Georgia physician workforce: county reports 2008, Dougherty County physician standard report

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 1

Physician Specialty Anesthesiology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
14.0 9.7 9.1 8.9 5.9 3.9 9.0
7.0
7.6

2008 Actual
Population Physicians /100k

95,301

13

13.6

Physician Need
13

Status Adequate 0

9

Surplus: 4

9

Surplus: 4

8

Surplus: 5

6

Surplus: 7

4

Surplus: 9

9

Surplus: 4

7

Surplus: 6

7

Surplus: 6

2015 Projected
Population 96,656
Physician Need 14 9 9 9 4 4 9
7
7

Physician Specialty Cardiovascular Diseases
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
7.5 5.4 5.0 3.1 3.0 1.8 2.9
3.6 2.6 4.2 3.5

2008 Actual
Population Physicians /100k

95,301

8

8.4

Physician Need
7

Status Surplus: 1

5

Surplus: 3

5

Surplus: 3

3

Surplus: 5

3

Surplus: 5

2

Surplus: 6

3

Surplus: 5

3

Surplus: 5

2

Surplus: 6

4

Surplus: 4

3

Surplus: 5

2015 Projected
Population 96,656
Physician Need 7 5 5 3 2 2 3
3 3 4 3

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 2

Physician Specialty Dermatology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
3.7 2.8 2.6 2.8 2.5 2.4 2.6 1.6 1.4 2.1 3.1 2.4

2008 Actual
Population Physicians /100k

95,301

4

4.2

Physician Need
4

Status Adequate 0

3

Surplus: 1

2

Surplus: 2

3

Surplus: 1

2

Surplus: 2

2

Surplus: 2

2

Surplus: 2

2

Surplus: 2

1

Surplus: 3

2

Surplus: 2

3

Surplus: 1

2

Surplus: 2

2015 Projected
Population 96,656
Physician Need 4 3 3 3 2 2 3 2 1 2 3 2

Physician Specialty Emergency Medicine
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
10.5 5.5 5.2 5.4 6.7 5.3
2.7
12.4 6.2

2008 Actual
Population Physicians /100k

95,301

16

16.8

Physician Need
10

Status Surplus: 6

5

Surplus: 11

5

Surplus: 11

5

Surplus: 11

6

Surplus: 10

5

Surplus: 11

3

Surplus: 13

12

Surplus: 4

6

Surplus: 10

2015 Projected
Population 96,656
Physician Need 10 5 5 5 5 5
3
12 6

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 3

Physician Specialty Family Practice
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
31.5 45.6 42.6 25.2 16.7 11.0
9.2
16.2 22.5 23.6

2008 Actual
Population Physicians /100k

95,301

26

27.3

Physician Need
30

Status Deficit: -4

43

Deficit: -17

41

Deficit: -15

24

Surplus: 2

16

Surplus: 10

10

Surplus: 16

9

Surplus: 17

15

Surplus: 11

21

Surplus: 5

22

Surplus: 4

2015 Projected
Population 96,656
Physician Need 30 44 41 24 11 11
9
16 22 23

Physician Specialty Gastroenterology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
4.2 3.1
3.2 1.7 1.7
1.3
3.5 2.4

2008 Actual
Population Physicians /100k

95,301

8

8.4

Physician Need
4

Status Surplus: 4

3

Surplus: 5

3

Surplus: 5

2

Surplus: 6

2

Surplus: 6

1

Surplus: 7

3

Surplus: 5

2

Surplus: 6

2015 Projected
Population 96,656
Physician Need 4 3
3 2 2
1
3 2

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 4

Physician Specialty Infectious Disease
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
2.2 0.7 0.6 0.9 1.2 0.7 0.6
0.8

2008 Actual
Population Physicians /100k

95,301

2

2.1

Physician Need
2

Status Adequate 0

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

2015 Projected
Population 96,656
Physician Need 2 1 1 1 1 1 1
1

Physician Specialty Internal Medicine
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
53.1 21.4 20.0 28.8 28.1 30.3
16.7
11.3 19.0 22.0

2008 Actual
Population Physicians /100k

95,301

40

42.0

Physician Need
51

Status Deficit: -11

20

Surplus: 20

19

Surplus: 21

27

Surplus: 13

27

Surplus: 13

29

Surplus: 11

16

Surplus: 24

11

Surplus: 29

18

Surplus: 22

21

Surplus: 19

2015 Projected
Population 96,656
Physician Need 51 21 19 28 29 29
16
11 18 21

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 5

Physician Specialty Nephrology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
2.6 1.4 1.3 1.1 0.8 0.7 0.9
0.7 1.0

2008 Actual
Population Physicians /100k

95,301

6

6.3

Physician Need
2

Status Surplus: 4

1

Surplus: 5

1

Surplus: 5

1

Surplus: 5

1

Surplus: 5

1

Surplus: 5

1

Surplus: 5

1

Surplus: 5

1

Surplus: 5

2015 Projected
Population 96,656
Physician Need 3 1 1 1 1 1 1
1 1

Physician Specialty Neurological Surgery
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
1.9 1.1 1.0 1.1 1.4
0.4
0.7
1.0

2008 Actual
Population Physicians /100k

95,301

5

5.2

Physician Need
2

Status Surplus: 3

1

Surplus: 4

1

Surplus: 4

1

Surplus: 4

1

Surplus: 4

0

Surplus: 5

1

Surplus: 4

1

Surplus: 4

2015 Projected
Population 96,656
Physician Need 2 1 1 1
0
1
1

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 6

Physician Specialty Neurology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
5.0 2.4 2.3 3.3 1.3 1.7 1.2
2.1 1.4 1.8 1.9

2008 Actual
Population Physicians /100k

95,301

2

2.1

Physician Need
5

Status Deficit: -3

2

Adequate 0

2

Adequate 0

3

Deficit: -1

1

Surplus: 1

2

Adequate 0

1

Surplus: 1

2

Adequate 0

1

Surplus: 1

2

Adequate 0

2

Adequate 0

2015 Projected
Population 96,656
Physician Need 5 2 2 3 2 2 1
2 1 2 2

Physician Specialty OB/GYN
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
14.1 12.1 11.3 9.9 11.6 11.5 10.0 8.8 8.4 8.0 10.2 10.2

2008 Actual
Population Physicians /100k

95,301

24

25.2

Physician Need
13

Status Surplus: 11

12

Surplus: 12

11

Surplus: 13

9

Surplus: 15

11

Surplus: 13

11

Surplus: 13

10

Surplus: 14

8

Surplus: 16

8

Surplus: 16

8

Surplus: 16

10

Surplus: 14

10

Surplus: 14

2015 Projected
Population 96,656
Physician Need 14 12 11 10 11 11 10 9 8 8 10 10

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 7

Physician Specialty Opthalmology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
6.0 5.9 5.5 4.6 2.4 3.1 5.0
3.5 3.2 4.7 4.2

2008 Actual
Population Physicians /100k

95,301

8

8.4

Physician Need
6

Status Surplus: 2

6

Surplus: 2

5

Surplus: 3

4

Surplus: 4

2

Surplus: 6

3

Surplus: 5

5

Surplus: 3

3

Surplus: 5

3

Surplus: 5

4

Surplus: 4

4

Surplus: 4

2015 Projected
Population 96,656
Physician Need 6 6 5 4 3 3 5
3 3 5 4

Physician Specialty Orthopedic Surgery
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
8.3 6.8 6.4 6.0 5.9 4.2 6.7 3.0 5.9 4.2 6.1 5.5

2008 Actual
Population Physicians /100k

95,301

10

10.5

Physician Need
8

Status Surplus: 2

6

Surplus: 4

6

Surplus: 4

6

Surplus: 4

6

Surplus: 4

4

Surplus: 6

6

Surplus: 4

3

Surplus: 7

6

Surplus: 4

4

Surplus: 6

6

Surplus: 4

5

Surplus: 5

2015 Projected
Population 96,656
Physician Need 8 7 6 6 4 4 6 3 6 4 6 5

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 8

Physician Specialty Otolaryngology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
3.4 3.2
3.2 3.4 2.4 3.0
3.0

2008 Actual
Population Physicians /100k

95,301

3

3.1

Physician Need
3

Status Adequate 0

3

Adequate 0

3

Adequate 0

3

Adequate 0

2

Surplus: 1

3

Adequate 0

3

Adequate 0

2015 Projected
Population 96,656
Physician Need 3 3
3 2 2 3
3

Physician Specialty Pathology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
6.3 1.9 1.8 6.4 3.3 1.8
4.1
3.2

2008 Actual
Population Physicians /100k

95,301

7

7.3

Physician Need
6

Status Surplus: 1

2

Surplus: 5

2

Surplus: 5

6

Surplus: 1

3

Surplus: 4

2

Surplus: 5

4

Surplus: 3

3

Surplus: 4

2015 Projected
Population 96,656
Physician Need 6 2 2 6 2 2
4
3

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 9

Physician Specialty Pediatrics
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
24.9 16.6 15.5 12.4 11.9 16.0
9.8
7.6 13.9 13.0

2008 Actual
Population Physicians /100k

95,301

21

22.0

Physician Need
24

Status Deficit: -3

16

Surplus: 5

15

Surplus: 6

12

Surplus: 9

11

Surplus: 10

15

Surplus: 6

9

Surplus: 12

7

Surplus: 14

13

Surplus: 8

12

Surplus: 9

2015 Projected
Population 96,656
Physician Need 24 16 15 12 15 15
9
7 13 13

Physician Specialty Plastic Surgery
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
2.4
1.1 0.3
0.4
1.1 2.3 2.2 1.2

2008 Actual
Population Physicians /100k

95,301

3

3.1

Physician Need
2

Status Surplus: 1

1

Surplus: 2

0

Surplus: 3

0

Surplus: 3

1

Surplus: 2

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

2015 Projected
Population 96,656
Physician Need 2
1
0
1 2 2 1

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 10

Physician Specialty Psychiatry
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
13.6 7.7 7.2 15.4 5.2 4.1
7.2 3.9 5.7 7.1

2008 Actual
Population Physicians /100k

95,301

10

10.5

Physician Need
13

Status Deficit: -3

7

Surplus: 3

7

Surplus: 3

15

Deficit: -5

5

Surplus: 5

4

Surplus: 6

7

Surplus: 3

4

Surplus: 6

5

Surplus: 5

7

Surplus: 3

2015 Projected
Population 96,656
Physician Need 13 7 7 15 4 4
7 4 6 7

Physician Specialty Pulmonary Diseases
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
3.5 2.0 1.9 1.4 1.4 1.0 1.4
1.4
1.3 1.5

2008 Actual
Population Physicians /100k

95,301

4

4.2

Physician Need
3

Status Surplus: 1

2

Surplus: 2

2

Surplus: 2

1

Surplus: 3

1

Surplus: 3

1

Surplus: 3

1

Surplus: 3

1

Surplus: 3

1

Surplus: 3

1

Surplus: 3

2015 Projected
Population 96,656
Physician Need 3 2 2 1 1 1 1
1
1 1

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 11

Physician Specialty Radiology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
11.4 13.6 13.7 7.7 8.5 4.7 7.7
8.0
9.1

2008 Actual
Population Physicians /100k

95,301

21

22.0

Physician Need
11

Status Surplus: 10

13

Surplus: 8

13

Surplus: 8

7

Surplus: 14

8

Surplus: 13

4

Surplus: 17

7

Surplus: 14

8

Surplus: 13

9

Surplus: 12

2015 Projected
Population 96,656
Physician Need 11 13 13 7 5 5 7
8
9

Physician Specialty Rheumatology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
1.5 1.1 1.0 0.7 0.4 0.7 0.7
0.4
1.3 0.8

2008 Actual
Population Physicians /100k

95,301

2

2.1

Physician Need
1

Status Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

0

Surplus: 2

1

Surplus: 1

1

Surplus: 1

0

Surplus: 2

1

Surplus: 1

1

Surplus: 1

2015 Projected
Population 96,656
Physician Need 1 1 1 1 1 1 1
0
1 1

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 12

Physician Specialty General Surgery
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
12.5 9.4 8.8 9.7 7.0 6.2 5.9 4.2 9.7 4.1 6.0 7.1

2008 Actual
Population Physicians /100k

95,301

16

16.8

Physician Need
12

Status Surplus: 4

9

Surplus: 7

8

Surplus: 8

9

Surplus: 7

7

Surplus: 9

6

Surplus: 10

6

Surplus: 10

4

Surplus: 12

9

Surplus: 7

4

Surplus: 12

6

Surplus: 10

7

Surplus: 9

2015 Projected
Population 96,656
Physician Need 12 9 9 9 6 6 6 4 9 4 6 7

Physician Specialty Thoracic Surgery
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
1.5
0.8 0.1
0.5

2008 Actual
Population Physicians /100k

95,301

1

1.0

Physician Need
1

Status Adequate 0

1

Adequate 0

0

Surplus: 1

0

Surplus: 1

2015 Projected
Population 96,656
Physician Need 1
1
0

47 Georgia Physician Workforce: County Reports - 2008
Dougherty County Physician Standard Report

Page 13

Physician Specialty Urology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100,000 Pop.
3.5 3.5 3.3 3.1 3.3 2.3 2.9
2.6 1.9 2.9 2.9

2008 Actual
Population Physicians /100k

95,301

8

8.4

Physician Need
3

Status Surplus: 5

3

Surplus: 5

3

Surplus: 5

3

Surplus: 5

3

Surplus: 5

2

Surplus: 6

3

Surplus: 5

2

Surplus: 6

2

Surplus: 6

3

Surplus: 5

3

Surplus: 5

2015 Projected
Population 96,656
Physician Need 3 3 3 3 2 2 3
3 2 3 3

Report created by Georgia Board for Physician Workforce, State of Georgia
*Standards are presented as rates per 100,000 population (1) McClendon, B., R.Polizer, E. Christain, and E. Fernandez. 1997. Downsizing the Physician Workforce. Public Health Reports. May/June 112:231-239. (2) Graduate Medical Education National Advisory Committee Summary Report. 1981. Pub. No. (HRA) 81-651. Washington: Government Printing Office. (3) American Medical Association. 1996. Physician Characteristics and Distribution in the US: 1995/1996. Chicago. (4) American Osteopathic Association. 1993. 1994 Yearbook and Directory of Osteopathic Physicians. Chicago. (5) Hart, L., E. Wagner, J. Parzada, A.Nelson, and R.Rosenblah. 1997. Physician Staffing Ratios in Staff- Model HMO's: A Cautionary Tale, Health Affairs 16,
no. 1:55-70. (6) Weiner, J.P. 1994 Forecasting the Effects of Health Reform on U.S. Physician Workforce Requirement. JAMA 272, no. 3:222-230. (7) Steinwachs, D., J.P. Weiner, S. Shapiro, et al. 1986. A Comparison of the Requirements for Primary Care Physicians in with Projections Made by the
Graduate Medical National Advisory Committee. New England Journal of Medicine 314:217-222. (8) Kronick, R., D.C. Goodman, J. Wennberg, and E.Wagner. 1993. The Marketplace in Health Care Reform: The Demographic Limitations of Managed
Competition. New England Journal of Medicine 328:1480152. See also, related NAPS Document 04998. (9) Vansdow, N.A. The Physician Workforce: Issues for Academic Medical Centers. Forum on the Future of Academic Medicine. December 2, 1996. (10) Forte, G.J., Dionne, M., Beaulieu, M., and Salsberg, E. Profile of New York State Physicians. Rensselaer, NY: Center for Health Workforce Studies,
School of Public Health, SUNY Albany. April 2001. (11) A Review of Physician-to-Population Ratios. Merritt Hawkins & Associates. GMENAC, Goodman (Dec. 11, 1996 JAMA), Hicks & Glenn (1989 Journal of
Health Care Management), Solucient (2003). (12) American Medical Association. Physician Characteristics and Distribution in the US, 2010 Edition; 2010.