Analysis & commentary: Building a health care workforce for the future: More physicians, professional reforms, and technological advances

Health Affairs

Volumn 32, Issue 11, 2013, Pages 1922-1927

  Grover, Atul ^a   Niecko Najjum, Lidia M ^a  

^a ASSOCIATION OF AMERICAN MEDICAL COLLEGES   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGING; ARTICLE; COMORBIDITY; FAMILY MEDICINE; FUNDING; GENERAL PRACTICE; GENERAL PRACTITIONER; HEALTH CARE DELIVERY; HEALTH CARE MANPOWER; HEALTH CARE NEED; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HEALTH CARE WORKFORCE; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; INTERNAL MEDICINE; LIFE EXPECTANCY; LIFESPAN; MANAGED CARE; MEDICAL TECHNOLOGY; MORTALITY; PATHOLOGIST; PATIENT CARE; PATIENT COUNSELING; PEDIATRICS; PHYSICIAN; PRIMARY MEDICAL CARE; REIMBURSEMENT; SURGEON; CHRONIC CARE; HEALTH CARE QUALITY; MANPOWER; ORGANIZATION AND DELIVERY OF CARE; SPECIAL POPULATIONS; UNITED STATES; WORKFORCE ISSUES;

CHRONIC CARE; ORGANIZATION AND DELIVERY OF CARE; PHYSICIANS; SPECIAL POPULATIONS; WORKFORCE ISSUES;

BIOMEDICAL TECHNOLOGY; DELIVERY OF HEALTH CARE; HEALTH CARE REFORM; HEALTH MANPOWER; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; PHYSICIANS; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 84888080467     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2013.0557     Document Type: Article

References (43)

1. Goldman DP, Cutler D, Rowe JW, Michaud PC, Sullivan J, Peneva D, et al. Substantial health and economic returns from delayed aging may warrant a new focus for medical research. Health Aff(Millwood). 2013;32(10):1698-705.
2. Association of American Medical Colleges. Physician shortages to worsen without increases in residency training [Internet]. Washington (DC): AAMC; 2010 Jun [cited 2013 Oct 8]. Available from:https://www.aamc.org/download/286592/data/
3. Association of American Medical Colleges. 2008 physician specialty data [Internet]. Washington (DC):AAMC; 2008 Nov [cited 2013 Oct 8]. Available from: https://www.aamc.org/download/47352/data
4. Health Resources and Services Administration. The physician workforce: projections and research into current issues affecting supply and demand [Internet]. Rockville (MD): HRSA; 2008 Dec [cited 2013 Oct 11]. Available from: http://bhpr.hrsa.gov/healthworkforce/reports/physwfissues.pdf
5. ResDAC. Healthcare Cost Report Information System [home page on the Internet]. Baltimore (MD):Centers for Medicare and Medicaid Services, Research Data Assistance Center; 2012 Sep 30 [cited 2013 Oct 11]. Available from: http://www.resdac.org/cms-data/files/hcris
6. Census Bureau. State and County QuickFacts. Washington (DC):Census Bureau; 2012.
7. Census Bureau. Population profile of the United States. Washington (DC):Census Bureau; 1997.
8. Hanchate AD, Lasser KE, Kapoor A, Rosen J, McCormick D, D'Amore MM, et al. Massachusetts reform and disparities in inpatient care utilization. Med Care. 2012;50(7):569-77.
9. Passel JS, Cohn D. U.S. population projections: 2005-2050 [Internet]. Washington (DC): Pew Research Center; 2008 Feb 11 [cited 2013 Oct 10]. Available from: http://www.pewhispanic.org/files/reports/85.pdf
10. Centers for Medicare and Medicaid Services. CMS Chronic Condition Data Warehouse (CCW): Medicare beneficiary prevalence for chronic conditions for 2000 through 2011 [Internet]. Baltimore (MD): CMS; [cited 2013 Oct 8]. Table B.2. Available from: http://www.ccwdata.org/cs/groups/public/documents/document/wls_ucm1-000774.pdf
11. Howlader N, Noone AM, Krapcho M, Garshell J, Neyman N, Altekruse SF, et al. SEER Cancer Statistics Review, 1975-2010. Bethesda (MD):National Cancer Institute; 2013 Apr [cited 2013 Oct 8]. Available from:http://seer.cancer.gov/csr/1975_2010
12. De Moor JS, Mariotto AB, Parry C, Alfano CM, Padgett L, Kent EE, et al. Cancer survivors in the United States: prevalence across the survivorship trajectory and implications for care. Cancer Epidemiol Biomarkers Prev. 2013;22(4):561-70.
13. Fakhouri THI, Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity among older adults in the United States, 2007-2010 [Internet]. Hyattsville (MD):National Center for Health Statistics; 2012 Sep [cited 2013 Oct 11]. (NCHS Data Brief No. 106). Available from: http://www.cdc.gov/nchs/data/databriefs/db106.htm
14. Hurd MD, Martorell P, Delavande A, Mullen KJ, Langa KM. Monetary costs of dementia in the United States. N Engl J Med. 2013;368:1326-34.
15. Kowal SL, Dall TM, Chakrabarti R, Storm MV, Jain A. The current and projected economic burden of Parkinson's disease in the United States. Mov Disord. 2013;28(3):311-8.
16. Basco WT, Rimsza ME, Committee on Pediatric Workforce, American Academy of Pediatrics. Pediatrician workforce policy statement. Pediatrics. 2013;132(2):390-7.
17. National Committee for Quality Assurance. Letter to the Hon. Fred Upton and the Hon. Henry Waxman [Internet]. Washington (DC): 2013 Jun 10 [cited 2013 Oct 11]. Available from: http://www.ncqa.org/Portals/0/Programs/Recognition/PCMH/NCQA%20Energy%20&%20 Commerce%20SGR%20Comments %206-10-13.pdf
18. World Health Organization. Declaration of Alma-Ata:International Conference on Primary Health Care, Alma-Ata, USSR, 6-12, September 1978 [Internet]. Geneva:WHO; [cited 2013 Oct 8]. Available from: http://www.who.int/publications/almaata_declaration_ en.pdf
19. Erikson CE. Will new care delivery solve the primary care physician shortage? A call for more rigorous evaluation. Healthcare. 2013;1(1-2):8-11.
20. Fireman B, Bartlett J, Selby J. Can disease management reduce health care costs by improving quality? Health Aff(Millwood). 2004;23(6):63-75.
21. Smith-Bindman R, Miglioretti DL, Johnson E, Lee C, Feigelson HS, Flynn M, et al. Use of diagnostic imaging studies and associated radiation exposure for patients enrolled in large integrated health care systems, 1996-2010. JAMA. 2012; 307(22):2400-9.
22. Stukel TA, Fisher ES, Alter DA, Guttmann A, Ko DT, Fung K, et al. Association of hospital spending intensity with mortality and readmission rates in Ontario hospitals. JAMA. 2012;307(10):1037-45.
23. Makarov DV, Desai R, Yu JB, Sharma R, Abraham N, Albertsen PC, et al. Appropriate and inappropriate imaging rates for prostate cancer go hand in hand by region, as if set by thermostat. Health Aff(Millwood). 2012;31(4):730-40.
24. Rosenthal E. Paying till it hurts: the $2.7 trillion medical bill. New York Times. 2013 Jun 1.
25. Laberge AM, Burke W. Personalized medicine and genomics. In: Crowley M, editor. From birth to death and bench to clinic: the Hastings Center bioethics briefing book for journalists, policymakers, and campaigns. Garrison (NY): Hastings Center; 2008. p. 133-6.
26. Hamburg MA, Collins FS. The path to personalized medicine. N Engl J Med. 2010;363:301-4.
27. Fisher ES, Bell JE, Tomek IM, Esty AR, Goodman DC. Trends and regional variation in hip, knee, and shoulder replacement [Interne Lebanon (NH): Dartmouth Institute for Health Policy and Clinical Practice; 2010 Apr 6 [cited 2013 Oct 11]. (Dartmouth Atlas Surgery Report). Available from: http://www.dartmouthatlas.org/downloads/reports/Joint_ Replacement_0410.pdf
28. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Intern Med. 2003;138(4):273-87.
29. Reschovsky JD, Hadley J, Romano PS. Geographic variation in fee-forservice Medicare beneficiaries' medical costs is largely explained by disease burden. Med Care Res Rev. 2013;70(5):542-63.
30. Zhang Y, Baicker K, Newhouse JP. Geographic variation in Medicare drug spending. N Engl J Med. 2010;363:405-9.
31. Reschovsky JD, Hadley J, Saiontz-Martinez CB, Boukus ER. Following the money: factors associated with the cost of treating high-cost Medicare beneficiaries. Health Serv Res. 2011;46:997-1021.
32. Institute of Medicine. Variation in health care spending: target decision making, not geography. Washington (DC): National Academies Press; 2013.
33. Fraher EP, Knapton A, Sheldon GF, Meyer A, Ricketts TC. Projecting surgeon supply using a dynamic model. Ann Surg. 2013;257(5):867-72.
34. Gottfried ON, Rovit RL, Popp AJ, Kraus KL, Simon AS, Couldwell WT. Neurosurgical workforce trends in the United States. J Neurosurg. 2005;102(2):202-8.
35. Robboy SJ, Weintraub S, Horvath AE, Jensen BW, Alexander CB, Fody EP, et al. Pathologist workforce in the United States. Arch Pathol Lab Med. 2013 Jun 5. [Epub ahead of print].
36. Association of American Medical Colleges. 2011 state physician workforce data book [Internet]. Washington (DC): AAMC; 2011 Nov [cited 2013 Oct 8]. Available from: https://www.aamc.org/download/263512/data/statedata2011.pdf
37. American Board of Medical Specialties. ABMS 2010 certification statistics. Chicago (IL): ABMS; 2010.
38. Association of American Medical Colleges. AAMC physician workforce policy recommendations [Internet]. Washington (DC): AAMC; 2012 Sep [cited 2013 Oct 11]. Available from: https://www.aamc.org/download/304026/data/2012aamcworkforce policyrecommendations.pdf
39. Council on Graduate Medical Education. Twenty-first report: improving value in graduate medical education [Internet]. Rockville (MD): COGME; 2013 Aug [cited 2013 Oct 11]. Available from: http://www.hrsa.gov/advisorycommittees/bhpradvisory/cogme/Reports/twentyfirstreport.pdf
40. Organization for Economic Cooperation and Development. Factbook 2011-2012: economic, environmental, and social statistics. Paris: OECD; 2011 Dec 7.
41. Blumenthal D. New steam from an old cauldron-the physician-supply debate. N Engl J Med. 2004;350(17):1780-7.
42. National Resident Matching Program. Results and data: 2013 Main Residency Match. Washington (DC): NRMP; 2013.
43. Englander R. Toward a common taxonomy of competency domains for the health professions and competencies for physicians. Acad Med. 2013;88(8):1088-94.