Johnson S J
Nurs Manage. 1994 Apr;25(4):43-6.
Comprehensive healthcare reform depends on our ability to educate more primary care providers and reduce the oversupply of specialists and subspecialists. However, significant financial incentives exist, hidden within the Federal reimbursement system to fuel continued growth of highly specialized physicians, undermining efforts to educate primary care practitioners. If Medicare cannot correct this situation, perhaps the government should redirect GME funds to educate nurse practitioners.
全面的医疗改革取决于我们培养更多初级保健提供者的能力，并减少专科医生和亚专科医生的供应过剩。然而，联邦报销系统中存在着巨大的经济激励措施，助长了高度专业化医生数量的持续增长，破坏了培养初级保健从业者的努力。如果医疗保险不能纠正这种情况，或许政府应该重新分配研究生医学教育资金来培养执业护士。
