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Improving Access to Health Care Through Physician Workforce ReformDirections for the 21st Century
Marc L. Rivo, MD, MPH;
David Satcher, MD, PhD
JAMA. 1993;270(9):1074-1078.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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THE COUNCIL on Graduate Medical Education (COGME) was authorized by Congress in 1986 to provide an ongoing assessment of physician supply trends and to recommend appropriate federal and private sector efforts to address identified needs. In its first report to the Health and Human Services Secretary and Congress in 1988, the COGME expressed concerns that physician specialty and geographic maldistribution were growing despite an increasing aggregate supply of physicians. Then, concerns about the physician workforce, health care access, and rising costs had not yet been prominently thrust into the national spotlight.
The social context of the council's Third Report, released in October 1992, is vastly different. The health care system is acknowledged to be in a crisis and health care reform is actively being considered. Health care expenditures exceeded $650 billion in 1990 and are projected to reach $1 trillion in 1995. Thirty-five million Americans remain medically uninsured and millions
. . . [Full Text PDF of this Article]
Author Affiliations
From the Division of Medicine, Bureau of Health Professions, Health Resources and Service Administration, Rockville, Md (Dr Rivo); and the Meharry Medical College, Nashville, Tenn (Dr Satcher).
Footnotes
This is the Third Report of the Council on Graduate Medical Education to Congress and the Health and Human Services Secretary, October 1992.
Reprint requests to Division of Medicine, 5600 Fishers Ln, Room 4C-25, Rockville, MD 20857 (Dr Rivo).
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