Medical Manpower Models

Need, Demand, and Supply

by Judith Lave, Lester B. Lave, S. Leinhardt

Download

Download eBook for Free

FormatFile SizeNotes
PDF file 2.9 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Purchase

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback68 pages $25.00 $20.00 20% Web Discount

How many physicians are needed? Can they be obtained? A framework within which to explore these two questions is proposed together with a review of recent literature. Section I outlines the increase in planning. Section II defines the goal of the delivery system as an improvement in the health of the population and raises the difficulties of implementing the goal. Section III reviews methods for forecasting need: (1) professionally defined standards, (2) physician/population ratios, (3) economic models of demand, and (4) system models of the delivery system. The first two bear little relation to the expected utilization of physicians or to the goal of improving health. Economic models reflect utilization, but neglect access costs. System models suffer from estimation problems and the lack of outcome measures. Section IV focuses on the supply of physicians; they seem to respond to environmental and other amenities, with less emphasis on income; they seek proximity to colleagues and modern facilities. Six ways to determine if a shortage exists are reviewed in Sec. V. Section VI demonstrates that the supply of physicians has continually been underestimated. Locational inequity appears to be the major unsolved problem.

This report is part of the RAND Corporation Report series. The report was a product of the RAND Corporation from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.