title: Health-care reform and its impact on African-American surgical specialists.
abstract: Since 1960, numerous concepts of health-care reform have been submitted to the US Congress and the American public with different viewpoints and objectives. The priority for the US Congress to pass a bipartisan health-reform plan has been circumvented by the newly elected majority Republican Congress. Nevertheless, health-care cost containment, quality control, and health-care delivery concepts have been implemented gradually into the concept of competitive managerial health care. A few of the serious problems in the African-American community are the efficiency and quality of the health-care delivery system and the effects of managed care on African-American primary physicians and surgical specialists. The critical shortages of this group, especially the latter, may create a dilemma in the implementation of a quality surgical care delivery system. The Association of American Medical Colleges, the American College of Surgeons, and other affiliating organizations should become sensitized to the African-American community's health needs, deficiencies, and the rational institution of an equitable, efficient, comprehensive, and quality health-care plan coupled with a sustained and increasing supply of certified, diversified, and experienced African-American surgical manpower in company with family practice physicians and primary care physicians.
authors.affiliation: University of Pittsburgh Medical Ctr, PA 15213, USA.
authors.forename: E B
authors.initials: EB
authors.lastname: Smith
mesh_terms: D001741:Black or African American; D013502:General Surgery; D018166:Health Care Reform / Q000639:trends; D006801:Humans; D010820:Physicians; D000078329:Workforce