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

48 Georgia Physician Workforce: County Reports - 2008
Douglas 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

124,324

7

5.6

Physician Need
17

Status Deficit: -10

12

Deficit: -5

11

Deficit: -4

11

Deficit: -4

7

Adequate 0

5

Surplus: 2

11

Deficit: -4

9

Deficit: -2

9

Deficit: -2

2015 Projected
Population 159,765
Physician Need 22 15 15 14 6 6 14
11
12

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

124,324

4

3.2

Physician Need
9

Status Deficit: -5

7

Deficit: -3

6

Deficit: -2

4

Adequate 0

4

Adequate 0

2

Surplus: 2

4

Adequate 0

4

Adequate 0

3

Surplus: 1

5

Deficit: -1

4

Adequate 0

2015 Projected
Population 159,765
Physician Need 12 9 8 5 3 3 5
6 4 7 6

48 Georgia Physician Workforce: County Reports - 2008
Douglas 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

124,324

2

1.6

Physician Need
5

Status Deficit: -3

3

Deficit: -1

3

Deficit: -1

3

Deficit: -1

3

Deficit: -1

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

2

Adequate 0

3

Deficit: -1

4

Deficit: -2

3

Deficit: -1

2015 Projected
Population 159,765
Physician Need 6 4 4 4 4 4 4 3 2 3 5 4

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

124,324

5

4.0

Physician Need
13

Status Deficit: -8

7

Deficit: -2

6

Deficit: -1

7

Deficit: -2

8

Deficit: -3

7

Deficit: -2

3

Surplus: 2

15

Deficit: -10

8

Deficit: -3

2015 Projected
Population 159,765
Physician Need 17 9 8 9 8 8
4
20 10

48 Georgia Physician Workforce: County Reports - 2008
Douglas 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

124,324

20

16.1

Physician Need
39

Status Deficit: -19

57

Deficit: -37

53

Deficit: -33

31

Deficit: -11

21

Deficit: -1

14

Surplus: 6

11

Surplus: 9

20

Adequate 0

28

Deficit: -8

29

Deficit: -9

2015 Projected
Population 159,765
Physician Need 50 73 68 40 18 18
15
26 36 38

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

124,324

3

2.4

Physician Need
5

Status Deficit: -2

4

Deficit: -1

4

Deficit: -1

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

4

Deficit: -1

3

Adequate 0

2015 Projected
Population 159,765
Physician Need 7 5
5 3 3
2
6 4

48 Georgia Physician Workforce: County Reports - 2008
Douglas County Physician Standard Report

Page 4

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

124,324

22

17.7

Physician Need
66

Status Deficit: -44

27

Deficit: -5

25

Deficit: -3

36

Deficit: -14

35

Deficit: -13

38

Deficit: -16

21

Surplus: 1

14

Surplus: 8

24

Deficit: -2

27

Deficit: -5

2015 Projected
Population 159,765
Physician Need 85 34 32 46 48 48
27
18 30 35

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

124,324

2

1.6

Physician Need
3

Status Deficit: -1

2

Adequate 0

2

Adequate 0

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

2015 Projected
Population 159,765
Physician Need 4 2 2 2 1 1 1
1 2

48 Georgia Physician Workforce: County Reports - 2008
Douglas County Physician Standard Report

Page 5

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

124,324

3

2.4

Physician Need
6

Status Deficit: -3

3

Adequate 0

3

Adequate 0

4

Deficit: -1

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

3

Adequate 0

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

2015 Projected
Population 159,765
Physician Need 8 4 4 5 3 3 2
3 2 3 3

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

124,324

9

7.2

Physician Need
18

Status Deficit: -9

15

Deficit: -6

14

Deficit: -5

12

Deficit: -3

14

Deficit: -5

14

Deficit: -5

12

Deficit: -3

11

Deficit: -2

10

Deficit: -1

10

Deficit: -1

13

Deficit: -4

13

Deficit: -4

2015 Projected
Population 159,765
Physician Need 23 19 18 16 18 18 16 14 13 13 16 16

48 Georgia Physician Workforce: County Reports - 2008
Douglas County Physician Standard Report

Page 6

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

124,324

6

4.8

Physician Need
7

Status Deficit: -1

7

Deficit: -1

7

Deficit: -1

6

Adequate 0

3

Surplus: 3

4

Surplus: 2

6

Adequate 0

4

Surplus: 2

4

Surplus: 2

6

Adequate 0

5

Surplus: 1

2015 Projected
Population 159,765
Physician Need 10 9 9 7 5 5 8
6 5 8 7

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

124,324

1

0.8

Physician Need
10

Status Deficit: -9

8

Deficit: -7

8

Deficit: -7

7

Deficit: -6

7

Deficit: -6

5

Deficit: -4

8

Deficit: -7

4

Deficit: -3

7

Deficit: -6

5

Deficit: -4

8

Deficit: -7

7

Deficit: -6

2015 Projected
Population 159,765
Physician Need 13 11 10 10 7 7 11 5 9 7 10 9

48 Georgia Physician Workforce: County Reports - 2008
Douglas County Physician Standard Report

Page 7

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

124,324

4

3.2

Physician Need
4

Status Adequate 0

4

Adequate 0

4

Adequate 0

4

Adequate 0

3

Surplus: 1

4

Adequate 0

4

Adequate 0

2015 Projected
Population 159,765
Physician Need 5 5
5 4 4 5
5

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

124,324

1

0.8

Physician Need
8

Status Deficit: -7

2

Deficit: -1

2

Deficit: -1

8

Deficit: -7

4

Deficit: -3

2

Deficit: -1

5

Deficit: -4

4

Deficit: -3

2015 Projected
Population 159,765
Physician Need 10 3 3 10 3 3
7
5

48 Georgia Physician Workforce: County Reports - 2008
Douglas County Physician Standard Report

Page 8

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

124,324

23

18.5

Physician Need
31

Status Deficit: -8

21

Surplus: 2

19

Surplus: 4

15

Surplus: 8

15

Surplus: 8

20

Surplus: 3

12

Surplus: 11

9

Surplus: 14

17

Surplus: 6

16

Surplus: 7

2015 Projected
Population 159,765
Physician Need 40 27 25 20 26 26
16
12 22 21

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

124,324

5

4.0

Physician Need
17

Status Deficit: -12

10

Deficit: -5

9

Deficit: -4

19

Deficit: -14

6

Deficit: -1

5

Adequate 0

9

Deficit: -4

5

Adequate 0

7

Deficit: -2

9

Deficit: -4

2015 Projected
Population 159,765
Physician Need 22 12 12 25 7 7
12 6 9 11

48 Georgia Physician Workforce: County Reports - 2008
Douglas County Physician Standard Report

Page 9

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

124,324

2

1.6

Physician Need
4

Status Deficit: -2

2

Adequate 0

2

Adequate 0

2

Adequate 0

2

Adequate 0

1

Surplus: 1

2

Adequate 0

2

Adequate 0

2

Adequate 0

2

Adequate 0

2015 Projected
Population 159,765
Physician Need 6 3 3 2 2 2 2
2
2 2

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

124,324

3

2.4

Physician Need
14

Status Deficit: -11

17

Deficit: -14

17

Deficit: -14

10

Deficit: -7

11

Deficit: -8

6

Deficit: -3

10

Deficit: -7

10

Deficit: -7

11

Deficit: -8

2015 Projected
Population 159,765
Physician Need 18 22 22 12 8 8 12
13
15

48 Georgia Physician Workforce: County Reports - 2008
Douglas County Physician Standard Report

Page 10

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

124,324

5

4.0

Physician Need
16

Status Deficit: -11

12

Deficit: -7

11

Deficit: -6

12

Deficit: -7

9

Deficit: -4

8

Deficit: -3

7

Deficit: -2

5

Adequate 0

12

Deficit: -7

5

Adequate 0

7

Deficit: -2

9

Deficit: -4

2015 Projected
Population 159,765
Physician Need 20 15 14 15 10 10 9 7 15 7 10 11

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

124,324

1

0.8

Physician Need
2

Status Deficit: -1

1

Adequate 0

0

Surplus: 1

1

Adequate 0

2015 Projected
Population 159,765
Physician Need 2
1
1

48 Georgia Physician Workforce: County Reports - 2008
Douglas County Physician Standard Report

Page 11

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

124,324

2

1.6

Physician Need
4

Status Deficit: -2

4

Deficit: -2

4

Deficit: -2

4

Deficit: -2

4

Deficit: -2

3

Deficit: -1

4

Deficit: -2

3

Deficit: -1

2

Adequate 0

4

Deficit: -2

4

Deficit: -2

2015 Projected
Population 159,765
Physician Need 6 6 5 5 4 4 5
4 3 5 5

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.