RAND Corporation, Santa Monica, CA.
Med Care. 2014 Feb;52(2):95-6. doi: 10.1097/MLR.0000000000000046.
Predicted primary care shortages have spurred action to increase the number of primary care physicians. However, simply increasing the number of primary care providers is not the only solution to resolving the imbalance between the supply of primary care physicians and the demand for primary care services. In this point-counterpoint, we highlight the limitations of existing primary care shortage predictions and discuss strategies to deliver primary care services without necessarily increasing the number of primary care physicians for a given population. Innovative solutions can be used to reduce or even eliminate projected primary care shortages while changing the prevailing paradigm of primary care.
预测的初级保健短缺已经促使人们采取行动来增加初级保健医生的数量。然而,增加初级保健提供者的数量并不是解决初级保健医生的供应与初级保健服务的需求之间失衡的唯一方法。在这一对立观点中,我们强调了现有初级保健短缺预测的局限性,并讨论了在不增加特定人群的初级保健医生数量的情况下提供初级保健服务的策略。创新的解决方案可以用来减少甚至消除预测的初级保健短缺,同时改变初级保健的主流模式。