Colwill Jack M, Cultice James M, Kruse Robin L
University of Missouri-Columbia, USA.
Health Aff (Millwood). 2008 May-Jun;27(3):w232-41. doi: 10.1377/hlthaff.27.3.w232. Epub 2008 Apr 29.
We predict that population growth and aging will increase family physicians' and general internists' workloads by 29 percent between 2005 and 2025. We expect a 13 percent increased workload for care of children by pediatricians and family physicians. However, the supply of generalists for adult care, adjusted for age and sex, will increase 7 percent, or only 2 percent if the number of graduates continues to decline through 2008. We expect deficits of 35,000-44,000 adult care generalists, although the supply for care of children should be adequate. These forces threaten the nation's foundation of primary care for adults.
我们预测,在2005年至2025年期间,人口增长和老龄化将使家庭医生和普通内科医生的工作量增加29%。我们预计儿科医生和家庭医生照顾儿童的工作量将增加13%。然而,经年龄和性别调整后的成人护理全科医生供应将增加7%,如果到2008年毕业生数量持续下降,增幅仅为2%。我们预计成人护理全科医生短缺35000 - 44000人,尽管儿童护理的人员供应应该充足。这些因素威胁到国家成人初级护理的基础。