Lee R H, Hadley J
Health Serv Res. 1987 Apr;22(1):49-68.
Many believe that the changing economic environment might have dramatic effects on the quality or quantity of graduate medical training, yet the evidence is scant. This article assesses the impact of economic factors on the number of residency positions offered by teaching hospitals in surgery, in medicine, in pathology, and in the hospital as a whole. It first outlines in a nontechnical way the policy and empirical implications of an economic approach to residency training. The empirical analysis then compares results from three separate data sets, using both hospitalwide and department-specific information. The article closes by using the estimates to attempt an assessment of the likely impact of cost control and increased competition on training opportunities.
许多人认为，不断变化的经济环境可能会对毕业后医学培训的质量或数量产生巨大影响，但相关证据却很少。本文评估了经济因素对外科、内科、病理科以及整个医院教学医院提供的住院医师职位数量的影响。它首先以非技术性的方式概述了经济方法在住院医师培训方面的政策和实证意义。然后，实证分析使用医院层面和科室层面的信息，比较了来自三个独立数据集的结果。文章最后利用这些估计值，试图评估成本控制和竞争加剧对培训机会可能产生的影响。
