TRENDS IN CARDIOVASCULAR DISEASE PHYSICIANS 1996-2006 SPECIALTY FACT SHEET SERIES SUMMER 2009 (No. 6 of 12) GEORGIA BOARD FOR PHYSICIAN WORKFORCE SUPPLY AND DISTRIBUTION OF CARDIOVASCULAR DISEASE PHYSICIANS Cardiovascular Disease Physician Distribution 2006 Secondary Care Service Areas* (SCSA) Dade Catoosa Fannin Towns Rabun Murray Union Whitfield White Walker Chattooga Gordon Region 1 Floyd2.9 Bartow Gilmer Habersham Pickens Lumpkin Region 2 Stephens 3.7 Dawson Banks Franklin Hart Cherokee Forsyth Hall Jackson Madison Elbert Below State Rate Above State Rate GA Rate = 6.7 US Rate = 7.5 Polk Region 3 Paulding Haralson Cobb Gwinnett Barrow Clarke Oglethorpe Dekalb Walton Oconee Wilkes *Physicians per 100,000 population Lincoln 8.5 Reg4io.0n 5 Carroll Douglas Rockdale Fulton Clayton Newton Morgan Greene Taliaferro Columbia McDuffie Region 7 Coweta Heard Henry Fayette Butts Spalding Jasper Warren Putnam Hancock Glascock Richmond Region 4 15.9 Meriwether Pike Lamar Monroe 4.0 Region 6 Troup Baldwin Jones Jefferson Washington Burke Harris Upson Talbot 5.4 Bibb Crawford Wilkinson Twiggs Johnson Emanuel Jenkins Screven Taylor Peach Muscogee Bulloch Region 8 Marion Houston Bleckley Laurens Treutlen Candler Region 9 Region 12 Chattahoochee Macon 4.0 Schley 2.0 7.5 Stewart Webster Sumter Pulaski Dodge Dooly Wilcox Montgomery Evans Wheeler Tatnall Toombs Effingham Bryan Chatham Crisp Telfair Liberty Quitman Terrell Lee Randolph Clay Calhoun Dougherty Region 10 Early Baker 3.9 Mitchell Miller Turner Ben Hill Jeff Davis Appling Long Worth Colquitt Irwin Coffee Bacon Wayne Tift Region 11 Pierce Berrien 6.6 Cook Atkinson Ware Brantley McIntosh Glynn Seminole Decatur Grady Thomas Brooks Lanier Lowndes Clinch Charlton Camden Echols There was a decrease in cardiovascular disease physicians becoming board certified between 1996 and 2006. However, during the same period, the board certification rates increased for total physicians. 1996: 88.2% of cardiovascular disease physicians were board certified compared to 73.4% of total physicians. 2006: 83.9% of cardiovascular disease physicians were board certified compared to 83.2% of total physicians. Nine of the twelve SCSAs are below the state and U.S. rate for cardiovascular disease physicians. The rate for Region 9 is the lowest in the state at 2.0 per 100,000 population. Cardiovascular disease physicians have increased by 56.2% between 1996 and 2006. Of all the cardiovascular disease physicians: 1996: 3.1% were residents 2006: 2.9% were residents *State Service Delivery Regions; Effective July 1, 1998, the State Legislature voted to provide regional boundaries for the purpose of consistency in planning and service delivery from State Agencies. Of all the residents: 1996: 1.6% were in cardiovascular disease 2006: 4.8% were in cardiovascular disease MSA VERSUS NON-MSA DISTRIBUTION OF CARDIOVASCULAR DISEASE PHYSICIANS Cardiovascular disease physicians have always been concentrated in Metropolitan Statistical Areas (MSAs). However, there has been a decline of cardiovascular disease physicians practicing in Non-Metropolitan Statistical Areas (Non-MSAs). From 2004 to 2006, there was a 5.8% decrease in the percentage of cardiovascular disease practicing in Non-MSA designated areas. CARDIOVASCULAR DISEASE PHYSICIANS BY YEAR: GEORGIA MSA/NON-MSA DESIGNATION MSA NON-MSA 2004 85.7% 14.3% 2006 91.5% 8.5% Georgia Board for Physician Workforce 1718 Peachtree St., N.W., Suite 683, Atlanta, Georgia 30309, (404) 206-5420 www.gbpw.georgia.gov Cherri Tucker, Executive Director. Colette Caldwell, Carla Graves, Kelly McNamara, and G.E. Alan Dever, M.D., Ph.D., contributors. DEMOGRAPHICS Cardiovascular Disease Physicians By Gender 100 93.0% 90.7% 80 60 40 20 7.0% 9.3% 0 1996 2006 Male Female Cardiovascular Disease Physicians By Race 100 85.4% 76.8% 80 60 40 20 0 White 5.4% 12.8% 6.8% 7.1% 2.4% 3.3% Black Asian 1996 2006 Other Since 1996, there has been an increase in the number of female cardiovascular disease physicians practicing in Georgia. Overall, the percentage of minority physicians has increased. The largest increase was for black physicians at 7.4%, while the percentage of white cardiovascular disease physicians decreased by 8.6% since 1996. Percentage of Cardiovascular Disease Physicians and Total Physicians Age 55 and Older 1996 and 2006 30 23.5% 20.6% 29.2% 26.3% 20 10 0 1996 2006 Cardiovascular Disease Physicians Total Physicians The percentage of cardiovascular disease physicians age 55 and older increased by 8.6% between 1996 and 2006. Similarly, the percentage of total practicing physicians age 55 and older increased by 2.8% during the same time period. TRENDS IN THE NUMBER AND RATE OF CARDIOVASCULAR DISEASE PHYSICIANS Over the last ten years, the NUMBER of cardiovascular disease physicians practicing in Georgia has shown a general increase. From 2004 to 2006 the total number increased by 201. Similarly, the RATE for cardiovascular disease physicians has increased since 2002. The rate decreased between 1996 and 2002 and then increased slightly in 2004. In 2006, there was a 2.0 increase in the rate to 6.7 up from 4.7. Total Number Rate per 100,000 Population 800 614 600 393 400 369 387 413 367 8 6.7 6 5.4 4.8 4.7 4.2 4.7 4 200 2 0 1996 1998 2000 2002 2004 2006 0 1996 1998 2000 2002 2004 2006