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L F Rossiter

Publications and source records attributed to L F Rossiter.

41 records · Page 3Linked to original sources
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Primary-care--physician supply: policy analysis on the state level.

OBJECTIVE: To describe a method for policy analysis on the state level for understanding frequently overlooked determinants of the current status and dynamics of primary-care-physician supply. DESIGN: The method used is systems analysis. The approach takes account of the changing interstate migration, tracking the professional origins of physicians, their uneven age distribution, and the considerable time delays in the system. The forecasting mathematical model consists of the physician-aging submodel, the undergraduate and graduate medical education submodel, and the migration subsystem. SETTING: The necessary data were restored fully from the Virginia Board of Medicine archive database. RESULTS: The analysis shows the outstanding importance of out-of-state migration for the state of Virginia: approximately two thirds of primary-care physicians are out-of-state medical graduates. In the next decade, the attrition of primary-care physicians will start to increase steadily because of the prominent bulge in the physician age distribution. Similar bulges were observed in the age distributions for some other states. CONCLUSIONS: The method reveals the underlying mechanisms and principles of physician work-force reproduction. It may show which goals are feasible, and it may be used in any state for the research necessary for rational policy formulation.

Age Distribution↗
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Behind the physician licensure numbers: false impressions, retirement crisis, and migration.

This communication examines the supply of primary-care physicians at the state level. It shows that the number of actively practicing physicians is considerably less than the number of licensed physicians; the age distribution of primary-care physicians has a bulge in the ages younger than 50, and this bulge may lead in the near future to an unexpected increase in physician attrition due to retirement; and, at the state level, migration may be playing the dominant role in determining the total supply of primary-care physicians.

Age Distribution↗
PubMedDate not supplied

HMOs in the Medicare market. Part 1.

Final governmental regulations permitting all qualified health maintenance organizations and competitive medical plans to enter the Medicare market were published early last year. This action has created a significant need for information on marketing strategies and operational issues pertaining to this new area. Mathematica Policy Research was awarded a grant by HCFA to evaluate the Medicare Competition Demonstration program undertaken by 26 HMOs and CMPs between August 1982 and December 1984, with a focus on the marketing strategies and operational decisions and changes during the initial period of entering the Medicare market. In this first part of a two-part report, information is provided on the marketing approaches developed by the demonstration HMOs as they dealt with, in most cases, a large influx of elderly enrollees.

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