67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 1
Physician Specialty Allergy & Immunology
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.
1.4 1.5 1.4 0.8 1.7 1.2 1.1
1.3
1.7 1.3
2008 Actual
Population Physicians /100k
772,464
1
0.1
Physician Need
11
Status Deficit: -10
12
Deficit: -11
11
Deficit: -10
6
Deficit: -5
13
Deficit: -12
9
Deficit: -8
8
Deficit: -7
10
Deficit: -9
13
Deficit: -12
10
Deficit: -9
2015 Projected
Population 910,677
Physician Need 13 14 13 7 11 11 10
12
16 12
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
772,464
38
4.9
Physician Need
108
Status Deficit: -70
75
Deficit: -37
70
Deficit: -32
69
Deficit: -31
46
Deficit: -8
30
Surplus: 8
70
Deficit: -32
54
Deficit: -16
59
Deficit: -21
2015 Projected
Population 910,677
Physician Need 127 88 83 81 36 36 82
64
69
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 2
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
772,464
30
3.9
Physician Need
58
Status Deficit: -28
42
Deficit: -12
39
Deficit: -9
24
Surplus: 6
23
Surplus: 7
14
Surplus: 16
22
Surplus: 8
28
Surplus: 2
20
Surplus: 10
33
Deficit: -3
27
Surplus: 3
2015 Projected
Population 910,677
Physician Need 68 49 46 28 16 16 26
33 24 38 32
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
772,464
17
2.2
Physician Need
29
Status Deficit: -12
22
Deficit: -5
20
Deficit: -3
22
Deficit: -5
19
Deficit: -2
19
Deficit: -2
20
Deficit: -3
12
Surplus: 5
11
Surplus: 6
16
Surplus: 1
24
Deficit: -7
19
Deficit: -2
2015 Projected
Population 910,677
Physician Need 34 25 24 25 22 22 24 15 13 19 29 22
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 3
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
772,464
43
5.6
Physician Need
81
Status Deficit: -38
42
Surplus: 1
40
Surplus: 3
42
Surplus: 1
52
Deficit: -9
41
Surplus: 2
21
Surplus: 22
96
Deficit: -53
48
Deficit: -5
2015 Projected
Population 910,677
Physician Need 96 50 47 49 48 48
25
113 56
Physician Specialty
Endocrinology, Diabetes & Metabolism
National Physician Standards*
Standard Phys/100,000 Pop.
AMA
1.8
Two Mature HMO
1.1
Adjusted FTE
1.0
GMENAC
0.8
Kaiser Portland
0.9
7 Kaiser Plans
1.1
GHC Seattle
Three HMOs
0.6
Goodman
Hicks & Glenn
Solucient
Average Requirement
0.9
2008 Actual
Population Physicians /100k
772,464
9
1.2
Physician Need
14
Status Deficit: -5
8
Surplus: 1
8
Surplus: 1
6
Surplus: 3
7
Surplus: 2
8
Surplus: 1
5
Surplus: 4
7
Surplus: 2
2015 Projected
Population 910,677
Physician Need 16 10 9 7 10 10
5
8
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 4
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
772,464
146
18.9
Physician Need
243
Status Deficit: -97
352
Deficit: -206
329
Deficit: -183
195
Deficit: -49
129
Surplus: 17
85
Surplus: 61
71
Surplus: 75
125
Surplus: 21
174
Deficit: -28
182
Deficit: -36
2015 Projected
Population 910,677
Physician Need 287 415 388 229 100 100
84
148 205 215
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
772,464
15
1.9
Physician Need
32
Status Deficit: -17
24
Deficit: -9
25
Deficit: -10
13
Surplus: 2
13
Surplus: 2
10
Surplus: 5
27
Deficit: -12
19
Deficit: -4
2015 Projected
Population 910,677
Physician Need 38 28
29 15 15
12
32 22
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 5
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
772,464
4
0.5
Physician Need
17
Status Deficit: -13
5
Deficit: -1
5
Deficit: -1
7
Deficit: -3
9
Deficit: -5
5
Deficit: -1
5
Deficit: -1
6
Deficit: -2
2015 Projected
Population 910,677
Physician Need 20 6 5 8 6 6 5
7
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
772,464
138
17.9
Physician Need
410
Status Deficit: -272
165
Deficit: -27
154
Deficit: -16
222
Deficit: -84
217
Deficit: -79
234
Deficit: -96
129
Surplus: 9
87
Surplus: 51
147
Deficit: -9
170
Deficit: -32
2015 Projected
Population 910,677
Physician Need 484 195 182 262 276 276
152
103 173 200
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 6
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
772,464
12
1.6
Physician Need
20
Status Deficit: -8
11
Surplus: 1
10
Surplus: 2
8
Surplus: 4
6
Surplus: 6
5
Surplus: 7
7
Surplus: 5
6
Surplus: 6
8
Surplus: 4
2015 Projected
Population 910,677
Physician Need 24 13 12 10 6 6 8
7 9
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
772,464
5
0.6
Physician Need
15
Status Deficit: -10
8
Deficit: -3
8
Deficit: -3
8
Deficit: -3
11
Deficit: -6
3
Surplus: 2
5
Adequate 0
8
Deficit: -3
2015 Projected
Population 910,677
Physician Need 17 10 9 10
4
6
9
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 7
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
772,464
14
1.8
Physician Need
39
Status Deficit: -25
19
Deficit: -5
18
Deficit: -4
25
Deficit: -11
10
Surplus: 4
13
Surplus: 1
9
Surplus: 5
16
Deficit: -2
11
Surplus: 3
14
Adequate 0
15
Deficit: -1
2015 Projected
Population 910,677
Physician Need 46 22 21 30 15 15 11
19 13 16 17
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
772,464
61
7.9
Physician Need
109
Status Deficit: -48
93
Deficit: -32
87
Deficit: -26
76
Deficit: -15
90
Deficit: -29
89
Deficit: -28
77
Deficit: -16
68
Deficit: -7
65
Deficit: -4
62
Deficit: -1
79
Deficit: -18
79
Deficit: -18
2015 Projected
Population 910,677
Physician Need 128 110 103 90 105 105 91 80 76 73 93 93
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 8
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
772,464
14
1.8
Physician Need
46
Status Deficit: -32
46
Deficit: -32
42
Deficit: -28
36
Deficit: -22
19
Deficit: -5
24
Deficit: -10
39
Deficit: -25
27
Deficit: -13
25
Deficit: -11
36
Deficit: -22
32
Deficit: -18
2015 Projected
Population 910,677
Physician Need 55 54 50 42 28 28 46
32 29 43 38
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
772,464
29
3.8
Physician Need
64
Status Deficit: -35
53
Deficit: -24
49
Deficit: -20
46
Deficit: -17
46
Deficit: -17
32
Deficit: -3
52
Deficit: -23
23
Surplus: 6
46
Deficit: -17
32
Deficit: -3
47
Deficit: -18
42
Deficit: -13
2015 Projected
Population 910,677
Physician Need 76 62 58 55 38 38 61 27 54 38 56 50
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 9
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
772,464
9
1.2
Physician Need
26
Status Deficit: -17
25
Deficit: -16
25
Deficit: -16
26
Deficit: -17
19
Deficit: -10
23
Deficit: -14
23
Deficit: -14
2015 Projected
Population 910,677
Physician Need 31 29
29 22 22 27
27
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
772,464
7
0.9
Physician Need
49
Status Deficit: -42
15
Deficit: -8
14
Deficit: -7
49
Deficit: -42
25
Deficit: -18
14
Deficit: -7
32
Deficit: -25
25
Deficit: -18
2015 Projected
Population 910,677
Physician Need 57 17 16 58 16 16
37
29
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 10
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
772,464
138
17.9
Physician Need
192
Status Deficit: -54
128
Surplus: 10
120
Surplus: 18
96
Surplus: 42
92
Surplus: 46
124
Surplus: 14
76
Surplus: 62
59
Surplus: 79
107
Surplus: 31
100
Surplus: 38
2015 Projected
Population 910,677
Physician Need 227 151 141 113 146 146
89
69 127 118
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
772,464
12
1.6
Physician Need
19
Status Deficit: -7
8
Surplus: 4
2
Surplus: 10
3
Surplus: 9
8
Surplus: 4
18
Deficit: -6
17
Deficit: -5
9
Surplus: 3
2015 Projected
Population 910,677
Physician Need 22
10
4
10 21 20 11
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 11
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
772,464
43
5.6
Physician Need
105
Status Deficit: -62
59
Deficit: -16
56
Deficit: -13
119
Deficit: -76
40
Surplus: 3
32
Surplus: 11
56
Deficit: -13
30
Surplus: 13
44
Deficit: -1
55
Deficit: -12
2015 Projected
Population 910,677
Physician Need 124 70 66 140 37 37
66 36 52 65
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
772,464
12
1.6
Physician Need
27
Status Deficit: -15
15
Deficit: -3
15
Deficit: -3
11
Surplus: 1
11
Surplus: 1
8
Surplus: 4
11
Surplus: 1
11
Surplus: 1
10
Surplus: 2
12
Adequate 0
2015 Projected
Population 910,677
Physician Need 32 18 17 13 9 9 13
13
12 14
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 12
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
772,464
37
4.8
Physician Need
88
Status Deficit: -51
105
Deficit: -68
106
Deficit: -69
59
Deficit: -22
66
Deficit: -29
36
Surplus: 1
59
Deficit: -22
62
Deficit: -25
70
Deficit: -33
2015 Projected
Population 910,677
Physician Need 104 124 125 70 43 43 70
73
83
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
772,464
5
0.6
Physician Need
12
Status Deficit: -7
8
Deficit: -3
8
Deficit: -3
5
Adequate 0
3
Surplus: 2
5
Adequate 0
5
Adequate 0
3
Surplus: 2
10
Deficit: -5
6
Deficit: -1
2015 Projected
Population 910,677
Physician Need 14 10 9 6 6 6 6
4
12 7
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 13
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
772,464
24
3.1
Physician Need
97
Status Deficit: -73
73
Deficit: -49
68
Deficit: -44
75
Deficit: -51
54
Deficit: -30
48
Deficit: -24
46
Deficit: -22
32
Deficit: -8
75
Deficit: -51
32
Deficit: -8
46
Deficit: -22
55
Deficit: -31
2015 Projected
Population 910,677
Physician Need 114 86 80 88 56 56 54 38 88 37 55 65
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
772,464
1
0.1
Physician Need
12
Status Deficit: -11
6
Deficit: -5
1
Adequate 0
4
Deficit: -3
2015 Projected
Population 910,677
Physician Need 14
7
5
67 Georgia Physician Workforce: County Reports - 2008
Gwinnett County Physician Standard Report
Page 14
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
772,464
11
1.4
Physician Need
27
Status Deficit: -16
27
Deficit: -16
25
Deficit: -14
24
Deficit: -13
25
Deficit: -14
18
Deficit: -7
22
Deficit: -11
20
Deficit: -9
15
Deficit: -4
22
Deficit: -11
22
Deficit: -11
2015 Projected
Population 910,677
Physician Need 32 32 30 28 21 21 26
24 17 26 26
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.