TY  - JOUR
T1  - HEalth workforce planning and medical student career choice—reply
AU  - Goodman DC
Y1  - 2009/02/25
N1  - 10.1001/jama.2009.160
JO  - JAMA
SP  - 824
EP  - 826
VL  - 301
IS  - 8
N2  - 
In Reply: Drs Rabkin and Cook argue that medical workforce planning is bound to fail without medical financing reform that addresses the perverse incentives of fee-for-service reimbursement. I agree. The evidence is also robust that a greater infusion of public dollars to expand graduate medical education is likely to lead to more fragmented care and higher costs without improvements in access, quality, and outcomes.1- 3 Less widely discussed, the additional physician capacity will adversely affect the pace and direction of health care reform. It is hard to imagine a more efficient and coordinated health care delivery system evolving during an era when teaching hospitals greatly expand the training of subspecialists.

SN  - 0098-7484
M3  - doi: 10.1001/jama.2009.160
UR  - http://dx.doi.org/10.1001/jama.2009.160
ER  -