Health Care Workforce Estimates

Physicians, Physician Assistants, Nurse Practitioners, Osteopathic Physicians, Family Physicians Compared to United States Population by Numbers, Ethnicity, Race

2006 Estimates of locations

 

PA

NP

M.D.

D.O.

Family Practice

US Pop 2000

US Pop 2040

Active Practice

60,000 - 80,000

90,000 - 161,000
97,000 best

763,200

54300

126000

280m

377m

FTE per Trained

75%

70%

95%

95%

95%

   
Active Primary Care per FTE Trained in Programs or Primary Care Retention 60% 54% IM - 20%
MPD - 15%
Peds - 70%
FM - 90%
Higher in All 90%

 

 

Reductions needed for inactive, part time, productivity Y Y N N N    
Military Significant Component Y N N Y Y    
Steady decline after underserved obligation Y Y Y Y N    
Supplies to CHCs (Rosenblatt and Hart in Jama) 1095 NP - 2103

CNM - 400 estimate

RN 3429

FM- 3084
IM - 1443
Peds - 1247
Ob-Gyn 525
Psych - 197
  3084    
Rural CHCs Increase Y N N   61%    

Full Time Primary Care

24000 - 30,000

 30,000 - 38,000

271,400

34,700

114,000

 

 

Full Time Primary Care %

 30 - 40%

 30- 40%

 25 - 40%

45 - 60%

 90%

 

 

All Rural*

18%

11%

11%

18%

24%

20%

17%

Small/Isolated Rural*

9%

4%

4%

8%

10%

10%

8%

Major Medical Centers

65% - 70%

65% - 70%

75%

55%

45 - 50%

33%

38%

*Estimates based on distributions and direct data sources below
**Estimates of primary care involve office based primary care for family medicine, pediatrics, and internal medicine, not women's health, geriatrics, or services in major medical center or urgent care locations.

Head to Head: Physician Assistants in 2000 Compared to Family Physicians in State and National Location Across Rural Locations

Direct Data Sources

 

PA

NP

M.D.

D.O.

Family Practice

US Pop 2000

US Pop 2040

Active Practice

60000

97000

763200

54300

126000

280m

377m

Sources

2006 AAPA

2004 AANP

2005 AAMC

2006 AOA

HRSA study

2000 Census

Census Estimate

 

 

PA

Nurses Only

M.D.

D.O.

Family Practice

US Pop 2000

US Pop 2040

Asian/Pacific

4.5%

3.8%

23%

17%

7.8%

4.3%

7.8%

Black (Not Hispanic)

6.3%

5.1%

7%

5.4%

4.7%

12.0%

13.1%

Foreign Born (any)

 

 

17%

9.4%

10%

11.0%

13.2%

Hispanic/Latino

5.0%

2.2%

6.%

4.4%

3.5%

10.7%

21.9%

Native American

0.9%

0.5%

0.7%

0.1%

0.3%

1.0%

0.8%

White (Not Hispanic)

83.4%

89.0%

64%

71.8%

81.5%

70.7%

56.3%

Lack of full reporting does change survey results.

 

Impacts of Declining Primary Care with Health Policy Changes

Declining FP Choice in US MD Grads - Five Periods of Health Policy and Physician Career Choice

Declines of FP Choice below the baseline of Health Policy Support

Declines in Primary Care Retention of all forms except Family Medicine Primary Care Retention

AAFP Recommendations to Terminate NP or PA requirement for Rural Health Clinic certification http://www.aafp.org/online/en/home/publications/news/news-now/professional-issues/20070207ruralhealthclinics.html

 

HRSA report - Health Resources and Services Administration by the Lewin Group under Contract Number HRSA-230-BHPr-27(2). Principal researchers were Tim Dall and Atul Grover of the Lewin Group; Charles Roehrig, Mary Bannister, Sara Eisenstein and Caroline Fulper of the Altarum Institute; and James M. Cultice of HRSA.

Current Active Health Care Policy Decisions

Policies PC RME Workforce

Physician Workforce Studies

www.ruralmedicaleducation.org