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The States Speak Out

Sandra Gamliel; Fitzhugh Mullan, MD; Robert Politzer, MS, ScD; Howard Stambler

Arch Intern Med. 1992;152(2):268-273.

Abstract
The adequacy of the supply of health personnel, and primary care personnel in particular, has been assessed at the aggregate national level and the disaggregate or regional/ state perspective. While Federal programs have been successful in expanding the Nation's supply of health care practitioners and alleviating aggregate national shortages in some occupations and specialties, problems of geographic distribution remain. In an effort to obtain information on the adequacy of the supply of health care personnel within each state and jurisdiction, the chief executives were asked to assess their most pressing personnel supply concerns. The two occupations most often cited as being in short supply were primary care physicians and registered nurses. The state assessment of shortages of registered nurses is in concert with national assessments. In contrast, the supply of primary care physicians appears to be adequate if not in excess at the national level, implying that aggregate assessments may camouflage significant regional and state shortages. Disaggregate assessments are essential to derive an appropriate picture of national supply adequacy.

(Arch Intern Med. 1992;152:268-273)

Author Affiliations
From the Department of Health and Human Services, Public Health Service, Health Resources and Services Administration, Bureau of Health Professions, Rockville, Md.

Footnotes
Accepted for publication September 9, 1991.

The views expressed in this article are strictly those of the authors. No official support or endorsement by the Department of Health and Human Services or any of its components is intended or should be inferred.

Reprint requests to the Department of Health and Human Services, 5600 Fishers Lane, Room 8-47, Rockville, MD 20857 (Ms Gamliel).

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