MEDICC Rev. 2018 Apr;20(2):11-16. doi: 10.37757/MR2018.V20.N2.3.
On the 40th anniversary of the Alma Ata Declaration that affirmed health for all a right and primary health care the route to guarantee that right, WHO and PAHO have issued a call to action to convert universal health into reality for the nearly four billion people worldwide lacking full coverage of essential health services. There is some urgency to this movement: WHO estimates the health workforce shortage of nearly 8 million could reach almost 13 million by 2035. And the USA is not exempt: medical associations and special commissions set up to investigate the shortage of primary care physicians, especially "under-represented minority" doctors, have issued report after report on this growing health care emergency. The biggest question looming is: where will the health care providers come from, especially well-trained primary care doctors who want to work for those who need them most?
在《阿拉木图宣言》发表 40 周年之际，该宣言确认了全民健康是一项权利，初级卫生保健是保障这一权利的途径，世界卫生组织和泛美卫生组织呼吁采取行动，为数以亿计的全球尚未充分享有所必需的卫生服务的人实现全民健康。这项行动具有一定的紧迫性：世界卫生组织估计，到 2035 年，近 800 万卫生人力短缺可能达到近 1300 万。美国也不能幸免：为调查初级保健医生（尤其是“代表性不足的少数族裔”医生）短缺而成立的医学协会和特别委员会发布了一份又一份报告，说明这一日益严重的医疗保健紧急情况。悬而未决的最大问题是：医疗保健提供者将从哪里来，尤其是那些希望为最需要的人提供服务的训练有素的初级保健医生？
