It is almost trite to refer to the stunning growth of our population and the related expansion of our economy. Not only are there many more Americans for whom health services are to be provided, but many of these fall into the category of the very young and old who require the greatest amount of medical services. The increasing rise in the levels of education and personal income have not only made people aware of what health services are available but also have resulted in their making effective demands for these services. Improved transportation, urbanization, private and governmental health insurance programs, and the increasing effectiveness of therapeutic procedures only serve to accentuate demands. It becomes obvious that if health care needs are to be maintained and adequately met there must be properly trained and educated suppliers of these services. They must be available in sufficient numbers and working in situations where necessary equipment and facilities are available and the services they provide must be efficient, effective, and rendered at a reasonable cost to the public.
Ohlendorf, Gwen Marie, "The nurse-midwife in the midwest: A study of factors that affect her utilization" (1970). Honors Projects. Paper 23.