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

147 Georgia Physician Workforce: County Reports - 2008
Walton 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

83,241

4

4.8

Physician Need
12

Status Deficit: -8

8

Deficit: -4

8

Deficit: -4

7

Deficit: -3

5

Deficit: -1

3

Surplus: 1

7

Deficit: -3

6

Deficit: -2

6

Deficit: -2

2015 Projected
Population 103,882
Physician Need 15 10 9 9 4 4 9
7
8

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

83,241

2

2.4

Physician Need
6

Status Deficit: -4

4

Deficit: -2

4

Deficit: -2

3

Deficit: -1

2

Adequate 0

1

Surplus: 1

2

Adequate 0

3

Deficit: -1

2

Adequate 0

4

Deficit: -2

3

Deficit: -1

2015 Projected
Population 103,882
Physician Need 8 6 5 3 2 2 3
4 3 4 4

147 Georgia Physician Workforce: County Reports - 2008
Walton County Physician Standard Report

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

83,241

3

3.6

Physician Need
9

Status Deficit: -6

5

Deficit: -2

4

Deficit: -1

4

Deficit: -1

6

Deficit: -3

4

Deficit: -1

2

Surplus: 1

10

Deficit: -7

5

Deficit: -2

2015 Projected
Population 103,882
Physician Need 11 6 5 6 6 6
3
13 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

83,241

18

21.6

Physician Need
26

Status Deficit: -8

38

Deficit: -20

35

Deficit: -17

21

Deficit: -3

14

Surplus: 4

9

Surplus: 9

8

Surplus: 10

13

Surplus: 5

19

Deficit: -1

20

Deficit: -2

2015 Projected
Population 103,882
Physician Need 33 47 44 26 11 11
10
17 23 25

147 Georgia Physician Workforce: County Reports - 2008
Walton County Physician Standard Report

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

83,241

10

12.0

Physician Need
44

Status Deficit: -34

18

Deficit: -8

17

Deficit: -7

24

Deficit: -14

23

Deficit: -13

25

Deficit: -15

14

Deficit: -4

9

Surplus: 1

16

Deficit: -6

18

Deficit: -8

2015 Projected
Population 103,882
Physician Need 55 22 21 30 31 31
17
12 20 23

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

83,241

1

1.2

Physician Need
4

Status Deficit: -3

2

Deficit: -1

2

Deficit: -1

3

Deficit: -2

1

Adequate 0

1

Adequate 0

1

Adequate 0

2

Deficit: -1

1

Adequate 0

1

Adequate 0

2

Deficit: -1

2015 Projected
Population 103,882
Physician Need 5 2 2 3 2 2 1
2 1 2 2

147 Georgia Physician Workforce: County Reports - 2008
Walton 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

83,241

3

3.6

Physician Need
12

Status Deficit: -9

10

Deficit: -7

9

Deficit: -6

8

Deficit: -5

10

Deficit: -7

10

Deficit: -7

8

Deficit: -5

7

Deficit: -4

7

Deficit: -4

7

Deficit: -4

8

Deficit: -5

8

Deficit: -5

2015 Projected
Population 103,882
Physician Need 15 13 12 10 12 12 10 9 9 8 11 11

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

83,241

2

2.4

Physician Need
5

Status Deficit: -3

5

Deficit: -3

5

Deficit: -3

4

Deficit: -2

2

Adequate 0

3

Deficit: -1

4

Deficit: -2

3

Deficit: -1

3

Deficit: -1

4

Deficit: -2

3

Deficit: -1

2015 Projected
Population 103,882
Physician Need 6 6 6 5 3 3 5
4 3 5 4

147 Georgia Physician Workforce: County Reports - 2008
Walton County Physician Standard Report

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

83,241

2

2.4

Physician Need
7

Status Deficit: -5

6

Deficit: -4

5

Deficit: -3

5

Deficit: -3

5

Deficit: -3

3

Deficit: -1

6

Deficit: -4

2

Adequate 0

5

Deficit: -3

3

Deficit: -1

5

Deficit: -3

5

Deficit: -3

2015 Projected
Population 103,882
Physician Need 9 7 7 6 4 4 7 3 6 4 6 6

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

83,241

1

1.2

Physician Need
5

Status Deficit: -4

2

Deficit: -1

1

Adequate 0

5

Deficit: -4

3

Deficit: -2

1

Adequate 0

3

Deficit: -2

3

Deficit: -2

2015 Projected
Population 103,882
Physician Need 7 2 2 7 2 2
4
3

147 Georgia Physician Workforce: County Reports - 2008
Walton County Physician Standard Report

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

83,241

6

7.2

Physician Need
21

Status Deficit: -15

14

Deficit: -8

13

Deficit: -7

10

Deficit: -4

10

Deficit: -4

13

Deficit: -7

8

Deficit: -2

6

Adequate 0

12

Deficit: -6

11

Deficit: -5

2015 Projected
Population 103,882
Physician Need 26 17 16 13 17 17
10
8 14 14

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

83,241

1

1.2

Physician Need
11

Status Deficit: -10

6

Deficit: -5

6

Deficit: -5

13

Deficit: -12

4

Deficit: -3

3

Deficit: -2

6

Deficit: -5

3

Deficit: -2

5

Deficit: -4

6

Deficit: -5

2015 Projected
Population 103,882
Physician Need 14 8 7 16 4 4
7 4 6 7

147 Georgia Physician Workforce: County Reports - 2008
Walton County Physician Standard Report

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

83,241

1

1.2

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

1

Adequate 0

1

Adequate 0

2015 Projected
Population 103,882
Physician Need 4 2 2 1 1 1 1
1
1 2

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

83,241

1

1.2

Physician Need
9

Status Deficit: -8

11

Deficit: -10

11

Deficit: -10

6

Deficit: -5

7

Deficit: -6

4

Deficit: -3

6

Deficit: -5

7

Deficit: -6

8

Deficit: -7

2015 Projected
Population 103,882
Physician Need 12 14 14 8 5 5 8
8
9

147 Georgia Physician Workforce: County Reports - 2008
Walton 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

83,241

3

3.6

Physician Need
10

Status Deficit: -7

8

Deficit: -5

7

Deficit: -4

8

Deficit: -5

6

Deficit: -3

5

Deficit: -2

5

Deficit: -2

3

Adequate 0

8

Deficit: -5

3

Adequate 0

5

Deficit: -2

6

Deficit: -3

2015 Projected
Population 103,882
Physician Need 13 10 9 10 6 6 6 4 10 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.