Georgia Physician Workforce: PCSA Reports - 2008
26 PCSA Physician Standard Report
Included Counties: Walton
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
75,543
4
5.3
Physician Need
11
Status Deficit: -7
7
Deficit: -3
7
Deficit: -3
7
Deficit: -3
4
Adequate 0
3
Surplus: 1
7
Deficit: -3
5
Deficit: -1
6
Deficit: -2
2015 Projected
Population 92,404
Physician Need 13 9 8 8 5 4 8
6
7
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
75,543
2
2.6
Physician Need
6
Status Deficit: -4
4
Deficit: -2
4
Deficit: -2
2
Adequate 0
2
Adequate 0
1
Surplus: 1
2
Adequate 0
3
Deficit: -1
2
Adequate 0
3
Deficit: -1
3
Deficit: -1
2015 Projected
Population 92,404
Physician Need 7 5 5 3 3 2 3
3 2 4 3
Georgia Physician Workforce: PCSA Reports - 2008
26 PCSA Physician Standard Report
Included Counties: Walton
Page 2
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
75,543
3
4.0
Physician Need
8
Status Deficit: -5
4
Deficit: -1
4
Deficit: -1
4
Deficit: -1
5
Deficit: -2
4
Deficit: -1
2
Surplus: 1
9
Deficit: -6
5
Deficit: -2
2015 Projected
Population 92,404
Physician Need 10 5 5 5 6 5
2
11 6
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
75,543
18
23.8
Physician Need
24
Status Deficit: -6
34
Deficit: -16
32
Deficit: -14
19
Deficit: -1
13
Surplus: 5
8
Surplus: 10
7
Surplus: 11
12
Surplus: 6
17
Surplus: 1
18
Adequate 0
2015 Projected
Population 92,404
Physician Need 29 42 39 23 15 10
9
15 21 22
Georgia Physician Workforce: PCSA Reports - 2008
26 PCSA Physician Standard Report
Included Counties: Walton
Page 3
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
75,543
10
13.2
Physician Need
40
Status Deficit: -30
16
Deficit: -6
15
Deficit: -5
22
Deficit: -12
21
Deficit: -11
23
Deficit: -13
13
Deficit: -3
9
Surplus: 1
14
Deficit: -4
17
Deficit: -7
2015 Projected
Population 92,404
Physician Need 49 20 18 27 26 28
15
10 18 20
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
75,543
1
1.3
Physician Need
4
Status Deficit: -3
2
Deficit: -1
2
Deficit: -1
2
Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
2
Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
2015 Projected
Population 92,404
Physician Need 5 2 2 3 1 2 1
2 1 2 2
Georgia Physician Workforce: PCSA Reports - 2008
26 PCSA Physician Standard Report
Included Counties: Walton
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
75,543
3
4.0
Physician Need
11
Status Deficit: -8
9
Deficit: -6
9
Deficit: -6
7
Deficit: -4
9
Deficit: -6
9
Deficit: -6
8
Deficit: -5
7
Deficit: -4
6
Deficit: -3
6
Deficit: -3
8
Deficit: -5
8
Deficit: -5
2015 Projected
Population 92,404
Physician Need 13 11 10 9 11 11 9 8 8 7 9 9
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
75,543
2
2.6
Physician Need
5
Status Deficit: -3
4
Deficit: -2
4
Deficit: -2
3
Deficit: -1
2
Adequate 0
2
Adequate 0
4
Deficit: -2
3
Deficit: -1
2
Adequate 0
4
Deficit: -2
3
Deficit: -1
2015 Projected
Population 92,404
Physician Need 6 5 5 4 2 3 5
3 3 4 4
Georgia Physician Workforce: PCSA Reports - 2008
26 PCSA Physician Standard Report
Included Counties: Walton
Page 5
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
75,543
2
2.6
Physician Need
6
Status Deficit: -4
5
Deficit: -3
5
Deficit: -3
5
Deficit: -3
4
Deficit: -2
3
Deficit: -1
5
Deficit: -3
2
Adequate 0
4
Deficit: -2
3
Deficit: -1
5
Deficit: -3
4
Deficit: -2
2015 Projected
Population 92,404
Physician Need 8 6 6 6 5 4 6 3 5 4 6 5
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
75,543
1
1.3
Physician Need
5
Status Deficit: -4
1
Adequate 0
1
Adequate 0
5
Deficit: -4
2
Deficit: -1
1
Adequate 0
3
Deficit: -2
2
Deficit: -1
2015 Projected
Population 92,404
Physician Need 6 2 2 6 3 2
4
3
Georgia Physician Workforce: PCSA Reports - 2008
26 PCSA Physician Standard Report
Included Counties: Walton
Page 6
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
75,543
6
7.9
Physician Need
19
Status Deficit: -13
13
Deficit: -7
12
Deficit: -6
9
Deficit: -3
9
Deficit: -3
12
Deficit: -6
7
Deficit: -1
6
Adequate 0
11
Deficit: -5
10
Deficit: -4
2015 Projected
Population 92,404
Physician Need 23 15 14 11 11 15
9
7 13 12
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
75,543
1
1.3
Physician Need
10
Status Deficit: -9
6
Deficit: -5
5
Deficit: -4
12
Deficit: -11
4
Deficit: -3
3
Deficit: -2
5
Deficit: -4
3
Deficit: -2
4
Deficit: -3
5
Deficit: -4
2015 Projected
Population 92,404
Physician Need 13 7 7 14 5 4
7 4 5 7
Georgia Physician Workforce: PCSA Reports - 2008
26 PCSA Physician Standard Report
Included Counties: Walton
Page 7
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
75,543
1
1.3
Physician Need
3
Status Deficit: -2
2
Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
2015 Projected
Population 92,404
Physician Need 3 2 2 1 1 1 1
1
1 1
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
75,543
1
1.3
Physician Need
9
Status Deficit: -8
10
Deficit: -9
10
Deficit: -9
6
Deficit: -5
6
Deficit: -5
4
Deficit: -3
6
Deficit: -5
6
Deficit: -5
7
Deficit: -6
2015 Projected
Population 92,404
Physician Need 11 13 13 7 8 4 7
7
8
Georgia Physician Workforce: PCSA Reports - 2008
26 PCSA Physician Standard Report
Included Counties: Walton
Page 8
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
75,543
3
4.0
Physician Need
9
Status Deficit: -6
7
Deficit: -4
7
Deficit: -4
7
Deficit: -4
5
Deficit: -2
5
Deficit: -2
4
Deficit: -1
3
Adequate 0
7
Deficit: -4
3
Adequate 0
5
Deficit: -2
5
Deficit: -2
2015 Projected
Population 92,404
Physician Need 12 9 8 9 6 6 5 4 9 4 6 7
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.