As the House and Senate intensify the process of melding their two health bills, pediatric groups are lobbying to secure more funding for training and higher
reimbursement for pediatric sub-specialties, in the hope of encouraging more doctors-in-training to enter the field. Specialization typically requires up to three years of training beyond a general pediatrics residency and can pay salaries less than half the rate of adult specialty medicine. At present, 17 states lack at least one hysician in one of 13 sub-specialties.Wednesday, in a briefing for members of a congressional caucus on children's health, the National Association of Children's Hospitals and Related Institutions, known as
Nachri, will present results of a December survey. In it, members said that shortages of doctors across a multitude of pediatric sub-specialties are forcing 90% of hospitals to delay appointments, lose patients or refer them elsewhere.Of particular concern, given the rise in autism-related disorders, is a shortage of development-behavioral experts; half of hospitals in the survey reported that it takes more than three months to see a developmental pediatrics specialist, one of the longest wait times.
I have written a book on the politics of autism policy. Building on this research, this blog offers insights, analysis, and facts about recent events. If you have advice, tips, or comments, please get in touch with me at jpitney@cmc.edu
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Tuesday, January 12, 2010
Specialist Shortage
The Wall Street Journal reports: