Morrisey M A, Kletke P R, Marder W D
Department of Health Care Organization and Policy, University of Alabama, Birmingham.
Inquiry. 1991 Spring;28(1):7-18.
This study has two objectives. First, it identifies how much the presence of community hospital beds adds to the stock of physicians practicing in nonmetropolitan counties. Second, it estimates the impact hospital closures or other reductions in beds have on the net flow of physicians into rural counties. The study relies primarily on data from the 1981 and 1986 Physician Masterfiles of the American Medical Association. We find that hospital bed reductions and closures essentially do not affect the availability of physicians--they have apparently already left by the time the downsizing occurs. Further, population change and the number of physicians already in the county determine for the most part the entry or exit of physicians.
本研究有两个目标。其一，确定社区医院病床的存在对在非都市县执业的医生数量增加了多少。其二，估计医院关闭或其他病床减少情况对医生流入农村县的净流量的影响。该研究主要依赖于美国医学协会1981年和1986年医生主文件中的数据。我们发现，医院病床的减少和关闭基本上不会影响医生的可获得性——在规模缩小时，他们显然已经离开了。此外，人口变化和该县已有的医生数量在很大程度上决定了医生的流入或流出。
