Gray L C
Am J Public Health. 1977 Jun;67(6):519-26. doi: 10.2105/ajph.67.6.519.
Studies of the geographic and functional distribution of physicians rarely include race of the physicians as a study variable. For black physicians, there are some rather strong justifications for doing just that: 1) their services are directed almost exclusively to black and often medically underserved communities; 2) recent efforts to reduce constraints to medical education based on race, sex, ethnicity, and income have resulted in a substantial increase in the proportion of black medical students; 3) inferring about black physicians from information on the general population of physicians given the differences in biographical and experimental characteristics is tenuous at best. Hence, an adequate information base and focused conceptualization on the educational and career patterns of black physicians are indicated. At the policy level there is a need to clarify the relationship between equity in educational (and career) opportunity and efforts to redistribute physicians.
对医生的地理分布和职能分布的研究很少将医生的种族作为一个研究变量。对于黑人医生来说,这样做有一些相当充分的理由:1)他们几乎只为黑人服务,而且这些社区往往医疗服务不足;2)最近基于种族、性别、族裔和收入减少医学教育限制的努力导致黑人医学生的比例大幅增加;3)鉴于传记和实验特征的差异,从医生总体信息推断黑人医生充其量只是牵强的。因此,需要有一个充分的信息基础,并对黑人医生的教育和职业模式进行有针对性的概念化。在政策层面,有必要澄清教育(和职业)机会平等与重新分配医生的努力之间的关系。