'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'