Newhouse J P, Williams A P, Bennett B W, Schwartz W B
JAMA. 1982 May 7;247(17):2392-6.
As the supply of physicians grew during the 1970s, medical and surgical specialists diffused into smaller communities. In 1979, nearly every town with a population of more than 2,500 had ready access to a physician. The overall pattern of physician distribution was quite similar in the four disparate geographic regions chosen for study. The data strongly suggest that competitive forces play a major role in determining where physicians choose to practice. As the pool of physicians expands during the 1980s, a wide range of services will become increasingly available to populations outside metropolitan areas. The methods developed here provide important tool for evaluating and shaping health manpower policy.
在20世纪70年代，随着医生数量的增加，内科和外科专家开始向较小的社区扩散。1979年，几乎每个人口超过2500的城镇都能方便地找到医生。在被选作研究对象的四个不同地理区域，医生分布的总体模式非常相似。数据有力地表明，竞争力量在决定医生选择执业地点方面起着主要作用。随着20世纪80年代医生人才库的扩大，大都市以外地区的民众将越来越多地获得广泛的医疗服务。这里开发的方法为评估和制定卫生人力政策提供了重要工具。
