Pawlson L G
Department of Health Care Sciences, George Washington University Medical Center, Washington, DC 20037.
J Am Geriatr Soc. 1989 Jul;37(7):651-4. doi: 10.1111/j.1532-5415.1989.tb01256.x.
The Medicare program provides the largest single source of funding for the clinical portion of housestaff training programs. Despite the fact that the clinical training in geriatric fellowship programs focuses heavily on the care of Medicare recipients, the proportion of funds supporting geriatric fellowships that is derived from Medicare is actually smaller than that of most other fellowship programs. Legislation passed by Congress in 1986, and just recently implemented, creates an opportunity to increase Medicare funding for geriatrics. Those concerned with geriatric fellowship training must have a clear understanding of how Medicare funding for graduate medical education will occur under the new legislation if the opportunity is to be used effectively. Finally, other barriers created by general pressures on housestaff budgets that may interfere with capitalizing on the opportunity are discussed.
医疗保险计划为住院医师培训项目的临床部分提供了最大的单一资金来源。尽管老年医学专科培训项目的临床培训主要侧重于医疗保险受益人的护理，但来自医疗保险的支持老年医学专科培训的资金比例实际上低于大多数其他专科培训项目。国会于1986年通过并最近实施的立法创造了增加医疗保险对老年医学资金投入的机会。如果要有效利用这一机会，关注老年医学专科培训的人员必须清楚了解在新立法下医疗保险将如何为毕业后医学教育提供资金。最后，还讨论了住院医师预算面临的一般压力所造成的可能妨碍利用这一机会的其他障碍。
