Geriatrics in the United States

Manpower Projections and Training Considerations

by Robert L. Kane, David Solomon, John Beck, Emmett B. Keeler, Rosalie A. Kane

Download

Full Document

FormatFile SizeNotes
PDF file 8 MB

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

Purchase

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback151 pages $35.00 $28.00 20% Web Discount

Demographic projections indicate that the elderly segment of the U.S. population will grow substantially over the next 50 years, posing additional requirements for medical geriatrics manpower. This report provides quantitative boundary estimates of these requirements under four models: continuation of the status quo; academic geriatricians only; academic and consultant geriatricians; and academic, consultant, and primary care geriatricians. Each option is further analyzed in terms of three levels of delegation to nonphysician caregivers. Quantitative implications are projected through the year 2030 under present levels and allowing for improved care of either the 65+ or 75+ age group. The need for geropsychiatric care is explored separately. Given a scenario in which both consultant and some primary care is provided to the 75+ group — with moderate delegation to nurse practitioners, physician assistants, and social workers — and in which allowance is made for a geriatric academic role, the authors estimate that between 7,000 and 10,300 geriatricians will be required by 1990, the best intermediate figure being 8,000.

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.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

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.