Chilton L A, Daitz B R, Stehr D E
South Med J. 1981 Sep;74(9):1107-11. doi: 10.1097/00007611-198109000-00025.
Because of a need to project the requirements for the training of primary care practitioners in the state of New Mexico, we reviewed available means of determining health manpower needs. Combining several of these methods, we constructed a three-tiered model, taking into account different patterns of care-seeking in areas of various population densities. These methods may be applicable in other states like New Mexico where densely populated cities contrast with sparsely settled rural areas. All such methods, however, are confounded by the state of balance of many factors, including immigration and emigration of physicians, use of nonphysician providers, and patient movement across boundaries for care. This report contributes to the growing literature on health manpower needs by recognizing and attempting to account for differences between urban and rural patterns of care-seeking.
由于需要预测新墨西哥州初级保健从业者的培训需求，我们审查了确定卫生人力需求的现有方法。综合其中几种方法，我们构建了一个三层模型，同时考虑了不同人口密度地区不同的就医模式。这些方法可能适用于其他类似新墨西哥州的州，在这些州，人口密集的城市与人口稀少的农村地区形成鲜明对比。然而，所有这些方法都受到许多因素平衡状态的影响，包括医生的迁入和迁出、非医生提供者的使用以及患者跨地区就医等。本报告通过认识并试图解释城乡就医模式的差异，为有关卫生人力需求的不断增加的文献做出了贡献。
