作者: Richard A. Cooper
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摘要: ContextPhysician shortages are appearing, yet controversy about their significance and uncertainty remedy exist.ObjectivesTo sample the perceptions of medical school deans and state medical society executives adequacy physician supply, to determine the perceived impact any on schools, assess capacity of schools expand.Design, Setting, ParticipantsMedical in United States Puerto Rico were surveyed by means a structured questionnaire, officials US medical societies queried by open-ended telephone interviews. Information was obtained from 58% 86% society executives.Main Outcome MeasureReported or surpluses physicians specialty and plans increase class size.ResultsApproximately 85% both society respondents perceived shortages physicians, usually multiple specialties, while 10% perceived surpluses, coexisting with shortages. Among reporting shortages, 83% described negative schools. Recent planned increases in size reported 27% expansion capacity another 34%, but 7% noted recent decreases size. Applied generally, these changes could yield 7.6% additional matriculants annually.ConclusionsPhysician prevalent they negatively affecting medical Little exists alleviate these through class expansion.