The Physiatry Workforce in 2019 and Beyond, Part 2: Modeling Results
| Autor: | Danielle Perret Karimi, David C. Morgenroth, Nethra S. Ankam, Nitin B. Jain, Gaetano J. Forte, Ryan L. Reynolds, Eric Wisotzky, Thiru M. Annaswamy, John Whyte, Ritashree Chakrabarti, Margaret Langelier, Shen Wang, Chloe Slocum, Michael Fredericson, Timothy M. Dall |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Microsimulation Physical Therapy Sports Therapy and Rehabilitation American Community Survey Supply and demand Physiatrists Physical medicine and rehabilitation Surveys and Questionnaires medicine Humans Health Workforce Aged Health Services Needs and Demand Behavioral Risk Factor Surveillance System business.industry Rehabilitation Internship and Residency Workload Middle Aged United States Workforce Female Medical Expenditure Panel Survey business Forecasting |
| Zdroj: | American journal of physical medicinerehabilitation. 100(9) |
| ISSN: | 1537-7385 |
| Popis: | OBJECTIVE The aim of this study was to assess the current and future adequacy of physiatrist supply in the United States. DESIGN A 2019 online survey of board-certified physiatrists (n = 616 completed, 30.1% response) collected information about demographics, practice characteristics, hours worked, and retirement intentions. Microsimulation models projected future physiatrist supply and demand using data from the American Board of Physical Medicine and Rehabilitation, national and state population projections, American Community Survey, Behavioral Risk Factor Surveillance System, Medical Expenditure Panel Survey, and other sources. RESULTS Approximately 37% of 8853 active physiatrists indicate that their workload exceeds capacity, 59% indicate that workload is at capacity, and 4% indicate under capacity. These findings suggest a national shortfall of 940 (10.6%) physiatrists in 2017, with substantial geographic variation in supply adequacy. Projected growth in physiatrist supply from 2017 to 2030 approximately equals demand growth (2250 vs. 2390), suggesting that without changes in care delivery, the shortfall of physiatrists will persist, with a 1080 (9.7%) physiatrist shortfall in 2030. CONCLUSION Without an increase in physiatry residency positions, the current national shortfall of physiatrists is projected to persist. Although a projected increase in physiatrists' use of advanced practice providers may help preserve access to comprehensive physiatry care, it is not expected to eliminate the shortfall. |
| Databáze: | OpenAIRE |
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