Looking to the Future: Health Professions Education in Texas
RAND CORP SANTA MONICA CA
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Many of the issues faced by Texas schools as they plan for the future are really broad health care issues faced by the state and even the country as a whole do we have enough doctors, nurses, and other health care professionals What do the numbers look like for the future How are these professionals distributed in terms of primary vs. specialty care, geography, and relative to the patient population How can underserved populations be better served The broad scope of RANDs assignment-identifying for the Texas Higher Education Coordinating Board important issues in health professions education-was made more complicated by the fact that issues arise in three intersecting areas The health care system, which is undergoing rapid and profound change in all dimensions, including finance and cost containment, quality assurance, and access to care, especially for uninsured and underinsured populations. The health professions education system, which is very complicated in its own right, embracing associate, baccalaureate, and post-baccalaureate degree programs as well as two-year, four-year, and graduate institutions. Health education is also seeking to respond to tumultuous change in the market for health care services, while at the same time seeking stability and integrity in the fulfillment of its teaching, research, and patient care missions. Changes in Texas that are independent of health services and health education. These include a population that is growing rapidly and changing demographically, anticipated economic growth, and development of high-tech industry concomitant with high unemployment and poverty, the dynamic interaction of Texas and Mexico in the border areas, and eventual shifts in political representation and power.
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