Detmer D E, Holsinger J W, Steen E B
Virginia Health Policy Center, Department of Surgery, University of Virginia, Charlottesville 22908, USA.
Am J Surg. 1998 Jul;176(1):2-5; discussion 6-7. doi: 10.1016/s0002-9610(98)00092-0.
The supply of physicians in the United States is affected by a variety of complex factors. Given the current abundance, if not oversupply, of physicians and the dramatic changes under way in the US health care delivery system, policy makers have renewed efforts to implement strategies that will lead to an appropriate balance of physicians in the United States. Several organizations have recommended specific strategies for achieving that goal. The Veterans Health Administration has already decided to change the number and distribution of its residency training positions. These changes cannot, however, be viewed in isolation. The Veterans Health Administration plays an important role in the graduate medical education of many physicians in the United States, and the magnitude of the intended changes could have a significant impact on residency opportunities.
美国医生的供给受到多种复杂因素的影响。鉴于目前医生数量充足（即便不是供过于求）以及美国医疗保健服务体系正在发生的巨大变化，政策制定者重新努力实施能够在美国实现医生数量适度平衡的战略。几个组织已经推荐了实现该目标的具体战略。退伍军人健康管理局已经决定改变其住院医师培训岗位的数量和分布。然而，这些变化不能孤立看待。退伍军人健康管理局在美国许多医生的毕业后医学教育中发挥着重要作用，预期变化的幅度可能会对住院医师培训机会产生重大影响。
