Council on Graduate Medical Education Third Report. Improving Access to Health Care through Physician Workforce Reform: Directions for the 21st Century. Executive Summary.

摘要

Council on Graduate Medical Education (COGME) has been examining physician workforce supply and distribution and its impact on ensuring access to care for all Americans. Over the past two years, the Council has focused on the following seven major questions: (1) Do the authors have an adequate mix of generalists and specialists to provide the most efficient and the most cost-effective system of quality care for all Americans; (2) What implications fo problems of access have for recommendations on physician workforce, supply, and distribution; (3) What is the status of minority representation in medicine and what effect does it have on minority health as well as the health of the public in general; (4) What are the supply needs of specific medical specialties; (5) Do the authors currently have adequate numbers of total physicians - Will the projected supply of physicians be adequate; (6) Can our medical education system be more responsive to the health care needs of the Nation; (7) What are the factors that have hindered efforts to attain the appropriate composition, specialty mix, and geographic distribution of physicians to ensure access to care for all Americans.