Wechsler H, Dorsey J L, Bovey J D
N Engl J Med. 1978 Jan 5;298(1):15-21. doi: 10.1056/NEJM197801052980104.
A questionnaire survey of physicians who had been residents in internal medicine, pediatrics or obstetrics-gynecology in Massachusetts during the years 1967-1972 was undertaken to determine that specialties they now practice and the extent to which they deliver primary care. Over 600 physicians (74 per cent) responded. Devoting more than half their practice to a primary-care specialty were only 28 per cent of the former residents in internal medicine as compared with 56 per cent of those in pediatrics and 74 per cent of those in obstetrics-gynecology. For each group the fraction of full-time equivalent primary-care physicians produced was 0.27, 0.42 and 0.39 for the internal-medicine, pediatrics and obstetrics-gynecology programs respectively. These findings indicate that, although Massachusetts is meeting the requirements of PL 94-484 concerning the percentage of residency positions in the primary-care specialties, such compliance does not guarantee an adequate future supply of primary-care practioners.
我们对1967年至1972年间在马萨诸塞州担任内科、儿科或妇产科住院医师的医生进行了问卷调查，以确定他们目前从事的专业以及提供初级保健的程度。600多名医生（74%）做出了回应。在内科前住院医师中，只有28%的人将超过一半的执业时间用于初级保健专业，而儿科为56%，妇产科为74%。对于每个组，内科、儿科和妇产科项目产生的全职等效初级保健医生比例分别为0.27、0.42和0.39。这些发现表明，尽管马萨诸塞州符合PL 94 - 484关于初级保健专业住院医师职位百分比的要求，但这种合规并不能保证未来有足够的初级保健从业者供应。
