The pediatric subspecialty workforce: public policy and forces for change.

Abstract:

:Policy has not adequately addressed the unique circumstances of pediatric subspecialties, many of which are facing workforce shortages. Pediatric subspecialties, which we define to include all medical and surgical subspecialties, are discrete disciplines that differ significantly from each other and from adult medicine subspecialties. Concerns about a current shortage of pediatric subspecialists overall are driven by indicators ranging from recruitment difficulties to long wait times for appointments. The future supply of pediatric subspecialists and patient access to pediatric subspecialty care will be affected by a number of key factors or forces for change. We discuss 5 of these factors: changing physician and patient demographics; debt load and lifestyle considerations; competition among providers of subspecialty care; equitable reimbursement for subspecialty services; and policy to regulate physician supply. We also identify issues and strategies that medical and specialty societies, pediatric subspecialists, researchers, child advocates, policy makers, and others should consider in the development of subspecialty-specific workforce-policy agendas.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Jewett EA,Anderson MR,Gilchrist GS

doi

10.1542/peds.2004-2339

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

1192-202

issue

5

eissn

0031-4005

issn

1098-4275

pii

peds.2004-2339

journal_volume

116

pub_type

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