Lapolla Michael, Brandt Edward N, Barker Andréa, Ryan Lori
Center for Health Policy and Research, Oklahoma State University, 2345 Southwest Blvd, Tulsa, OK 74107, USA.
J Okla State Med Assoc. 2004 May;97(5):190-4.
The enactment of Medicare and Medicaid created a sudden and significant increase in demand for physician services in Oklahoma. As a response, the Oklahoma Legislature established the Physician Manpower Training Commission in 1975. The intent was to provide incentives for graduating physicians to remain in Oklahoma, especially in rural areas. This analysis examines the retention rates experienced during the 25-year period of 1976-2001. It is observed that 82% of program physicians are currently practicing in Oklahoma. This retention proportion compares to only 36% for National Health Service Corps physicians who were obligated to practice in Oklahoma. Additionally, Oklahoma has experienced a 67% retention proportion in rural areas. During this period, 633 physicians have received an estimated dollar 19 million in loans and scholarships. This is an average of dollar 30,000 per recipient. In return, each of these physicians will create 34 jobs and almost dollar 1 million of annual income.
医疗保险和医疗补助计划的颁布使得俄克拉荷马州对医生服务的需求突然大幅增加。作为回应，俄克拉荷马州立法机构于1975年设立了医生人力培训委员会。其目的是激励毕业医生留在俄克拉荷马州，尤其是农村地区。本分析考察了1976年至2001年这25年间的留用率。据观察，该计划下82%的医生目前在俄克拉荷马州执业。相比之下，必须在俄克拉荷马州执业的国家卫生服务队医生的留用比例仅为36%。此外，俄克拉荷马州农村地区的留用比例为67%。在此期间，633名医生获得了总计约1900万美元的贷款和奖学金。平均每位受助者获得3万美元。作为回报，这些医生每人将创造34个就业机会和近100万美元的年收入。
