Office of Research, Development, and Information, Centers for Medicare and Medicaid Services, in Baltimore, Maryland, USA.
Health Aff (Millwood). 2011 Feb;30(2):219-27. doi: 10.1377/hlthaff.2010.0602.
We conducted a national random survey of Medicare beneficiaries to better understand the association between the supply of physicians and patients' perceptions of their health care. We found that patients living in areas with more physicians per capita had perceptions of their health care that were similar to those of patients in regions with fewer physicians. In addition, there were no significant differences between the groups of patients in terms of numbers of visits to their personal physician in the previous year; amount of time spent with a physician; or access to tests or specialists. Our results suggest that simply training more physicians is unlikely to lead to improved access to care. Instead, focusing health policy on improving the quality and organization of care may be more beneficial.
我们对 Medicare 受益人群进行了全国范围内的随机调查，以更好地了解医生的供应与患者对其医疗保健的看法之间的关系。我们发现，人均医生数量较多地区的患者对其医疗保健的看法与医生数量较少地区的患者相似。此外，两组患者在过去一年中看私人医生的次数、与医生相处的时间长短或获得检查或专家的机会方面没有显著差异。我们的研究结果表明，仅仅培训更多的医生不太可能改善医疗服务的可及性。相反，将卫生政策的重点放在提高医疗保健的质量和组织上可能更有益。
