Stimmel B
N Engl J Med. 1975 Jul 10;293(2):68-74. doi: 10.1056/NEJM197507102930204.
To correct deficiencies in physicians' services, chiefly related to geographic maldistribution and overspecialization, numerous bills have been introduced in both the House and the Senate. These bills would increase the annual number of medical graduates, would mandate service in areas defined as lacking in physicians, and would promote the training of primary-care physicians as opposed to more specialized training. The number of foreign medical graduates would also be restricted. Almost all this legislation potentially may diminish the quality of medical education without substantially affecting the provision of health service. Recently introduced legislation (HR 3279), however, seems to deal more rationally with the problems of health manpower.
为纠正医生服务方面的不足，主要是与地理分布不均和过度专业化相关的问题，众议院和参议院都提出了许多法案。这些法案将增加每年医学毕业生的数量，规定在被界定为医生短缺的地区服务，并促进初级保健医生的培训，而非更专业化的培训。外国医学毕业生的数量也将受到限制。几乎所有这些立法都有可能降低医学教育质量，而对医疗服务的提供却没有实质性影响。然而，最近提出的立法（众议院第3279号议案）似乎更合理地解决了卫生人力问题。
