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

110 Georgia Physician Workforce: County Reports - 2008
Paulding 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

127,903

2

1.6

Physician Need
18

Status Deficit: -16

12

Deficit: -10

12

Deficit: -10

11

Deficit: -9

8

Deficit: -6

5

Deficit: -3

12

Deficit: -10

9

Deficit: -7

10

Deficit: -8

2015 Projected
Population 169,702
Physician Need 24 16 15 15 7 7 15
12
13

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

127,903

3

2.3

Physician Need
10

Status Deficit: -7

7

Deficit: -4

6

Deficit: -3

4

Deficit: -1

4

Deficit: -1

2

Surplus: 1

4

Deficit: -1

5

Deficit: -2

3

Adequate 0

5

Deficit: -2

4

Deficit: -1

2015 Projected
Population 169,702
Physician Need 13 9 8 5 3 3 5
6 4 7 6

110 Georgia Physician Workforce: County Reports - 2008
Paulding 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

127,903

1

0.8

Physician Need
5

Status Deficit: -4

4

Deficit: -3

3

Deficit: -2

4

Deficit: -3

3

Deficit: -2

3

Deficit: -2

3

Deficit: -2

2

Deficit: -1

2

Deficit: -1

3

Deficit: -2

4

Deficit: -3

3

Deficit: -2

2015 Projected
Population 169,702
Physician Need 6 5 4 5 4 4 4 3 2 4 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

127,903

2

1.6

Physician Need
13

Status Deficit: -11

7

Deficit: -5

7

Deficit: -5

7

Deficit: -5

9

Deficit: -7

7

Deficit: -5

3

Deficit: -1

16

Deficit: -14

8

Deficit: -6

2015 Projected
Population 169,702
Physician Need 18 9 9 9 9 9
5
21 11

110 Georgia Physician Workforce: County Reports - 2008
Paulding 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

127,903

13

10.2

Physician Need
40

Status Deficit: -27

58

Deficit: -45

54

Deficit: -41

32

Deficit: -19

21

Deficit: -8

14

Deficit: -1

12

Surplus: 1

21

Deficit: -8

29

Deficit: -16

30

Deficit: -17

2015 Projected
Population 169,702
Physician Need 53 77 72 43 19 19
16
27 38 40

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

127,903

6

4.7

Physician Need
68

Status Deficit: -62

27

Deficit: -21

26

Deficit: -20

37

Deficit: -31

36

Deficit: -30

39

Deficit: -33

21

Deficit: -15

14

Deficit: -8

24

Deficit: -18

28

Deficit: -22

2015 Projected
Population 169,702
Physician Need 90 36 34 49 51 51
28
19 32 37

110 Georgia Physician Workforce: County Reports - 2008
Paulding County Physician Standard Report

Page 4

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

127,903

1

0.8

Physician Need
18

Status Deficit: -17

15

Deficit: -14

14

Deficit: -13

13

Deficit: -12

15

Deficit: -14

15

Deficit: -14

13

Deficit: -12

11

Deficit: -10

11

Deficit: -10

10

Deficit: -9

13

Deficit: -12

13

Deficit: -12

2015 Projected
Population 169,702
Physician Need 24 21 19 17 20 20 17 15 14 14 17 17

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

127,903

2

1.6

Physician Need
32

Status Deficit: -30

21

Deficit: -19

20

Deficit: -18

16

Deficit: -14

15

Deficit: -13

20

Deficit: -18

13

Deficit: -11

10

Deficit: -8

18

Deficit: -16

17

Deficit: -15

2015 Projected
Population 169,702
Physician Need 42 28 26 21 27 27
17
13 24 22

110 Georgia Physician Workforce: County Reports - 2008
Paulding County Physician Standard Report

Page 5

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

127,903

1

0.8

Physician Need
17

Status Deficit: -16

10

Deficit: -9

9

Deficit: -8

20

Deficit: -19

7

Deficit: -6

5

Deficit: -4

9

Deficit: -8

5

Deficit: -4

7

Deficit: -6

9

Deficit: -8

2015 Projected
Population 169,702
Physician Need 23 13 12 26 7 7
12 7 10 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

127,903

2

1.6

Physician Need
16

Status Deficit: -14

12

Deficit: -10

11

Deficit: -9

12

Deficit: -10

9

Deficit: -7

8

Deficit: -6

8

Deficit: -6

5

Deficit: -3

12

Deficit: -10

5

Deficit: -3

8

Deficit: -6

9

Deficit: -7

2015 Projected
Population 169,702
Physician Need 21 16 15 16 11 11 10 7 16 7 10 12

110

Georgia Physician Workforce: County Reports - 2008

Page 6

Paulding County Physician Standard Report
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.