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The Geographic Maldistribution of Neurologists: Title and subTitle BreakOne State's Experience

Matthew Menken, MD
[+] Author Affiliations

Accepted for publication Oct 24, 1984.

Reprint requests to 1527 Highway 27, Suite 1500, Somerset, NJ 08873 (Dr Menken).


Arch Neurol. 1985;42(9):897-900. doi:10.1001/archneur.1985.04060080083020
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In recent years, evidence has been accumulating that an oversupply of practicing physicians, especially in some specialties, would become more severe during the next decade as those medical students and postgraduate trainees already in the pipeline complete their education and enter practice.1 Along with an oversupply, a geographic maldistribution of many groups of specialists has been recognized, and a consensus is emerging that would seek a more rational manpower allocation, so that presently underserved segments of the population receive needed care.2 Schwartz et al3 and Newhouse et al4 have studied the diffusion of physicians by community size in recent years and have demonstrated that more board-certified specialists are now practicing in smaller communities.

One of the keystone questions in health manpower policy is whether the considerably wider availability of specialized services is always beneficial for the vast majority of patients.5 In this context, little attention

REFERENCES

Report of the Graduate Medical Education National Advisory Committee, US Dept of Health and Human Services publication (HRA) 81-052. Health Resources Administration, 1980.
Hemenway D:  The optimal location of doctors . N Engl J Med 1982;;306:297-301.
Schwartz WB, Newhouse JP, Bennett BW, et al:  The changing geographic distribution of board-certified physicians . N Engl J Med 1980;;303:1032-1038.
Newhouse JP, Williams AP, Bennett BW, et al:  Where have all the doctors gone? JAMA 1982;;247:2392-2396.
Fruen MA, Cantwell JR:  Geographic distribution of physicians: Past trends and future influences . Inquiry 1982;;19:44-50.
Mendenhall RC: Neurology Practice Study Report . Los Angeles, University of Southern California School of Medicine, Division of Research in Medical Education, 1979;, pp 52-54.
Feldstein MS:  The rising price of physicians' services . Rev Econ Stat 1970;;52:121-133."
Reinhardt UE: Physician Productivity and the Demand for Health Manpower . Cambridge, Mass, Ballinger Publishing, 1975;.
Benham L., Maurizi A, Reder MW:  Location of medics: Physicians and dentists . Rev Econ Stat 1968;;50:332-347.
Hopkins A:  Consultants' workload . Lancet 1976;;1:956-958.
Menken M:  The coming oversupply of neurologists in the 1980s: Implications for neurology and primary care . JAMA 1981;;245:2402-2403.
Garrison LP: Physicians Requirements, 1990: For Neurology . Seattle, Battelle Human Affairs Research Centers, 1982;.
Menken M: The Neurology Advisory Panel Recommendations: An Alternative View . Hyattsville, Md, Department of Health and Human Services, Office of Graduate Medical Education, 1982;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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Report of the Graduate Medical Education National Advisory Committee, US Dept of Health and Human Services publication (HRA) 81-052. Health Resources Administration, 1980.
Hemenway D:  The optimal location of doctors . N Engl J Med 1982;;306:297-301.
Schwartz WB, Newhouse JP, Bennett BW, et al:  The changing geographic distribution of board-certified physicians . N Engl J Med 1980;;303:1032-1038.
Newhouse JP, Williams AP, Bennett BW, et al:  Where have all the doctors gone? JAMA 1982;;247:2392-2396.
Fruen MA, Cantwell JR:  Geographic distribution of physicians: Past trends and future influences . Inquiry 1982;;19:44-50.
Mendenhall RC: Neurology Practice Study Report . Los Angeles, University of Southern California School of Medicine, Division of Research in Medical Education, 1979;, pp 52-54.
Feldstein MS:  The rising price of physicians' services . Rev Econ Stat 1970;;52:121-133."
Reinhardt UE: Physician Productivity and the Demand for Health Manpower . Cambridge, Mass, Ballinger Publishing, 1975;.
Benham L., Maurizi A, Reder MW:  Location of medics: Physicians and dentists . Rev Econ Stat 1968;;50:332-347.
Hopkins A:  Consultants' workload . Lancet 1976;;1:956-958.
Menken M:  The coming oversupply of neurologists in the 1980s: Implications for neurology and primary care . JAMA 1981;;245:2402-2403.
Garrison LP: Physicians Requirements, 1990: For Neurology . Seattle, Battelle Human Affairs Research Centers, 1982;.
Menken M: The Neurology Advisory Panel Recommendations: An Alternative View . Hyattsville, Md, Department of Health and Human Services, Office of Graduate Medical Education, 1982;.

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