Grewe T, Lapolla M, Phillips S, Mitchell L
Oklahoma State University (OSU) Center for Health Policy Research, OSU College of Osteopathic Medicine, Tulsa, USA.
J Am Osteopath Assoc. 1999 Jan;99(1):34-41. doi: 10.7556/jaoa.1999.99.1.34.
State policy makers, healthcare professionals, and advocates have been asking various iterations of the question, Do we have too many or too few physicians? In order to address this question, a relative-needs analysis was conducted for the state of Oklahoma. Six projection-needs studies were used for comparison with Oklahoma's supply of practicing physicians. This analysis found that Oklahoma did not have a surplus of primary care physicians. While the national average for primary care physicians per 100,000 was 79, Oklahoma's ratio was 68. This analysis also compares not only the number of physicians in Oklahoma per 100,000 population, it also discusses the proportion of primary care physicians in the physician workforce. Primary care physicians were found to be neither oversupplied nor undersupplied in Oklahoma. Oklahoma was found to be closer to national planning model goals than most states in the United States. Because this study combines both allopathic and osteopathic physicians and includes only those physicians in active practice, it is unique in comparison to many other studies concerning physician workforce needs.
州政策制定者、医疗保健专业人员和倡导者一直在反复提出这样一个问题:我们的医生是太多还是太少?为了解决这个问题,对俄克拉荷马州进行了一项相对需求分析。使用了六项预测需求研究来与俄克拉荷马州执业医生的供应情况进行比较。该分析发现,俄克拉荷马州的初级保健医生并不过剩。虽然全国每10万人中初级保健医生的平均人数为79人,但俄克拉荷马州的这一比例为68人。该分析不仅比较了俄克拉荷马州每10万人口中的医生数量,还讨论了初级保健医生在医生劳动力中的比例。研究发现,俄克拉荷马州的初级保健医生既没有供应过剩,也没有供应不足。与美国大多数州相比,俄克拉荷马州更接近国家规划模型目标。由于这项研究将西医和正骨医生都包括在内,并且只包括那些正在积极执业的医生,因此与许多其他关于医生劳动力需求的研究相比,它是独一无二的。