Blumenthal David
Institute for Health Policy, Massachusetts General Hospital/Partners HealthCare System, Harvard Medical School, Boston, USA.
Health Aff (Millwood). 2003 Jul-Aug;22(4):85-7. doi: 10.1377/hlthaff.22.4.85.
Richard Cooper outlines several obstacles to increasing the supply of U.S.-trained physicians. His analysis paints a bleak picture, but he may be underselling the possible benefits of technological advances that could increase medical school capacity and of increasing the volume of qualified applicants by broadening eligibility criteria. Another issue that would confront medical educators is that imbalances between supply and demand would not be uniform across states. This development could signal increased involvement from state policymakers, but public and private policymakers should take steps to assure that resources are funneled to where doctors are needed most and to exploit opportunities for innovative curriculum development.
理查德·库珀概述了增加美国培养的医生数量所面临的几个障碍。他的分析描绘了一幅黯淡的图景,但他可能低估了技术进步可能带来的好处,这些技术进步可以提高医学院的招生能力,以及通过放宽资格标准来增加合格申请者的数量。医学教育工作者面临的另一个问题是,供需不平衡在各州之间并不统一。这种情况可能意味着州政策制定者的参与度会提高,但公共和私人政策制定者应采取措施,确保资源流向最需要医生的地方,并利用机会开发创新课程。