Georgia Physician Workforce: PCSA Reports - 2008
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Page 1
Physician Specialty Allergy & Immunology
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.
1.4 1.5 1.4 0.8 1.7 1.2 1.1
1.3
1.7 1.3
2008 Actual
Population
Physicians /100k
167,171
1
0.6
Physician Need
2
Status Deficit: -1
3
Deficit: -2
2
Deficit: -1
1
Adequate 0
3
Deficit: -2
2
Deficit: -1
2
Deficit: -1
2
Deficit: -1
3
Deficit: -2
2
Deficit: -1
2015 Projected
Population 211,828
Physician Need 3 3 3 2 4 3 2
3
4 3
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
167,171
7
4.2
Physician Need
23
Status Deficit: -16
16
Deficit: -9
15
Deficit: -8
15
Deficit: -8
10
Deficit: -3
7
Adequate 0
15
Deficit: -8
12
Deficit: -5
13
Deficit: -6
2015 Projected
Population 211,828
Physician Need 30 21 19 19 12 8 19
15
16
Georgia Physician Workforce: PCSA Reports - 2008
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Page 2
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
167,171
5
3.0
Physician Need
13
Status Deficit: -8
9
Deficit: -4
8
Deficit: -3
5
Adequate 0
5
Adequate 0
3
Surplus: 2
5
Adequate 0
6
Deficit: -1
4
Surplus: 1
7
Deficit: -2
6
Deficit: -1
2015 Projected
Population 211,828
Physician Need 16 11 11 7 6 4 6
8 6 9 7
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
167,171
7
4.2
Physician Need
6
Status Surplus: 1
5
Surplus: 2
4
Surplus: 3
5
Surplus: 2
4
Surplus: 3
4
Surplus: 3
4
Surplus: 3
3
Surplus: 4
2
Surplus: 5
4
Surplus: 3
5
Surplus: 2
4
Surplus: 3
2015 Projected
Population 211,828
Physician Need 8 6 6 6 5 5 6 3 3 4 7 5
Georgia Physician Workforce: PCSA Reports - 2008
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Page 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
167,171
7
4.2
Physician Need
18
Status Deficit: -11
9
Deficit: -2
9
Deficit: -2
9
Deficit: -2
11
Deficit: -4
9
Deficit: -2
5
Surplus: 2
21
Deficit: -14
10
Deficit: -3
2015 Projected
Population 211,828
Physician Need 22 12 11 11 14 11
6
26 13
Physician Specialty
Endocrinology, Diabetes & Metabolism
National Physician Standards*
Standard Phys/100,000 Pop.
AMA
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
167,171
2
1.2
Physician Need
3
Status Deficit: -1
2
Adequate 0
2
Adequate 0
1
Surplus: 1
2
Adequate 0
2
Adequate 0
1
Surplus: 1
2
Adequate 0
2015 Projected
Population 211,828
Physician Need 4 2 2 2 2 2
1
2
Georgia Physician Workforce: PCSA Reports - 2008
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Page 4
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
167,171
44
26.3
Physician Need
53
Status Deficit: -9
76
Deficit: -32
71
Deficit: -27
42
Surplus: 2
28
Surplus: 16
18
Surplus: 26
15
Surplus: 29
27
Surplus: 17
38
Surplus: 6
39
Surplus: 5
2015 Projected
Population 211,828
Physician Need 67 97 90 53 35 23
19
34 48 50
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
167,171
8
4.8
Physician Need
7
Status Surplus: 1
5
Surplus: 3
5
Surplus: 3
3
Surplus: 5
3
Surplus: 5
2
Surplus: 6
6
Surplus: 2
4
Surplus: 4
2015 Projected
Population 211,828
Physician Need 9 7
7 4 4
3
7 5
Georgia Physician Workforce: PCSA Reports - 2008
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Page 5
Physician Specialty Hematology/Oncology
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 2.5 2.4 3.6 2.3 1.8 1.6 2.6 1.2
1.1 2.1
2008 Actual
Population
Physicians /100k
167,171
1
0.6
Physician Need
6
Status Deficit: -5
4
Deficit: -3
4
Deficit: -3
6
Deficit: -5
4
Deficit: -3
3
Deficit: -2
3
Deficit: -2
4
Deficit: -3
2
Deficit: -1
2
Deficit: -1
4
Deficit: -3
2015 Projected
Population 211,828
Physician Need 7 5 5 8 5 4 3 6 3
2 4
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
167,171
18
10.8
Physician Need
89
Status Deficit: -71
36
Deficit: -18
33
Deficit: -15
48
Deficit: -30
47
Deficit: -29
51
Deficit: -33
28
Deficit: -10
19
Deficit: -1
32
Deficit: -14
37
Deficit: -19
2015 Projected
Population 211,828
Physician Need 112 45 42 61 60 64
35
24 40 47
Georgia Physician Workforce: PCSA Reports - 2008
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Page 6
Physician Specialty Nephrology
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.
2.6 1.4 1.3 1.1 0.8 0.7 0.9
0.7 1.0
2008 Actual
Population
Physicians /100k
167,171
3
1.8
Physician Need
4
Status Deficit: -1
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
1
Surplus: 2
1
Surplus: 2
2
Surplus: 1
1
Surplus: 2
2
Surplus: 1
2015 Projected
Population 211,828
Physician Need 6 3 3 2 2 1 2
2 2
Physician Specialty Neurological 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.
1.9 1.1 1.0 1.1 1.4
0.4
0.7
1.0
2008 Actual
Population
Physicians /100k
167,171
1
0.6
Physician Need
3
Status Deficit: -2
2
Deficit: -1
2
Deficit: -1
2
Deficit: -1
2
Deficit: -1
1
Adequate 0
1
Adequate 0
2
Deficit: -1
2015 Projected
Population 211,828
Physician Need 4 2 2 2 3
1
1
2
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Page 7
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
167,171
5
3.0
Physician Need
8
Status Deficit: -3
4
Surplus: 1
4
Surplus: 1
6
Deficit: -1
2
Surplus: 3
3
Surplus: 2
2
Surplus: 3
4
Surplus: 1
2
Surplus: 3
3
Surplus: 2
3
Surplus: 2
2015 Projected
Population 211,828
Physician Need 11 5 5 7 3 4 3
4 3 4 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
167,171
16
9.6
Physician Need
24
Status Deficit: -8
20
Deficit: -4
19
Deficit: -3
17
Deficit: -1
19
Deficit: -3
19
Deficit: -3
17
Deficit: -1
15
Surplus: 1
14
Surplus: 2
13
Surplus: 3
17
Deficit: -1
17
Deficit: -1
2015 Projected
Population 211,828
Physician Need 30 26 24 21 25 24 21 19 18 17 22 22
Georgia Physician Workforce: PCSA Reports - 2008
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Page 8
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
167,171
11
6.6
Physician Need
14
Status Deficit: -3
11
Adequate 0
11
Adequate 0
10
Surplus: 1
10
Surplus: 1
7
Surplus: 4
11
Adequate 0
5
Surplus: 6
10
Surplus: 1
7
Surplus: 4
10
Surplus: 1
9
Surplus: 2
2015 Projected
Population 211,828
Physician Need 18 14 14 13 12 9 14 6 12 9 13 12
Physician Specialty Otolaryngology
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.
3.4 3.2
3.2 3.4 2.4 3.0
3.0
2008 Actual
Population
Physicians /100k
167,171
4
2.4
Physician Need
6
Status Deficit: -2
5
Deficit: -1
5
Deficit: -1
6
Deficit: -2
4
Adequate 0
5
Deficit: -1
5
Deficit: -1
2015 Projected
Population 211,828
Physician Need 7 7
7 7 5 6
6
Georgia Physician Workforce: PCSA Reports - 2008
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Page 9
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
167,171
4
2.4
Physician Need
11
Status Deficit: -7
3
Surplus: 1
3
Surplus: 1
11
Deficit: -7
6
Deficit: -2
3
Surplus: 1
7
Deficit: -3
5
Deficit: -1
2015 Projected
Population 211,828
Physician Need 13 4 4 14 7 4
9
7
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
167,171
21
12.6
Physician Need
42
Status Deficit: -21
28
Deficit: -7
26
Deficit: -5
21
Adequate 0
20
Surplus: 1
27
Deficit: -6
16
Surplus: 5
13
Surplus: 8
23
Deficit: -2
22
Deficit: -1
2015 Projected
Population 211,828
Physician Need 53 35 33 26 25 34
21
16 29 28
Georgia Physician Workforce: PCSA Reports - 2008
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Page 10
Physician Specialty Plastic 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.
2.4
1.1 0.3
0.4
1.1 2.3 2.2 1.2
2008 Actual
Population
Physicians /100k
167,171
2
1.2
Physician Need
4
Status Deficit: -2
2
Adequate 0
1
Surplus: 1
1
Surplus: 1
2
Adequate 0
4
Deficit: -2
4
Deficit: -2
2
Adequate 0
2015 Projected
Population 211,828
Physician Need 5
2 1
1
2 5 5 3
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
167,171
13
7.8
Physician Need
23
Status Deficit: -10
13
Adequate 0
12
Surplus: 1
26
Deficit: -13
9
Surplus: 4
7
Surplus: 6
12
Surplus: 1
7
Surplus: 6
10
Surplus: 3
12
Surplus: 1
2015 Projected
Population 211,828
Physician Need 29 16 15 33 11 9
15 8 12 15
Georgia Physician Workforce: PCSA Reports - 2008
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Page 11
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
167,171
2
1.2
Physician Need
6
Status Deficit: -4
3
Deficit: -1
3
Deficit: -1
2
Adequate 0
2
Adequate 0
2
Adequate 0
2
Adequate 0
2
Adequate 0
2
Adequate 0
3
Deficit: -1
2015 Projected
Population 211,828
Physician Need 7 4 4 3 3 2 3
3
3 3
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
167,171
2
1.2
Physician Need
19
Status Deficit: -17
23
Deficit: -21
23
Deficit: -21
13
Deficit: -11
14
Deficit: -12
8
Deficit: -6
13
Deficit: -11
13
Deficit: -11
15
Deficit: -13
2015 Projected
Population 211,828
Physician Need 24 29 29 16 18 10 16
17
19
Georgia Physician Workforce: PCSA Reports - 2008
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Page 12
Physician Specialty Rheumatology
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.
1.5 1.1 1.0 0.7 0.4 0.7 0.7
0.4
1.3 0.8
2008 Actual
Population
Physicians /100k
167,171
1
0.6
Physician Need
3
Status Deficit: -2
2
Deficit: -1
2
Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
2
Deficit: -1
1
Adequate 0
2015 Projected
Population 211,828
Physician Need 3 2 2 1 1 1 1
1
3 2
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
167,171
6
3.6
Physician Need
21
Status Deficit: -15
16
Deficit: -10
15
Deficit: -9
16
Deficit: -10
12
Deficit: -6
10
Deficit: -4
10
Deficit: -4
7
Deficit: -1
16
Deficit: -10
7
Deficit: -1
10
Deficit: -4
12
Deficit: -6
2015 Projected
Population 211,828
Physician Need 26 20 19 21 15 13 12 9 21 9 13 15
Georgia Physician Workforce: PCSA Reports - 2008
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Page 13
Physician Specialty Thoracic 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.
1.5
0.8 0.1
0.5
2008 Actual
Population
Physicians /100k
167,171
1
0.6
Physician Need
3
Status Deficit: -2
1
Adequate 0
0
Surplus: 1
1
Adequate 0
2015 Projected
Population 211,828
Physician Need 3
2 0
1
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
167,171
5
3.0
Physician Need
6
Status Deficit: -1
6
Deficit: -1
6
Deficit: -1
5
Adequate 0
6
Deficit: -1
4
Surplus: 1
5
Adequate 0
4
Surplus: 1
3
Surplus: 2
5
Adequate 0
5
Adequate 0
2015 Projected
Population 211,828
Physician Need 7 7 7 7 7 5 6
6 4 6 6
Georgia Physician Workforce: PCSA Reports - 2008
38 PCSA Physician Standard Report
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Page 14
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.