Cover: Health Manpower

Health Manpower

California Trends and Policy Issues

Published 1975

by Albert J. Lipson

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Discusses major RAND findings and recommendations concerning health personnel No consensus exists on how to measure health personnel requirements, since we lack adequate measures of how health care services affect health. Unlike other states, California uses few foreign medical graduates — it retains its own and attracts those of other states. However, three areas are "physician poor": Bakersfield, Imperial Valley, and San Joaquin Valley. The numbers of RNs and LVNs have increased substantially, but the supply/demand ratio fluctuates erratically. California's Nurse Practitioner training programs were undermined by the Board of Medical Examiners, which telegraphed the medical school deans to stop training nurse practitioners. Licensure issues are discussed. Implementing a RAND recommendation, the Office of Planning and Intergovernmental Relations was established under the State Health Director. RAND also recommended appointing public representatives to develop and update a unified health sciences education plan responsive to societal needs. (Presented at Regional Health Manpower Conference, Los Angeles, January 1975.) (See also R-1572.)

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