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WORK FORCE AND TRAINING ISSUES
Pages 12-15

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From page 12...
... To that end, health services research can offer considerable insights about a variety of topics, such as: cost-effective mixes of different types of health care providers; specialist-to-generalist ratios in different localities and practice settings; the work force implications of managed care; the desirability and feasibility of substituting nurse practitioners and physician assistants for physicians; and the costs associated with reducing the use of resident physicians-in-training to staff hospitals. WORK FORCE AND TRAINING ISSUES Each of the topics introduced in this statement requires building new theory, methods, and tools.
From page 13...
... Documenting more fully the extent to which these views are accurate and determining whether other types of personnel may also prove to be in short supply in the future are tasks for the full study. To accomplish those tasks, the committee will conduct limited surveys of sites where health services education and research take place and secondary analysis of available work force data to explore such indicators as the number of unfilled posted positions and unstudied significant topics, and the amount of unclaimed grant funds.
From page 14...
... The questions that health services research needs to answer frequently require a knowledge base derived from many disciplines, and training personnel from disciplines not usually associated with health services research poses extra difficulties. Are there common courses and educational experiences that each discipline should contain if it is to prepare researchers to address the extremely varied subjects of the field?
From page 15...
... Related to the topic of academic programs and qualifications is another that might be characterized as "centers of excellence." Today, a relatively small number of major research universities receive the bulk of the research and training monies that AHCPR awards. If health services research training is to be made more accessible to people from a variety of disciplines at various possible points in a career, then one must determine how best to expand these opportunities.


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