FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 328:961-963 April 1, 1993 Number 13 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Never before have so many Americans been so aware of our health care system's two most glaring defects -- its inability to restrain runaway medical expenditures and its failure to provide basic health care for all citizens. Strangely neglected in the current debate over reform is any acknowledgment that a major cause of both these problems is the uniquely skewed distribution of our physician work force among specialties. Yet physicians drive the runaway engine of health care costs with their decisions about patient care, and their specialty training markedly affects those decisions. In fact, any effort to control costs or . . . [Full Text of this Article]

References

Related Letters:

Physician-Payment Reform
Miller J. J., Kaufman J. L., Ginsburg P. B., Hogan C., Glaser D., Von Gunten C. F., Hsiao W., Dunn D., Verrilli D., Schroeder S. A., Sandy L. G.
Extract | Full Text  
N Engl J Med 1993; 329:808-810, Sep 9, 1993. Correspondence

This article has been cited by other articles:

• Bodenheimer, T., Fernandez, A. (2005). High and Rising Health Care Costs. Part 4: Can Costs Be Controlled While Preserving Quality?. ANN INTERN MED 143: 26-31 [Abstract] [Full Text]  
• Larson, E. B., Roberts, K. B., Grumbach, K. (2005). Primary Care, Generalism, Public Good: Deja vu? Again!. ANN INTERN MED 142: 671-674 [Full Text]  
• Cooper, R. A. (2004). Weighing the Evidence for Expanding Physician Supply. ANN INTERN MED 141: 705-714 [Abstract] [Full Text]  
• Cooper, R. A. (2004). Scarce Physicians Encounter Scarce Foundations: A Call For Action. Health Aff (Millwood) 23: 243-249 [Abstract] [Full Text]  
• Cooper, R. A. (2003). Medical Schools And Their Applicants: An Analysis. Health Aff (Millwood) 22: 71-84 [Abstract] [Full Text]  
• Forrest, C. B., Majeed, A., Weiner, J. P., Carroll, K., Bindman, A. B. (2003). Referral of Children to Specialists in the United States and the United Kingdom. Arch Pediatr Adolesc Med 157: 279-285 [Abstract] [Full Text]  
• Shemin, R. J., Dziuban, S. W., Kaiser, L. R., Lowe, J. E., Nugent, W. C., Oz, M. C., Turney, D. A., Wallace, J. K. (2002). Thoracic surgery workforce: snapshot at the end of the twentieth century and implications for the new millennium. Ann. Thorac. Surg. 73: 2014-2032 [Abstract] [Full Text]  
• Cooper, R. A., Getzen, T. E. (2002). The Coming Physician Shortage. Health Aff (Millwood) 21: 296-299 [Full Text]  
• Cooper, R. A., Getzen, T. E., McKee, H. J., Laud, P. (2002). Economic And Demographic Trends Signal An Impending Physician Shortage. Health Aff (Millwood) 21: 140-154 [Abstract] [Full Text]  
• Cooper, R. A., Aiken, L. H. (2001). Human Inputs: The Health Care Workforce and Medical Markets. Journal of Health Politics, Policy and Law 26: 925-938  
• Angus, D. C., Kelley, M. A., Schmitz, R. J., White, A., Popovich, J. Jr, for the Committee on Manpower for Pulmonary and Cr, (2000). Current and Projected Workforce Requirements for Care of the Critically Ill and Patients With Pulmonary Disease: Can We Meet the Requirements of an Aging Population?. JAMA 284: 2762-2770 [Abstract] [Full Text]  
• Maulitz, R. C. (1999). That Was the Century That Was: Historical Perspectives on Medical Life at the Fin de Siecle. ANN INTERN MED 131: 75-78 [Full Text]  
• Goodman, D. C., Little, G. A. (1998). General Pediatrics, Neonatology, and the Law of Diminishing Returns. Pediatrics 102: 396-398 [Full Text]  
• Rosenblatt, R. A., Hart, L. G., Baldwin, L.-M., Chan, L., Schneeweiss, R. (1998). The Generalist Role of Specialty Physicians: Is There a Hidden System of Primary Care?. JAMA 279: 1364-1370 [Abstract] [Full Text]  
• Leiyu Shi, (1997). Health Care Spending, Delivery, and Outcome in Developed Countries: A Cross-National Comparison. American Journal of Medical Quality 12: 83-93 [Abstract]  
• Mitchell, J. B., Ballard, D. J., Whisnant, J. P., Ammering, C. J., Samsa, G. P., Matchar, D. B. (1996). What Role Do Neurologists Play in Determining the Costs and Outcomes of Stroke Patients?. Stroke 27: 1937-1943 [Abstract] [Full Text]  
• Cooper, R. A. (1995). A Physician Workforce for the 21st Century. Ann. Thorac. Surg. 60: 1541-1546 [Abstract] [Full Text]  
• Coats, A., Kaplan, H., Walker, J. E.C., Myerburg, R. J., Nolan, J. P. (1994). The Structure of Departments of Medicine. NEJM 331: 946-948 [Full Text]  
• Weeks, W. B., Wallace, A. E., Wallace, M. M., Welch, H. G. (1994). A Comparison of the Educational Costs and Incomes of Physicians and Other Professionals. NEJM 330: 1280-1286 [Abstract] [Full Text]  
• Miller, J. J., Kaufman, J. L., Ginsburg, P. B., Hogan, C., Glaser, D., Von Gunten, C. F., Hsiao, W., Dunn, D., Verrilli, D., Schroeder, S. A., Sandy, L. G. (1993). Physician-Payment Reform. NEJM 329: 808-810 [Full Text]