United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office Health, Education, and Human Services Division author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 1994-05-18 monographic deposited born digital GA 1.13:HEHS-94-111 https://www.govinfo.gov/app/details/GAOREPORTS-HEHS-94-111 P0b002ee180377c71 f:he94111 DGPO 2010-08-12 2011-03-28 GAOREPORTS-HEHS-94-111 machine generated eng fdlp REPORT GAOREPORTS-HEHS-94-111 HEHS-94-111 Foreign governments Health care services Medical education Medical services rates Health care cost control Physicians Medical economic analysis Income statistics Rural economic development Education or training costs Sweden Germany Great Britain Canada Clinton Health Care Plan National Health Care Reform Initiative Letter Report HEHS In the debate over health care reform, managed care proposals call for increased dependence on primary care physicians. In the United States today, however, specialists outnumber primary care doctors, while many areas of the country suffer from a scarcity of both. Some health policy analysts believe that this mix and supply of physicians could slow the implementation of health care reforms. GAO examined the methods used by four nations--Canada, Germany, Sweden, and the United Kingdom--to manage their physician supply and specialty distribution. All these industrialized countries have instituted universal care coverage yet spend a lower percentage of their gross domestic product on health care than the United States does. This report also identifies strategies used by these countries to encourage doctors to practice in medically underserved areas. https://www.govinfo.gov/content/pkg/GAOREPORTS-HEHS-94-111/html/GAOREPORTS-HEHS-94-111.htm GAO/HEHS-94-111 https://www.govinfo.gov/app/details/GAOREPORTS-HEHS-94-111 Letter Report GAO/HEHS-94-111; Primary Care Physicians: Managing Supply in Canada, Germany, Sweden, and the United Kingdom; Foreign governments Health care services Medical education Medical services rates Health care cost control Physicians Medical economic analysis Income statistics Rural economic development Education or training costs Sweden Germany Great Britain Canada Clinton Health Care Plan National Health Care Reform Initiative