Hatch T D
Educ Med Salud. 1986;20(3):388-93.
This article reviews the health manpower situation in the United States of America. It notes that there have been changes in how services are provided and financed and, concurrently, in how the professions are practiced and utilized. It indicates that the numbers of graduates in and persons practicing all the health professions have continued to rise during the eighties, although at a slower rate than in the seventies; the pattern of supply follows the same curve. The author further mentions that, in a developed and complex society possessing the largest volume and variety of information in the world, each societal factor produces myriad effects on supply and demand in the health sector. These factors include action by the Federal Government, the influence of health insurance (Medicare), population changes, restrictions on the immigration of professionals, the presence of minorities, and the growing presence of women in the labor force.
本文回顾了美利坚合众国的卫生人力状况。文章指出，服务的提供方式和筹资方式发生了变化，与此同时，各专业的执业方式和利用方式也发生了变化。文章表明，在整个八十年代，所有卫生专业的毕业生人数和从业人员数量持续上升，尽管增速低于七十年代；供应模式遵循相同的曲线。作者还提到，在一个拥有世界上数量最多、种类最繁杂信息的发达复杂社会中，每个社会因素都会对卫生部门的供需产生无数影响。这些因素包括联邦政府的行动、医疗保险（医疗保险制度）的影响、人口变化、对专业人员移民的限制、少数族裔的存在以及劳动力中女性人数的不断增加。
