Quigley Leo
George Washington University, Washington, District of Columbia.
J Ambul Care Manage. 2022;45(2):105-113. doi: 10.1097/JAC.0000000000000408.
Access to health care is limited in part by maldistribution of physicians. Physicians agreeing to work in underserved areas can receive a financial incentive or a visa waiver that eases immigration restrictions. However, the overall landscape and scale of incentive programs and providers remains unelucidated. This article aggregates the reported output of state and federal programs and assesses their relative contributions to increasing the physician workforce in underserved areas. The estimates derived suggest that in 2017 the National Health Service Corps supported placement of around 2000 physicians, fully state-funded financial incentive programs about 1000, and visa waiver programs over 3500.
医疗服务的可及性在一定程度上受到医生分布不均的限制。同意在医疗服务不足地区工作的医生可以获得经济激励或签证豁免,从而放宽移民限制。然而,激励计划和提供者的整体情况及规模仍不明确。本文汇总了州和联邦计划的报告产出,并评估了它们对增加医疗服务不足地区医生劳动力的相对贡献。得出的估计数字表明,2017年,国家卫生服务队支持安置了约2000名医生,完全由州政府资助的经济激励计划支持了约1000名,签证豁免计划支持了超过3500名。