Manpower Problems in the Delivery of Primary Medical Care

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Abstract
Boston has one of the highest concentrations of physicians in the world. Despite this abundance of physician manpower, residents of Metropolitan Boston, and especially residents of its lower-income areas, face an increasingly critical shortage of primary-care physicians. Between 1940 and 1961, the supply of general practitioners in Boston and Brookline fell 50 per cent, from 132.3 per 100,000 population to 67.0 per 100,000.1 During the same 21-year period, the number of internists, pediatricians and obstetricians in Boston and Brookline with office addresses outside hospitals increased from 34.6 to 50.8 per 100,000 population, thereby replacing only 25 per cent of the . . .