TRENDS IN PULMONARY DISEASE PHYSICIANS 1996-2006 SPECIALTY FACT SHEET SERIES WINTER 2010 (No. 11 of 12) GEORGIA BOARD FOR PHYSICIAN WORKFORCE SUPPLY AND DISTRIBUTION OF PULMONARY DISEASE PHYSICIANS Pulmonary Disease Physician Distribution 2006 Secondary Care Service Areas* (SCSA) Dade Catoosa Murray Fannin Towns Rabun Union Whitfield Walker Gilmer White Habersham Chattooga Gordon Region 1 0.9 Floyd Bartow Pickens Lumpkin Region 2 Stephens 1.5 Dawson Banks Franklin Hart Cherokee Forsyth Hall Jackson Madison Elbert Below State Rate Above State Rate GA Rate = 2.9 US Rate = 3.4 Polk Paulding Haralson CRobeb gionGw3innett 3D.e8kalb Barrow Clarke Oglethorpe Walton Oconee Region 5 Wilkes * Physicians per 100,000 population Lincoln Carroll Douglas Rockdale Fulton Clayton Newton 1.5 Morgan Greene Taliaferro Columbia McDuffie Region 7 Coweta Heard Henry Fayette Butts Spalding Jasper Warren Putnam Hancock Glascock Richmond Reg2io.0n 4 Region 6 6.6 Troup Meriwether Pike Lamar Monroe Baldwin Jones Jefferson Washington Burke Harris Upson 3.0 Bibb Crawford Wilkinson Talbot Twiggs Johnson Emanuel Jenkins Screven Taylor Peach Muscogee Bulloch Region 8 Marion Houston Bleckley Laurens Treutlen Candler Region 9 Region 12 Chattahoochee Macon 1.1 Schley 0.7 3.5 Stewart Webster Sumter Pulaski Dodge Dooly Wilcox Montgomery Evans Wheeler Tatnall Toombs Effingham Bryan Chatham Crisp Telfair Liberty Quitman Terrell Lee Turner Ben Hill Jeff Davis Appling Long Randolph Irwin Coffee Bacon Wayne McIntosh Clay Calhoun Dougherty Worth Tift Region 11 Region 10 Early Baker 2.5 Mitchell Miller Colquitt Berrien Cook 1.3 Atkinson Pierce Ware Brantley Glynn Lanier Clinch Camden . Seminole Decatur Grady Thomas Brooks Lowndes Charlton Echols . *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. There was an increase in pulmonary disease physicians becoming board certified between 1996 and 2006. o 1996: 78.1% of pulmonary disease physicians were board certified compared to 73.4% of total physicians. o 2006: 86.6% of pulmonary disease physicians were board certified compared to 83.2% of total physicians. Eight of the twelve SCSAs are below the state rate and nine are below the U.S. rate for pulmonary disease physicians. Regions one and nine have the lowest rate of pulmonary disease physicians. The number of pulmonary disease physicians has increased by 82.2% between 1996 and 2006. Of all the pulmonary disease physicians: o 1996: 5.5% were residents o 2006: 2.3% were residents Of all the residents: o 1996: 1.0% were in pulmonary disease o 2006: 1.7% were in pulmonary disease MSA VERSUS NON-MSA DISTRIBUTION OF PULMONARY DISEASE PHYSICIANS Pulmonary disease physicians have always been concentrated in Metropolitan Statistical Areas (MSAs). However, there has been a decline of pulmonary disease physicians practicing in Non-Metropolitan Statistical Areas (Non-MSA's). From 2004 to 2006, there was a 16.8% decrease in the percentage of pulmonary disease physicians practicing in Non-MSA designated areas. PULMONARY DISEASE PHYSICIANS BY YEAR: GEORGIA MSA/NON-MSA DESIGNATION MSA NON-MSA 2004 77.6% 22.4% 2006 94.4% 5.6% 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 Pulmonary Disease Physicians By Gender 100 93.8% 83.1% 80 Pulmonary Disease Physicians By Race 100 94.7% 80 71.8% 60 60 40 16.9% 20 6.2% 0 Male Female 1996 2006 40 20 0 White 11.2% 8.5% 8.5% 1.5% 3.0% 0.8% Black Asian 1996 2006 Other Since 1996, there has been a 10.7% increase in the number of female pulmonary disease physicians practicing in Georgia. Additionally, the percentage of black physicians has increased by 9.7%, while the percentage of white pulmonary disease physicians has decreased by 22.9% since 1996. Percentage of Pulmonary Disease Physicians and Total Physicians Age 55 and Older 1996 and 2006 30 23.0% 23.5% 26.3% 21.6% 20 The percentage of pulmonary disease physicians age 55 and older decreased by 1.4% between 1996 and 2006. 10 0 1996 2006 Pulmonary Disease Total Physicians However, 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 PULMONARY DISEASE PHYSICIANS Overall, the NUMBER of pulmonary disease physicians practicing in Georgia has increased from 1996 to 2006. From 1996 to 2006, the total number increased by 120. The RATE for pulmonary disease physicians has increased since 2002. The rate decreased from 1996-2002 and then increased slightly in 2004. Between 2004 and 2006, the rate increased from 1.8 to 2.9. Total Number 300 266 250 200 146 147 157 150 165 143 100 50 Rate per 100,000 Population 4 3 2.9 2.0 2 1.9 1.9 1.6 1.8 1 0 1996 1998 2000 2002 2004 2006 0 1996 1998 2000 2002 2004 2006