Doctors and Death

Posted by Unknown Kamis, 31 Maret 2005 1 komentar
Some interesting stats about doctor specialization and quality health care in the U.S.:
Communities with more primary care physicians have lower mortality rates, according to a new study, confirming the advantages of wide access to primary healthcare services.
The problem is that fewer and fewer doctors are choosing to be primary care providers; instead, they want to be specialists.
At least 95% of the available residency positions in general surgery, orthopaedic surgery, plastic surgery, and emergency medicine were filled through the National Residency Matching Program, the results of which were released on March 17. However, the number of positions for family practice filled by medical students declined for the eighth straight year, officials of the program said.
Well, no real surprise; specialties are where the money is. Unfortunately, this bodes ill for most of us:
Today, the position of the U.S. on leading health indicators among industrialized countries (those in the Organization for Economic Cooperation and Development [OECD]) is at or near the bottom and has worsened during the past decade while the proportion of specialists has grown, according to the authors' analysis of health status. Although the U.S. has approximately the same number of physicians per 100,000 population as the OECD average, "this number masks a very different balance between generalists and specialists," the authors write. . . . The excess supply of specialist physicians in the U.S. compared with generalists fuels policymakers' concern about an increasing inequity in health services, the authors write. Because specialty care is more costly than primary care and the population receiving the care may have to share in some portion of that cost, services are more likely to be located in more economically affluent areas. "Thus, care will be preferentially available to the already advantaged, with increasing social disparities in health."
So the doctors will get richer, the rich will get healthier, and the poor (which will be an increasing percentage of the population) will get sicker. And die.

I just love it when I'm cheerful.

Via Medscape (registration required)
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Judul: Doctors and Death
Ditulis oleh Unknown
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