.
31. Kuehn BM. No end in sight to nursing shortage: bottleneck at nursing schools a key factor. JAMA. 2007;298:1623-1625.
32. Unruh LY, Fottler MD. Projections and trends in RN supply: what do they tell us about the nursing shortage? Policy Polit Nurs Pract. 2005;6:171-182.
33. Brady MS, Sherrod DR. Retaining men in nursing program designed for women. J Nurs Educ. 2003;42:159-162.
34. McNeese-Smith DK, Crook M. Nursing values and a changing nurse workforce: values, age, and job stages. J Nurs Adm. 2003;33(5):260-270.
35. Hopkins ME. Critical condition. Nurse Week. 2001;2:15-18.
36. Scanlon WJ. Nursing Workforce: Recruitment and Retention of Nurses and Nurse Aides Is a Growing Concern. Washington, DC: Government Accounting Office. Report No. GAO-01-750T.
37. McNearney TA, Hunnicutt SE, Maganti R, Rice J. What factors relate to job satisfaction among rheumatologists? J Clin Rheumatol. 2008;14:133-137.
38. Coile RC Jr. 10 factors affecting the physician shortage of the future. Physician Exec. 2003;29:62-65.
39. Anderson MB. A thematic summary of the geriatrics curricula at 40 US medical schools. Acad Med. 2004;79(7) (suppl):S213-S226.
40. Steward DE. The internal medicine workforce, international medical graduates, and medical school departments of medicine. Am J Med. 2003;115:80-84.
41. Hagopian A, Thompson MJ, Fordyce M, Johnson KE, Hart LG. The migration of physicians from sub-Saharan Africa to the United States of America: measures of the African brain drain. Hum Resour Health. 2004;2:17.
42. Brown RP, Connell J. The migration of doctors and nurses from South Pacific Island Nations. Soc Sci Med. 2004;58:2193-2210.
43. Cooper RA, Aiken LH. Health services delivery: reframing policies for global migration of nurses and physicians-a U.S. perspective. Policy Polit Nurs Pract. 2006;(3)(suppl):66S-70S.
44. Wharrad H, Robinson J. The global distribution of physicians and nurses. J Adv Nurs. 1999;30:109-120.
45. Watkins S. Migration of healthcare professionals: practical and ethical considerations. Clin Med. 2005;5:240-243.
46. Barzansky B, Etzel SI. Educational programs in US medical schools, 2004-2005. JAMA. 2005;294:1068-1074.
47. Watson RT. Rediscovering the medical school. Acad Med. 2003;78:659-665.
48. Cinti S. Pandemic influenza: are we ready? Disaster Manag Response. 2005;3:61-67.
49. Hausdorff WP, Feikin DR, Klugman KP. Epidemiological differences among pneumococcal serotypes. Lancet Infect Dis. 2005;5:83-93.
50. Donley SR, Flaherty SM, Sarsfield E, Taylor L, Maloni H, Flanagan E. What does the Nurse Reinvestment Act mean to you? Online J Issues Nurs. 2003;8:9.
51. Cullen K. Strong leaders strengthen retention. Nurs Manage. 1999;30:27-30.
52. Wieck KL. Faculty for the millennium: changes needed to attract the emerging workforce into nursing. J Nurs Educ. 2003;42:151-158.
53. Allan JD, Aldebron J. A systematic assessment of strategies to address the nursing faculty shortage, U.S. Nurs Outlook. 2008;56:286-297.
54. Nurses for a Healthier Tomorrow. Careers in nursing campaign. http://www.nursesource.org/campaign. newsCIN.html. Accessed January 2,2009.
55. Donelan K, Buerhaus PI, Ulrich BT, Norman L, Dittus R. Awareness and perceptions of the Johnson & Johnson Campaign for Nursing's Future: views from nursing students, RNs, and CNOs. Nurs Econ. 2005;23:150-156.
56. Allen P, Schumann R, Collins C, Selz N. Reinventing practice and education partnerships for capacity expansion. J Nurs Educ. 2007;46:170-175.
57. Rogowski AC, Strong KM. Dual-preceptorship as a method to providing consistent clinical clerkships in community pharmacy. J Pharm Pract. 2000;13:400-410.
58. Wuller WR, Luer MS. A sequence of introductory pharmacy practice experiences to address the new standards for experiential learning. Am J Pharm Educ. 2008;72:73.
59. Tanner CA. Thinking like a nurse: a research-based model of clinical judgment in nursing. J Nurs Educ. 2006;45:204-211.
60. Kovner CT, Mezey M, Harrington C. Who cares for older adults? Workforce implications of an aging society. Health Aff. 2002;21:78-89.
61. Intrator O, Feng Z, Mor V, Gifford D, Bourbonniere M, Zinn J. The employment of nurse practitioners and physician assistants in U.S. nursing homes. Gerontologist. 2005;45: 486-495.