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 348:164-166 January 9, 2003 Number 2 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 PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Druss, B. G. PubMed Citation

In recent decades, fundamental changes in the organization and financing of medical services in the United States, combined with social and demographic changes, have set the stage for a substantially altered division of labor in health care.¹ At the beginning of the 20th century, physicians accounted for approximately one in three health care workers. By the early 1980s, when Starr anticipated the major changes in American medicine that would result from "corporatization" and organizational consolidation of health services,² the ratio had fallen to about 1 in 16.³ The supply of nonphysician clinicians has subsequently grown at unparalleled rates, and between . . . [Full Text of this Article]

Source Information

From the Center for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia.

This article has been cited by other articles:

• Xu, Y., Dong, J., Zuo, L. (2009). IS FREQUENCY OF PATIENT-PHYSICIAN CLINIC CONTACT IMPORTANT IN PERITONEAL DIALYSIS PATIENTS?. pdi 29: S83-S89 [Abstract] [Full Text]  
• Dailey, M. (2005). Interdisciplinary Collaboration: Essential for Improved Wound Care Outcomes and Wound Prevention in Home Care. Home Health Care Management Practice 17: 213-221 [Abstract]  
• Neal, L. J. (2004). The Nurse Practitioner in Home Care. Home Health Care Management Practice 16: 383-388 [Abstract]  
• Bonow, R. O., Smith, S. C. Jr (2004). Cardiovascular Manpower: The Looming Crisis. Circulation 109: 817-820 [Full Text]