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

112 Georgia Physician Workforce: County Reports - 2008
Pickens 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

30,406

4

13.2

Physician Need
4

Status Adequate 0

3

Surplus: 1

3

Surplus: 1

3

Surplus: 1

2

Surplus: 2

1

Surplus: 3

3

Surplus: 1

2

Surplus: 2

2

Surplus: 2

2015 Projected
Population 37,817
Physician Need 5 4 3 3 1 1 3
3
3

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

30,406

3

9.9

Physician Need
2

Status Surplus: 1

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

2015 Projected
Population 37,817
Physician Need 3 2 2 1 1 1 1
1 1 2 1

112 Georgia Physician Workforce: County Reports - 2008
Pickens 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

30,406

1

3.3

Physician Need
1

Status Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

0

Surplus: 1

0

Surplus: 1

1

Adequate 0

1

Adequate 0

1

Adequate 0

2015 Projected
Population 37,817
Physician Need 1 1 1 1 1 1 1 1 1 1 1 1

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

30,406

1

3.3

Physician Need
3

Status Deficit: -2

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

4

Deficit: -3

2

Deficit: -1

2015 Projected
Population 37,817
Physician Need 4 2 2 2 2 2
1
5 2

112 Georgia Physician Workforce: County Reports - 2008
Pickens County Physician Standard Report

Page 3

Physician Specialty

Endocrinology, Diabetes & Metabolism

National Physician Standards*
AMA

Standard Phys/100,000 Pop.
1.8

Two Mature HMO

1.1

Adjusted FTE

1.0

GMENAC

0.8

Kaiser Portland

0.9

7 Kaiser Plans

1.1

GHC Seattle

Three HMOs

0.6

Goodman

Hicks & Glenn

Solucient

Average Requirement

0.9

2008 Actual
Population Physicians /100k

30,406

1

3.3

Physician Need
1

Status Adequate 0

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

2015 Projected
Population 37,817
Physician Need 1 0 0 0 0 0
0
0

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

30,406

8

26.3

Physician Need
10

Status Deficit: -2

14

Deficit: -6

13

Deficit: -5

8

Adequate 0

5

Surplus: 3

3

Surplus: 5

3

Surplus: 5

5

Surplus: 3

7

Surplus: 1

7

Surplus: 1

2015 Projected
Population 37,817
Physician Need 12 17 16 10 4 4
3
6 9 9

112 Georgia Physician Workforce: County Reports - 2008
Pickens County Physician Standard Report

Page 4

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

30,406

1

3.3

Physician Need
1

Status Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

0

Surplus: 1

1

Adequate 0

1

Adequate 0

2015 Projected
Population 37,817
Physician Need 2 1
1 1 1
0
1 1

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

30,406

1

3.3

Physician Need
1

Status Adequate 0

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

2015 Projected
Population 37,817
Physician Need 1 0 0 0 0 0 0
0

112 Georgia Physician Workforce: County Reports - 2008
Pickens County Physician Standard Report

Page 5

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

30,406

6

19.7

Physician Need
16

Status Deficit: -10

7

Deficit: -1

6

Adequate 0

9

Deficit: -3

9

Deficit: -3

9

Deficit: -3

5

Surplus: 1

3

Surplus: 3

6

Adequate 0

7

Deficit: -1

2015 Projected
Population 37,817
Physician Need 20 8 8 11 11 11
6
4 7 8

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

30,406

2

6.6

Physician Need
4

Status Deficit: -2

4

Deficit: -2

3

Deficit: -1

3

Deficit: -1

4

Deficit: -2

3

Deficit: -1

3

Deficit: -1

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

3

Deficit: -1

3

Deficit: -1

2015 Projected
Population 37,817
Physician Need 5 5 4 4 4 4 4 3 3 3 4 4

112 Georgia Physician Workforce: County Reports - 2008
Pickens County Physician Standard Report

Page 6

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

30,406

1

3.3

Physician Need
2

Status 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

1

Adequate 0

2015 Projected
Population 37,817
Physician Need 2 2 2 2 1 1 2
1 1 2 2

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

30,406

2

6.6

Physician Need
3

Status Deficit: -1

2

Adequate 0

2

Adequate 0

2

Adequate 0

2

Adequate 0

1

Surplus: 1

2

Adequate 0

1

Surplus: 1

2

Adequate 0

1

Surplus: 1

2

Adequate 0

2

Adequate 0

2015 Projected
Population 37,817
Physician Need 3 3 2 2 2 2 3 1 2 2 2 2

112 Georgia Physician Workforce: County Reports - 2008
Pickens County Physician Standard Report

Page 7

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

30,406

1

3.3

Physician Need
2

Status Deficit: -1

1

Adequate 0

1

Adequate 0

2

Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

2015 Projected
Population 37,817
Physician Need 2 1 1 2 1 1
2
1

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

30,406

1

3.3

Physician Need
4

Status Deficit: -3

2

Deficit: -1

2

Deficit: -1

5

Deficit: -4

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2

Deficit: -1

2015 Projected
Population 37,817
Physician Need 5 3 3 6 2 2
3 1 2 3

112 Georgia Physician Workforce: County Reports - 2008
Pickens County Physician Standard Report

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

30,406

5

16.4

Physician Need
4

Status Surplus: 1

3

Surplus: 2

3

Surplus: 2

3

Surplus: 2

2

Surplus: 3

2

Surplus: 3

2

Surplus: 3

1

Surplus: 4

3

Surplus: 2

1

Surplus: 4

2

Surplus: 3

2

Surplus: 3

2015 Projected
Population 37,817
Physician Need 5 4 3 4 2 2 2 2 4 2 2 3

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

30,406

1

3.3

Physician Need
1

Status Adequate 0

1

Adequate 0

1

Adequate 0

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 37,817
Physician Need 1 1 1 1 1 1 1
1 1 1 1

112

Georgia Physician Workforce: County Reports - 2008

Page 9

Pickens 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.