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.