Wagging the dog: an analysis of year 2000 workforce and education outcomes from recommendations of the 1995 Pew Commission report.
Over-production in the number of hospitals and health care workers has led to increased cost of medical care and inequities within the health care delivery system. An increase in managed care penetration within the market-place is believed to mandate dramatic changes in the way that health care is structured and delivered. The 1995 Pew Commission report projected major changes in health care organizations and health manpower through the effects of managed care and public regulation. This paper describes the outcomes to health delivery organizations and the health care workforce five years since the Pew Commission Report and discusses the belief that market forces are more effective mechanisms for addressing health care delivery and workforce requirements than public regulatory initiatives.
Baldwin
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Florida A&M University, Ware-Rhaney Building, Room 223 F, School of Allied Health Sciences, Tallahassee, FL 32307-3500, USA. al.baldwin@worldnet.att.net
D000488:Allied Health Personnel / Q000193:education; D003695:Delivery of Health Care / Q000639:trends*; D004501:Education, Medical / Q000639:trends; D004506:Education, Nursing / Q000639:trends; D005544:Forecasting; D019981:Health Care Sector / Q000458:organization & administration / Q000639:trends; D006301:Health Services Needs and Demand / Q000639:trends*; D006280:Health Workforce / Q000639:trends*; D006801:Humans; D009936:Organizational Innovation; D015203:Reproducibility of Results; D014481:United States