Cooper Richard A
Health Policy Institute, Medical College of Wisconsin, USA.
Health Aff (Millwood). 2003 Jul-Aug;22(4):71-84. doi: 10.1377/hlthaff.22.4.71.
Shortages of physicians have existed periodically throughout U.S. history. In response, medical school capacity has been increased, by either building new schools or expanding existing ones. Each strategy has encountered the obstacles of time, money, and applicants. If the United States chooses to increase its infrastructure for medical education again, these past experiences offer lessons that can be drawn upon. The most instructive ones are how long this process will take, how important public sponsorship and financing will be, and how much it will depend on antecedent dynamics within K-12 and baccalaureate education to assure an adequate flow of applicants, all of which makes the need to develop strategies for the future ever more pressing.
在美国历史上,医生短缺问题周期性地出现。作为应对措施,医学院校的规模通过新建学校或扩大现有学校得以扩大。每种策略都遇到了时间、资金和生源方面的障碍。如果美国选择再次增加医学教育基础设施,过去的这些经验能提供可借鉴的教训。其中最具启发性的是这个过程需要多长时间、公共赞助和资金支持有多重要,以及它在多大程度上依赖于基础教育和本科教育阶段的先行动态来确保有足够的生源,所有这些都使得制定未来战略的必要性变得更加紧迫。