Minihan P T
Yale J Biol Med. 1977 Sep-Oct;50(5):533-5.
The United States Congress has recently passed an important bill entitled, The Health Professionals Assistance Act of 1976. It seeks to right physician maldistribution in the country and curtail the over specialization of medical practitioners. Quotas have been set in terms of the number of medical school graduates who must enter primary care training programs over the next few years. Failure to comply risks loss of the federal capitation grant of twenty-one hundred dollars per student or about one million dollars a year in Yale's case.The causes of physician maldistribution are discussed. Partial blame is ascribed to the medical schools themselves and recommendations are made for curriculum changes which if adopted may achieve better physician distribution without further government inroads into medical school affairs.
美国国会最近通过了一项重要法案，名为《1976年卫生专业人员援助法案》。该法案旨在纠正该国医生分布不均的状况，并减少执业医生过度专业化的现象。已设定了配额，规定在未来几年内必须进入初级保健培训项目的医学院毕业生人数。未能达标可能会面临失去联邦政府每位学生每年2100美元的人头费拨款的风险，以耶鲁大学为例，每年约为100万美元。文中讨论了医生分布不均的原因。部分责任归咎于医学院本身，并针对课程改革提出了建议，如果这些建议得以采纳，或许能够在无需政府进一步干预医学院事务的情况下实现更好的医生分布。
