PHSC 2 Lecture Notes - Lecture 14: Community Health Center, Preventive Healthcare, Triage
5 Mar 2020
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Document Summary
Primary care is growing (38% of mds) but is still lower than other developed countries where >50% is the norm. U. s. md:pop ratio is 2. 5/1,000 and appears to be stable for the next 10 years. Nursing schools are also at capacity: in california many start at the state funded community college level. With budget shortages, and a lack of instructors, classrooms & labs the nursing shortage will persist. Average residency costs a hospital ,000 to ,000/year. Includes resident"s salary & benefits, plus teaching expenses and overhead. Medicare reimburses most of the cost, billion a year. But medicare funding has been capped since 1996, and. Congress has shown little interest in increasing it in recent years. Hospitals have been picking up most of the cost. New alternatives are being used to lower the cost: community based teaching. Too few primary care providers: md, np, pa. Medical residents receive little training in preventive medicine and public health.
