OB/GYN physician profile : toward the year 2000

'1L
TOWARD

THE

YEAR

2 0 o m 'I

'reparedby the Joint Board of Famil Pra-te

Com.p.os. ite Board of Medical Examiners .oflwbm

Maldistribution of Obstetricians
and Gynecologists found
The 1990 distribution of OB/GYN physicians

7 Y

in Georgia presents a paradoxical situatfon. A

close exmninaaon of the placement of this spc-

cialty reveals a dlstinct shomge in much of he

hortaOe

UmYN state. For example, the map to the right illustrates
there are not enough OB/GYNs In 136 counties,

yet the balance of 53 counties show an excess.

Further, there is a concentrationof -/GYM in

metropolitan areas but non-mtroplitan regions

show a deficit. However, in the shortage areas, 92

counties do not have an OBIGYM physician avail-

able. Thus the absence of OBfGYNs In these coun-

ties substantially diminishes the actual service

of Number delivery area OOB/GYN health care in Georgia to
67 (42. I percent).

physicians7

OB/GYN NUMBER NEEDED BY THE YEAR 2000'

b0 8 GYN PHYSICIANS ACCEPTING MEDICAID,
ME ICARE OR OBSTETRIC PATIENTS3

Bd~wasn1 9 8 6 d 1990Umnlrmbsrd
An average of 15 OB/E3YM ph@-

,/

k Pime rn

I

M MeeQ dilecaaKrel

W 52..8J%%

8U9Y.,087%0

kteaonr
Medieare

81.9% 60.7%

T J I .I
-25.996, ,

~were~~tha~
year between 1986 and 1990. The
1990~wa~9~9~10~000~-
so=, tk 1986 lab was 10.0.

~ OdbsWtriCS
MSA-

92.0%
~~AF

93.00/0
ea

Obst8trf~s 92J% 92.9%

+1.0'% I&
Lkl

To~#b~oforte

A lager percentage of OB/GYN physicians

The percentage of OB/GYN physicians

in n dareas accept Medicaid patientsthan those acceptingMedicaid patients inaeased by 57.7

in urban ~gions* As expected, the difference in the percent

percent betwem 1986 and 1990. Between 1986 and 1990, the percentage

ofOBIGYN physidansacceptfng OB patients is not of OB/GYNs accepting M d m patients

significant between dand urban areas,howev- decreasedby 25.9 percent.

er a greater percentage of Medicare patients are

accepted by OB/GYNS in rural than urban areas.

INFANT MORTALIN RATES HIGHER IN Ll-17AL GEC - 3IA

' Albany, Savannah and Macon Msm'kvc&hehi$w percentage of

TOTAL INFANT MORTAUTY RATES 1982-1990

l e s s q w m 2 5 0 0 g ~ l l r ~ T h e ~ - p r ' b - h -

MSAhas the M@mMaMM t y 25

1,OOOlIvekth (16.13,buth
"$ s o I o w e s t ~ t a g c o f ~
- not reaedvfngprenatal care untiltheir 20

third t@neskr. Ftirtbr, countiesofless

than 10,000 population also have a high

I n t a n t m o ~ n t s . T h e p e m t o f l e g 15 -1~-1%7-1~-12m7-1~-tZ7-,Z7

t h a n ~ g m m b M h s ~ v ~ I f ~L

since 1981.

10

-

-

12.4

PimCEmU m r mWW@-IF

5

"

A

Q,

1- 1-

1984 1 mf 1987 f9W 1889 1990

*'IhetumIWm~rateMs~m&a;d

~

~ CI382-19pD).

The~-~~lftoctalfty~cmdn~cs

a 2:t ?a&.

m~S~~Ln~l

(13.21 thn MSM (1221.

Of&total,~oft~hIW~,d7~

Ccnt~m~swPweigSredm~

~~t~

pulation categories) Birth characteristic^^^^

-.

I

3 COUNTY #COUNTIES IN 2000

1990

POPULATION GROUPING OBJECTIVE SUPPLY

NUMBER NEEDED

PERCENT INFANT PRENATAL OM. DEATH RATE CARE'

0- 9,999 (40)

31

5

26

10,000- 19,999 (45)

74

6

68

- Z0,oOo - 49,999 (44)
50,000 149,999 (21)

150 182

70 129

80 53

Over 150,000 (9)

341

428

-87

MSA (ME7ROPOLITANSTATISTICAL AREA)

Albany Athens

(2)

16

13

3

(4)

18

16

2

Atlm

(18)

337

31 9

18

(3)

36

61

-25

Ca -

(3)

12

6

6

Coturnbus M-

(i24)

25 35

20
42

5 -7

S a v ~ u 1 ~ (2)

29

33

-4

WN-MSA (NON-METROPOLITA1J STATISTICAL AREA)

D~ o t a l
Northwest Noatheast Central Southwest Soumast

(121)

270

(43)

68

(16)

35

(18)

62

(22) 50

(22) 55

128

3 142

37

31

20

15

21

41

22

28

20

27

I MQ-:
w, . ~ t o W . 5 r r m ~ , - R M I m v i d
Angel R&Ql#s&, and Tmde whws, DMdm of

R;Blic-&*~dmnway.omp-~~t.-
bfMedkd-hww&*-
J'