title: State legislative strategies to improve the supply and distribution of generalist physicians, 1985 to 1992.
abstract: State laws enacted between 1985 and 1992 were reviewed to examine state involvement in influencing the supply and distribution of generalist physicians. Forty-seven states enacted 238 relevant laws during this period. In 1991 and 1992, 36 states enacted 98 laws, as compared with 1985 and 1986, when 8 states enacted 12 laws. Legislation addressed planning and oversight; financial incentives to institutions, students, and residents; and strategies to enhance the practice environment. A new strategy is to link funding to measureable outcomes, such as the career choices of a state medical school's graduates. Few states devoted resources to evaluate their efforts.
authors.affiliation: Division of Medicine, Health Resources and Services Administration, Rockville, MD 20857.
authors.forename: M L
authors.initials: ML
authors.lastname: Rivo
authors.forename: T M
authors.initials: TM
authors.lastname: Henderson
authors.forename: D M
authors.initials: DM
authors.lastname: Jackson
mesh_terms: D004501:Education, Medical / Q000331:legislation & jurisprudence / Q000592:standards; D006801:Humans; D008004:Licensure / Q000331:legislation & jurisprudence; D008318:Malpractice / Q000331:legislation & jurisprudence; D010816:Physician Incentive Plans / Q000331:legislation & jurisprudence; D010821:Physicians, Family / Q000331:legislation & jurisprudence / Q000600:supply & distribution*; D011320:Primary Health Care / Q000331:legislation & jurisprudence; D015397:Program Evaluation; D013221:State Health Plans / Q000331:legislation & jurisprudence*; D014481:United States; D000078329:Workforce