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Journal of General Internal Medicine

, Volume 33, Issue 4, pp 412–414 | Cite as

Supply of Healthcare Providers in Relation to County Socioeconomic and Health Status

  • Matthew A. Davis
  • Rebecca Anthopolos
  • Joshua Tootoo
  • Marita Titler
  • Julie P. W. Bynum
  • Scott A. Shipman
Concise Research Report

INTRODUCTION

Non-physician clinicians now constitute nearly one-quarter of the US primary care workforce, and as such are expected to play a significant role in offsetting projected physician shortfalls.1,2 It has long been recognized that the per capita availability of physicians varies substantially across regions,3 and that physicians tend to locate in more affluent locales rather than areas of greatest need.4 Less is known about the practice location of non-physician clinicians and whether they exhibit similar patterns to those of physicians. Therefore, we examined the relationship of nurse practitioner and physician assistant supply with local socioeconomic and health status. As an example of a healthcare profession that operates outside the traditional medical system, 80% of whom operate as small business owners, we also examined the distribution of US chiropractors.

METHODS

To identify active providers, we linked providers listed in the 2014 National Plan and Provider...

Notes

Acknowledgements

This work was supported by the National Center for Complementary and Integrative Medicine at the National Institutes of Health under award number R01AT009003.

Compliance with Ethical Standards

Conflict of Interest

All authors declare that they have no conflict of interest.

References

  1. 1.
    US Health Resource & Services Administration. Projecting the Supply and Demand for Primary Care Practitioners through 2020. Available at: https://bhw.hrsa.gov/health-workforce-analysis/primary-care-2020. Accessed 15 Sept 2017.
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    Hooker RS, Brock DM, Cook ML. Characteristics of nurse practitioners and physician assistants in the United States. J Am Assoc Nurse Pract. 2016;28(1):39–46.PubMedGoogle Scholar
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    Rosenthal MB, Zaslavsky A, Newhouse JP. The geographic distribution of physicians revisited. Health Serv Res. 2005;40(6 Pt 1):1931–52.CrossRefPubMedPubMedCentralGoogle Scholar
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    Shipman SA, Lan J, Chang CH, Goodman DC. Geographic maldistribution of primary care for children. Pediatrics. 2011;127(1):19–27.CrossRefPubMedGoogle Scholar
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    Dwyer-Lindgren L, Bertozzi-Villa A, Stubbs RW, et al. Inequalities in Life Expectancy Among US Counties, 1980 to 2014: Temporal Trends and Key Drivers. JAMA Intern Med. 2017;177(7):1003–11.CrossRefPubMedGoogle Scholar
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    Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3):457–502.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Society of General Internal Medicine 2018

Authors and Affiliations

  • Matthew A. Davis
    • 1
    • 2
    • 3
  • Rebecca Anthopolos
    • 4
  • Joshua Tootoo
    • 4
  • Marita Titler
    • 2
  • Julie P. W. Bynum
    • 5
  • Scott A. Shipman
    • 5
    • 6
  1. 1.Institute for Healthcare Policy and InnovationUniversity of MichiganAnn ArborUSA
  2. 2.Department of Systems, Populations, and LeadershipUniversity of Michigan School of NursingAnn ArborUSA
  3. 3.University of Michigan Institute for Social ResearchAnn ArborUSA
  4. 4.National Center for Geospatial MedicineRice UniversityHoustonUSA
  5. 5.The Dartmouth Institute for Health Policy and Clinical PracticeGeisel School of Medicine at DartmouthLebanonUSA
  6. 6.Association of American Medical CollegesWashingtonUSA

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