PubMed Health⌕ Search

Biomedical subjects

F Mullan

Publications and source records attributed to F Mullan.

At least 37 records · Page 2Linked to original sources
PubMed1992

Availability of primary care health personnel. The States speak out.

The adequacy of the supply of health personnel, and primary care personnel in particular, has been assessed at the aggregate national level and the disaggregate or regional/state perspective. While Federal programs have been successful in expanding the Nation's supply of health care practitioners and alleviating aggregate national shortages in some occupations and specialties, problems of geographic distribution remain. In an effort to obtain information on the adequacy of the supply of health care personnel within each state and jurisdiction, the chief executives were asked to assess their most pressing personnel supply concerns. The two occupations most often cited as being in short supply were primary care physicians and registered nurses. The state assessment of shortages of registered nurses is in concert with national assessments. In contrast, the supply of primary care physicians appears to be adequate if not in excess at the national level, implying that aggregate assessments may camouflage significant regional and state shortages. Disaggregate assessments are essential to derive an appropriate picture of national supply adequacy.

Delivery of Health Care↗
PubMed1991

The current and future need for minority medical faculty.

Little progress has been made in increasing the number of minority faculty members at US medical schools. From 1975 through 1989, underrepresented minority medical faculty increased only 0.3%--from 2.7% to 3.0%. In the field of medicine in general, only 3% of physicians are African-American and 3% are Hispanic, while the African-American and Hispanic populations are approximately 12% and 7%, respectively, of the total US population. A number of factors have caused the persistent underrepresentation of minority health professions trainees: inadequate or inappropriate career counseling, admissions policies, relatively high attrition rates after matriculation, substantial costs of education, and lack of appropriate mentors and role models. Helping minority students overcome these obstacles requires providing them with appropriate information, preparation, motivation, and opportunities at all stages of the educational process. Attention must focus on recruiting minority students into the scientific, academic professions if an increase is to occur in numbers of underrepresented minorities in all specialties of medicine. The Health Resources and Services Administration and private foundations have committed to providing funds to educational institutions to help encourage minority students to pursue academic careers. Leadership at these institutions must also commit to increasing the numbers of underrepresented minority faculty and senior administrators.

Ethnicity↗
PubMed1987

Health care for black Americans: the public sector role.

Most of the improvement--both absolute and relative--in the health status of black Americans over the past two decades can be traced to major gains in access to health care services. Public payment programs, most notably Medicaid and Medicare, have not only reduced financial barriers, but have also combatted those of racial discrimination. Other federal programs supporting targeted local services have been especially effective in reducing infant mortality. But the redistributive effects have been uneven and unequal across populations; many categorical gaps remain and increasing numbers are potentially without access to essential primary care services.

Black or African American↗
PubMed1984

Re-entry: the educational needs of the cancer survivor.

Long- and short-term cancer survivorship presents a variety of problems of readjustment and readaptation to nonmorbid life. Foremost among these problems are the fear of recurrence, learning to live with compromise, and economic and social shunning. Since most of these problems are predictable events in the recovery phase, it is proposed that educational interventions be developed and used systematically in order to buffer the worst aspects of these experiences and promote mental as well as physical healing in the cancer patient.

Employment↗
PubMed1982

Service-conditional medical student aid programs: The experience of the states.

Medical student aid programs tied to a service commitment are in operation in 31 states. The programs provide various options for students to pay back the financial support given by the state, the most popular form being cancellation of the financial obligation to the the state if a service commitment is fulfilled. Although the statutory language and program literature claim a major objective of the programs to be the provision of manpower to underserved areas, lenient "buy-out" provisions and small awards relative to the total tuition have caused these programs to be used as sources of low-interest loans. Moreover, states do not provide subsidies to promote service in unattractive areas; thus, there is little reason for physician graduates to locate in low-income areas. State cooperation with the federal National Health Service Corps Scholarship Program, which does provide subsidies to physicians practicing in underserved areas, may provide the states a strategy for meeting their legislative objectives of providing physicians for the underserved.

Medically Underserved Area↗