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Joseph P. Newhouse, PhD; Albert P. Williams, PhD; Bruce W. Bennett, PhD; William B. Schwartz, MD

JAMA. 1982;247(17):2392-2396.

Abstract
As the supply of physicians grew during the 1970s, medical and surgical specialists diffused into smaller communities. In 1979, nearly every town with a population of more than 2,500 had ready access to a physician. The overall pattern of physician distribution was quite similar in the four disparate geographic regions chosen for study. The data strongly suggest that competitive forces play a major role in determining where physicians choose to practice. As the pool of physicians expands during the 1980s, a wide range of services will become increasingly available to populations outside metropolitan areas. The methods developed here provide an important tool for evaluating and shaping health manpower policy.

(JAMA 1982;247:2392-2396)

Author Affiliations
From the Economics Department, the Rand Corporation, Santa Monica, Calif (Drs Newhouse, Williams, and Bennett), and the Department of Medicine, Tufts University School of Medicine, and the Medical Service, New England Medical Center, Boston (Dr Schwartz).

Footnotes
The opinions and conclusions expressed herein are solely those of the authors and should not be construed as representing the opinions or policy of the Henry J. Kaiser Family Foundation, the Robert Wood Johnson Foundation, the Department of Health and Human Services, or any other agency of the US government or the Rand Corporation.

Reprint requests to Economics Department, Rand Corporation, 1700 Main St, Santa Monica, CA 90406 (Dr Newhouse).

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