Georgia physician workforce: county reports 2008 Jackson County physician standard report

78 Georgia Physician Workforce: County Reports - 2008
Jackson County Physician Standard Report

Page 1

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

59,727

1

1.7

Physician Need
4

Status Deficit: -3

3

Deficit: -2

3

Deficit: -2

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

3

Deficit: -2

2

Deficit: -1

2015 Projected
Population 77,528
Physician Need 6 4 4 2 1 1 2
3 2 3 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

59,727

2

3.3

Physician Need
6

Status Deficit: -4

3

Deficit: -1

3

Deficit: -1

3

Deficit: -1

4

Deficit: -2

3

Deficit: -1

2

Adequate 0

7

Deficit: -5

4

Deficit: -2

2015 Projected
Population 77,528
Physician Need 8 4 4 4 4 4
2
10 5

78 Georgia Physician Workforce: County Reports - 2008
Jackson County Physician Standard Report

Page 2

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

59,727

11

18.4

Physician Need
19

Status Deficit: -8

27

Deficit: -16

25

Deficit: -14

15

Deficit: -4

10

Surplus: 1

7

Surplus: 4

5

Surplus: 6

10

Surplus: 1

13

Deficit: -2

14

Deficit: -3

2015 Projected
Population 77,528
Physician Need 24 35 33 20 9 9
7
13 17 18

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

59,727

3

5.0

Physician Need
32

Status Deficit: -29

13

Deficit: -10

12

Deficit: -9

17

Deficit: -14

17

Deficit: -14

18

Deficit: -15

10

Deficit: -7

7

Deficit: -4

11

Deficit: -8

13

Deficit: -10

2015 Projected
Population 77,528
Physician Need 41 17 16 22 23 23
13
9 15 17

78 Georgia Physician Workforce: County Reports - 2008
Jackson County Physician Standard Report

Page 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

59,727

1

1.7

Physician Need
8

Status Deficit: -7

7

Deficit: -6

7

Deficit: -6

6

Deficit: -5

7

Deficit: -6

7

Deficit: -6

6

Deficit: -5

5

Deficit: -4

5

Deficit: -4

5

Deficit: -4

6

Deficit: -5

6

Deficit: -5

2015 Projected
Population 77,528
Physician Need 11 9 9 8 9 9 8 7 7 6 8 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

59,727

3

5.0

Physician Need
15

Status Deficit: -12

10

Deficit: -7

9

Deficit: -6

7

Deficit: -4

7

Deficit: -4

10

Deficit: -7

6

Deficit: -3

5

Deficit: -2

8

Deficit: -5

8

Deficit: -5

2015 Projected
Population 77,528
Physician Need 19 13 12 10 12 12
8
6 11 10

78 Georgia Physician Workforce: County Reports - 2008
Jackson County Physician Standard Report

Page 4

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

59,727

1

1.7

Physician Need
8

Status Deficit: -7

5

Deficit: -4

4

Deficit: -3

9

Deficit: -8

3

Deficit: -2

2

Deficit: -1

4

Deficit: -3

2

Deficit: -1

3

Deficit: -2

4

Deficit: -3

2015 Projected
Population 77,528
Physician Need 11 6 6 12 3 3
6 3 4 6

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

59,727

1

1.7

Physician Need
7

Status Deficit: -6

6

Deficit: -5

5

Deficit: -4

6

Deficit: -5

4

Deficit: -3

4

Deficit: -3

4

Deficit: -3

3

Deficit: -2

6

Deficit: -5

2

Deficit: -1

4

Deficit: -3

4

Deficit: -3

2015 Projected
Population 77,528
Physician Need 10 7 7 8 5 5 5 3 8 3 5 6

78 Georgia Physician Workforce: County Reports - 2008
Jackson County Physician Standard Report

Page 5

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

59,727

1

1.7

Physician Need
2

Status Deficit: -1

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2

Deficit: -1

2015 Projected
Population 77,528
Physician Need 3 3 3 2 2 2 2
2 1 2 2

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.