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Emily Gudbranson, Aaron Glickman, E. Emanuel (2017)
Reassessing the Data on Whether a Physician Shortage Exists.JAMA, 317 19
M. Murray, M. Davies, B. Boushon (2007)
Panel size: how many patients can one doctor manage?Family practice management, 14 4
Letters patients included in the FDA’s therapeutic safety analysis Shortage or Surplus of Physicians (safety population), described within the medical review. Next, in the United States we used Thomson Reuters’ Incidence and Prevalence To the Editor The Viewpoint by Ms Gudbranson and col- Database, primary epidemiology literature, and summary re- leagues calculating the number of physicians needed in ports to estimate the number of US patients who were poten- the United States did not consider the numerous roles that tially eligible for treatment (target population). We then cal- physicians play in the health care sector. If administrative culated the ratio of safety population to the target population, workload, teaching of trainees (medical students, residents, categorizing therapeutics as having a ratio in the top quartile and fellows), and research are included, the estimates may (ie, larger safety population relative to target population) or be- be quite different. The administrative burden of billing, cod- low the 75th percentile. The threshold ratio for categoriza- ing, and entering data in electronic medical records requires tion in the top quartile was 0.005, implying that the equiva- several extra hours of work per week. No physician can lent (or more) of 0.5% of the total
JAMA – American Medical Association
Published: Sep 19, 2017
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