Kletke P R, Marder W D, Silberger A B
AMA Center for Health Policy Research, Chicago, IL 60610.
Am J Public Health. 1990 Mar;80(3):300-4. doi: 10.2105/ajph.80.3.300.
This study analyzes how the growing proportion of women in the United States physician population will affect the amount and type of physician services available to the US population. Female physicians work fewer hours per week, are slightly less likely to be in patient care, and tend to enter different specialties than male physicians. Female physicians also have higher retirement rates than male physicians, but due to their lower mortality rates, have work lives nearly as long as male physicians. We examined how the changing composition of the physician population will affect the availability of physician services by comparing historical and projected trends for the number of active post-residency physicians with comparable trends for a full-time-equivalent measure of physician supply. The full-time-equivalent measure takes into account the different labor supply behavior of key subpopulations (e.g., women and graduates of US versus foreign medical schools). The results suggest that the changing composition of the physician population will reduce the growth of effective physician supply between 1986 and 2010 but only by four percentage points.
本研究分析了美国医生群体中女性比例的不断增加将如何影响美国民众可获得的医生服务的数量和类型。女医生每周工作时间较少,从事患者护理工作的可能性略低,并且倾向于选择与男医生不同的专业领域。女医生的退休率也高于男医生,但由于她们的死亡率较低,其工作年限与男医生几乎一样长。我们通过比较在职住院医生数量的历史趋势和预测趋势与医生供应的全职等效指标的可比趋势,研究了医生群体构成的变化将如何影响医生服务的可获得性。全职等效指标考虑了关键亚群体(例如,美国和外国医学院校的女性毕业生)不同的劳动力供应行为。结果表明,医生群体构成的变化将在1986年至2010年期间降低有效医生供应的增长,但仅降低4个百分点。