Trends in the work hours of physicians in the United States

JAMA

Volumn 303, Issue 8, 2010, Pages 747-753

  Staiger, Douglas O ^a,b   Auerbach, David I ^c   Buerhaus, Peter I ^d  

^a Dartmouth College   (United States)

^b NATIONAL BUREAU OF ECONOMIC RESEARCH   (United States)

^c Macroeconomic Analysis Division   (United States)

^d VANDERBILT UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE PERSONNEL; MEDICAL FEE; MEDICAL PRACTICE; PHYSICIAN; PRIORITY JOURNAL; UNITED STATES; WORK CAPACITY; WORK SCHEDULE; WORKLOAD;

EID: 77249088640     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2010.168     Document Type: Article

References (39)

1. Medicare Payment Advisory Commission. Report to the Congress: improving incentives in the Medicare program. http://www.medpac.gov/documents/Jun09- EntireReport.pdf. Accessed January 21, 2010.
2. US Congressional Budget Office. Key issues in analyzing major health insurance proposals. http://www.cbo.gov/ftpdocs/99xx/doc9924/12-18-KeyIssues. pdf. Accessed January 21, 2010.
3. US Government Accountability Office. Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate: primary care professionals: recent supply trends, projections, and valuation of services. http://www.gao.gov/new.items/d08472t.pdf. Accessed January 21, 2010.
4. Senate Finance Committee. Call to action: health reform 2009. http://finance.senate.gov/healthreform2009 /finalwhitepaper.pdf. Accessed January 21, 2010.
5. US Department of Health and Human Services, Health Resources and Services Administration. Physician supply and demand: projections to 2020. ftp: //ftp.hrsa.gov/bhpr/workforce/PhysicianForecasting-Paperfinal.pdf. Accessed January 21, 2010.
6. Sandy LG, Bodenheimer T, Pawlson LG, Starfield B. The political economy of U.S. primary care. Health Aff (Millwood). 2009;28(4):1136-1145.
7. Bodenheimer T, Grumbach G, Berenson RA. A lifeline for primary care. N Engl J Med. 2009;360(26): 2693-2696.
8. Iglehart JK. Grassroots activism and the pursuit of an expanded physician supply. N Engl J Med. 2008; 358(16):1741-1749.
9. American Medical Association. Socioeconomic monitoring system public use files. http://www.ama-assn.org/ama1/pub/upload/mm/363/sefile.pdf. Accessed January 21, 2010.
10. Staiger DO, Auerbach DI, Buerhaus PI. Comparison of physician workforce estimates and supply projections. JAMA. 2009;302(15):1674-1680.
11. US Department of Health and Human Services; Health Resources and Services Administration. The physician workforce: projections and research into current issues affecting supply and demand. ftp://ftp.hrsa.gov/bhpr/workforce/ physicianworkforce.pdf. Accessed January 21, 2010.
12. Tu HT, Ginsberg PB. Losing ground: physician income, 1995-2003: Tracking Report No. 15: June 2006. http://www.hschange.org/CONTENT/851/. Accessed January 21, 2010.
13. Dill MJ, Salsberg ES. The complexities of physician supply and demand: projections through 2025. https://services.aamc.org/publications/showfile.cfm? file=version122.pdf&prd-id=244&prv-id=299&pdf-id=122. Accessed January 21, 2010.
14. Council on Graduate Medical Education. Physician Workforce Policy Guidelines for the United States, 2000-2020. Sixteenth Report. Washington, DC: Health Resources and Services Administration; 2005.
15. Physician Characteristics and Distribution in the US. Chicago, IL: American Medical Association; 2009.
16. Centers for Medicare & Medicaid Services. 1997 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds. Baltimore, MD: Centers for Medicare & Medicaid Services; 1997.
17. Centers for Medicare & Medicaid Services. 2002 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds. http://www.cms.hhs.gov/ReportsTrustFunds/ downloads/tr2002.pdf. Accessed January 21, 2010.
18. Centers for Medicare & Medicaid Services. 2008 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds. http://www.cms.hhs.gov/ReportsTrustFunds/ downloads/tr2008.pdf. Accessed January 21, 2010.
19. MedPAC: Report to the Congress: Medicare payment policy. Section 2B: physician services: assessing payment adequacy and updating payments. http: //www.medpac.gov/chapters/Mar08-Ch02b.pdf. Accessed January 21, 2010.
20. MedPAC: Medicare Payment Advisory Commission. Medicare physician payment rates compared to rates paid by the average private insurer, 1999-2001. http://www.medpac.gov/publications/contractor-reports/Aug03-PhysPayRates(cont) Rpt.pdf. Accessed January 21, 2010.
21. Centers for Medicare&Medicaid Services. National health expenditure data: historical. http://www.cms.hhs.gov/NationalHealthExpendData/02- NationalHealthAccountsHistorical.asp#TopOfPage. Accessed January 21, 2010.
22. Lasser KE, Woolhandler S, Himmelstein DU. Sources of U.S. physician income: the contribution of government payments to the specialist-generalist income gap. J Gen Intern Med. 2008;23(9):1477-1481.
23. US Government Accountability Office. Report to the Honorable Paul Ryan, House of Representatives: federal employees health benefits program: competition and other factors linked to wide variation in health care prices. http://www.gao.gov/new.items/d05856.pdf. Accessed January 21, 2010.
24. American Council on Graduate Medical Education. Statement of justification/impact for the final approval of common standards related to resident duty hours. http://www.acgme.org/DutyHours/impactStatement.pdf. Accessed January 21, 2010.
25. Wooldridge JM. Econometric Analysis of Cross Section and Panel Data. Cambride, MA: MIT Press; 2002:chap 7.
26. Rones PL, Ilg RE, Gardner JM. Trends in hours of work since the mid-1970s. Mon Labor Rev. 1997; 120(4):3-14.
27. Bureau of Labor Statistics. Household data annual averages: Table 23: persons at work by occupation, sex, and usual full- or part-time status. http: //www.bls.gov/cps/cpsaat23.pdf. Accessed January 21, 2010.
28. McGuire TG, Pauly MV. Physician response to fee changes with multiple payers. J Health Econ. 1991; 10(4):385-410.
29. Pham HH, Devers KJ, May JH, Berenson R. Financial pressures spur physician entrepreneurialism. Health Aff (Millwood). 2004;23(2):70-81.
30. Bodenheimer T, Berenson RA, Rudolf P. The primary care-specialty income gap: why it matters. Ann Intern Med. 2007;146(4):301-306.
31. US Government Accountability Office. Testimony before the Subcommittee on Health, Committee on Energy and Commerce, House of Representatives: Medicare physician payments: trends in service utilization, spending, and fees prompt consideration of alternative payment approaches. http://www.gao.gov/new.items/ d061008t.pdf. Accessed January 21, 2010.
32. Landon BE, Reschovsky J, Blumenthal D. Changes in career satisfaction among primary care and specialist physicians. JAMA. 2003;289(4):442-449.
33. Blumenthal D. New steam from an old cauldron: the physician-supply debate. N Engl J Med. 2004; 350(17):1780-1787.
34. Mechanic D. Physician discontent: challenges and opportunities. JAMA. 2003;290(7):941-946.
35. Zuger A. Dissatisfaction with medical practice. N Engl J Med. 2004;350(1):69-75.
36. Grossman JM, Reed MC. Clinical Information Technology Gaps Persist Among Physicians. Issue Brief No. 106. Washington, DC: Center for Studying Health System Change; 2006.
37. Isaacs SL, Jellinek PS, Ray WL. The independent physician: going, going. . . . N Engl J Med. 2009; 360(7):655-657.
38. Physician Characteristics and Distribution in the US. Chicago, IL: American Medical Association; 1999.
39. Iglehart J. Reform and the health care workforce: current capacity, future demand. http://healthcarereform.nejm.org/?p=2129&query=TOC. Published October 21, 2009. Accessed January 21, 2010.