76 Georgia Physician Workforce: County Reports - 2008
Houston 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
131,291
7
5.3
Physician Need
18
Status Deficit: -11
13
Deficit: -6
12
Deficit: -5
12
Deficit: -5
8
Deficit: -1
5
Surplus: 2
12
Deficit: -5
9
Deficit: -2
10
Deficit: -3
2015 Projected
Population 149,875
Physician Need 21 15 14 13 6 6 13
10
11
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
131,291
8
6.1
Physician Need
10
Status Deficit: -2
7
Surplus: 1
7
Surplus: 1
4
Surplus: 4
4
Surplus: 4
2
Surplus: 6
4
Surplus: 4
5
Surplus: 3
3
Surplus: 5
6
Surplus: 2
5
Surplus: 3
2015 Projected
Population 149,875
Physician Need 11 8 7 5 3 3 4
5 4 6 5
76 Georgia Physician Workforce: County Reports - 2008
Houston 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
131,291
4
3.0
Physician Need
5
Status Deficit: -1
4
Adequate 0
3
Surplus: 1
4
Adequate 0
3
Surplus: 1
3
Surplus: 1
3
Surplus: 1
2
Surplus: 2
2
Surplus: 2
3
Surplus: 1
4
Adequate 0
3
Surplus: 1
2015 Projected
Population 149,875
Physician Need 6 4 4 4 4 4 4 2 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
131,291
14
10.7
Physician Need
14
Status Adequate 0
7
Surplus: 7
7
Surplus: 7
7
Surplus: 7
9
Surplus: 5
7
Surplus: 7
4
Surplus: 10
16
Deficit: -2
8
Surplus: 6
2015 Projected
Population 149,875
Physician Need 16 8 8 8 8 8
4
19 9
76 Georgia Physician Workforce: County Reports - 2008
Houston 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
131,291
31
23.6
Physician Need
41
Status Deficit: -10
60
Deficit: -29
56
Deficit: -25
33
Deficit: -2
22
Surplus: 9
14
Surplus: 17
12
Surplus: 19
21
Surplus: 10
30
Surplus: 1
31
Adequate 0
2015 Projected
Population 149,875
Physician Need 47 68 64 38 16 16
14
24 34 35
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
131,291
1
0.8
Physician Need
6
Status Deficit: -5
4
Deficit: -3
4
Deficit: -3
2
Deficit: -1
2
Deficit: -1
2
Deficit: -1
5
Deficit: -4
3
Deficit: -2
2015 Projected
Population 149,875
Physician Need 6 5
5 3 3
2
5 4
76 Georgia Physician Workforce: County Reports - 2008
Houston 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
131,291
3
2.3
Physician Need
3
Status Adequate 0
1
Surplus: 2
1
Surplus: 2
1
Surplus: 2
2
Surplus: 1
1
Surplus: 2
1
Surplus: 2
1
Surplus: 2
2015 Projected
Population 149,875
Physician Need 3 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
131,291
33
25.1
Physician Need
70
Status Deficit: -37
28
Surplus: 5
26
Surplus: 7
38
Deficit: -5
37
Deficit: -4
40
Deficit: -7
22
Surplus: 11
15
Surplus: 18
25
Surplus: 8
29
Surplus: 4
2015 Projected
Population 149,875
Physician Need 80 32 30 43 45 45
25
17 28 33
76 Georgia Physician Workforce: County Reports - 2008
Houston 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
131,291
5
3.8
Physician Need
3
Status Surplus: 2
2
Surplus: 3
2
Surplus: 3
1
Surplus: 4
1
Surplus: 4
1
Surplus: 4
1
Surplus: 4
1
Surplus: 4
1
Surplus: 4
2015 Projected
Population 149,875
Physician Need 4 2 2 2 1 1 1
1 1
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
131,291
2
1.5
Physician Need
7
Status Deficit: -5
3
Deficit: -1
3
Deficit: -1
4
Deficit: -2
2
Adequate 0
2
Adequate 0
2
Adequate 0
3
Deficit: -1
2
Adequate 0
2
Adequate 0
2
Adequate 0
2015 Projected
Population 149,875
Physician Need 7 4 3 5 3 3 2
3 2 3 3
76 Georgia Physician Workforce: County Reports - 2008
Houston County Physician Standard Report
Page 6
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
131,291
14
10.7
Physician Need
19
Status Deficit: -5
16
Deficit: -2
15
Deficit: -1
13
Surplus: 1
15
Deficit: -1
15
Deficit: -1
13
Surplus: 1
12
Surplus: 2
11
Surplus: 3
11
Surplus: 3
13
Surplus: 1
13
Surplus: 1
2015 Projected
Population 149,875
Physician Need 21 18 17 15 17 17 15 13 13 12 15 15
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
131,291
7
5.3
Physician Need
8
Status Deficit: -1
8
Deficit: -1
7
Adequate 0
6
Surplus: 1
3
Surplus: 4
4
Surplus: 3
7
Adequate 0
5
Surplus: 2
4
Surplus: 3
6
Surplus: 1
6
Surplus: 1
2015 Projected
Population 149,875
Physician Need 9 9 8 7 5 5 7
5 5 7 6
76 Georgia Physician Workforce: County Reports - 2008
Houston County Physician Standard Report
Page 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
131,291
11
8.4
Physician Need
11
Status Adequate 0
9
Surplus: 2
8
Surplus: 3
8
Surplus: 3
8
Surplus: 3
6
Surplus: 5
9
Surplus: 2
4
Surplus: 7
8
Surplus: 3
6
Surplus: 5
8
Surplus: 3
7
Surplus: 4
2015 Projected
Population 149,875
Physician Need 12 10 10 9 6 6 10 4 9 6 9 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
131,291
3
2.3
Physician Need
4
Status Deficit: -1
4
Deficit: -1
4
Deficit: -1
4
Deficit: -1
3
Adequate 0
4
Deficit: -1
4
Deficit: -1
2015 Projected
Population 149,875
Physician Need 5 5
5 4 4 4
4
76 Georgia Physician Workforce: County Reports - 2008
Houston County Physician Standard Report
Page 8
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
131,291
4
3.0
Physician Need
8
Status Deficit: -4
2
Surplus: 2
2
Surplus: 2
8
Deficit: -4
4
Adequate 0
2
Surplus: 2
5
Deficit: -1
4
Adequate 0
2015 Projected
Population 149,875
Physician Need 9 3 3 10 3 3
6
5
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
131,291
17
12.9
Physician Need
33
Status Deficit: -16
22
Deficit: -5
20
Deficit: -3
16
Surplus: 1
16
Surplus: 1
21
Deficit: -4
13
Surplus: 4
10
Surplus: 7
18
Deficit: -1
17
Adequate 0
2015 Projected
Population 149,875
Physician Need 37 25 23 19 24 24
15
11 21 19
76 Georgia Physician Workforce: County Reports - 2008
Houston County Physician Standard Report
Page 9
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
131,291
9
6.9
Physician Need
18
Status Deficit: -9
10
Deficit: -1
9
Adequate 0
20
Deficit: -11
7
Surplus: 2
5
Surplus: 4
9
Adequate 0
5
Surplus: 4
8
Surplus: 1
9
Adequate 0
2015 Projected
Population 149,875
Physician Need 20 12 11 23 6 6
11 6 9 11
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
131,291
4
3.0
Physician Need
5
Status Deficit: -1
3
Surplus: 1
2
Surplus: 2
2
Surplus: 2
2
Surplus: 2
1
Surplus: 3
2
Surplus: 2
2
Surplus: 2
2
Surplus: 2
2
Surplus: 2
2015 Projected
Population 149,875
Physician Need 5 3 3 2 1 1 2
2
2 2
76 Georgia Physician Workforce: County Reports - 2008
Houston County Physician Standard Report
Page 10
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
131,291
9
6.9
Physician Need
15
Status Deficit: -6
18
Deficit: -9
18
Deficit: -9
10
Deficit: -1
11
Deficit: -2
6
Surplus: 3
10
Deficit: -1
11
Deficit: -2
12
Deficit: -3
2015 Projected
Population 149,875
Physician Need 17 20 21 12 7 7 12
12
14
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
131,291
6
4.6
Physician Need
16
Status Deficit: -10
12
Deficit: -6
12
Deficit: -6
13
Deficit: -7
9
Deficit: -3
8
Deficit: -2
8
Deficit: -2
6
Adequate 0
13
Deficit: -7
5
Surplus: 1
8
Deficit: -2
9
Deficit: -3
2015 Projected
Population 149,875
Physician Need 19 14 13 15 9 9 9 6 15 6 9 11
76 Georgia Physician Workforce: County Reports - 2008
Houston 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
131,291
2
1.5
Physician Need
5
Status Deficit: -3
5
Deficit: -3
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 149,875
Physician Need 5 5 5 5 3 3 4
4 3 4 4
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.