Basic Health Access

Health Access Results Can Be Multiplied By Earliest Investments and Specific Health Access Focus. A Continuation of the Current Design Will Fail Most Americans. A common mistake is believing that you can impact the end points (college tracks, medical school influences, loan repayments). When you are talking about national outcomes and improvements, the end points are far too late as they are dependent upon "the matrix of relationships" as Deming often noted. Previous life experiences shape subsequent encounters and situations. Health care is one of the ultimate examples of complexity - and even the best research fails to consider the numerous pre-existing influences that shape health outcomes. Birth to Higher Education Pipeline Failure Prevention of higher education and medical school from the start. The United States is dead last in child well being. This acts to prevent most American children from higher education and a path to medicine (Unicef Report Card 11)

Physicians and other clinicians have been moving steadily away from primary care. Specific measuring tools can indicate sources better and worse in the production of primary care. Unlike "wait and see" or projections based on annual graduates, the Standard Primary Care Year (SPCYR) is a more specific measuring tool. The SPCYR estimates the future primary care delivery at the time of graduation. Data regarding years in a career, clinical activity, and adjustments for differences in volume between primary care sources are already known.  Career Years x Primary Care Retention x Clinician Activity x Volume Adjust  =  SPCYR The career years times how that career was spent with adjustments for activity and volume differences yields the Standard Primary Career Year estimate. The most recent primary care retention figures can be inserted or the steady declines of recent decades of class years can be projected. Recent primary care retention was used rather than projection