2015 American College of Rheumatology Workforce Study: Supply and Demand Projections of Adult Rheumatology Workforce, 2015-2030

被引：193

作者：

Battafarano, Daniel F. ^{[1
]}

Ditmyer, Marcia ^{[2
,3
]}

Bolster, Marcy B. ^{[4
]}

Fitzgerald, John D. ^{[3
]}

Deal, Chad ^{[5
]}

Bass, Ann R. ^{[6
]}

Molina, Rodolfo ^{[7
]}

Erickson, Alan R. ^{[8
]}

Hausmann, Jonathan S. ^{[9
,10
]}

Klein-Gitelman, Marisa ^{[11
]}

Imundo, Lisa F. ^{[12
]}

Smith, Benjamin J. ^{[13
]}

Jones, Karla ^{[14
]}

Greene, Kamilah ^{[15
]}

Monrad, Seetha U. ^{[16
]}

机构：

[1] San Antonio Mil Med Ctr, San Antonio, TX USA

[2] Univ Nevada, Sch Dent Med, Las Vegas, NV 89154 USA

[3] Univ Calif Los Angeles, Los Angeles, CA 90024 USA

[4] Massachusetts Gen Hosp, Boston, MA 02114 USA

[5] Cleveland Clin, Cleveland, OH 44106 USA

[6] Hosp Special Surg Weill Cornell Med, New York, NY USA

[7] Arthrit Associates PA, San Antonio, TX USA

[8] Univ Nebraska Med Ctr, Omaha, NE USA

[9] Boston Childrens Hosp, Boston, MA USA

[10] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

[11] Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA

[12] Columbia Univ, Med Ctr, New York, NY USA

[13] Florida State Univ, Tallahassee, FL 32306 USA

[14] Nationwide Childrens Hosp, Columbus, OH USA

[15] Amer Coll Rheumatol, Atlanta, GA USA

[16] Univ Michigan, Ann Arbor, MI 48109 USA

来源：

ARTHRITIS CARE & RESEARCH | 2018年 / 70卷 / 04期

关键词：

IMPROVING CLINICAL PRODUCTIVITY; PRIMARY-CARE; UNITED-STATES; PHYSICIAN ASSISTANTS; ARTHRITIS; PREVALENCE; MEDICINE; AREAS;

D O I：

10.1002/acr.23518

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

ObjectiveTo describe the character and composition of the 2015 US adult rheumatology workforce, evaluate workforce trends, and project supply and demand for clinical rheumatology care for 2015-2030. MethodsThe 2015 Workforce Study of Rheumatology Specialists in the US used primary and secondary data sources to estimate the baseline adult rheumatology workforce and determine demographic and geographic factors relevant to workforce modeling. Supply and demand was projected through 2030, utilizing data-driven estimations regarding the proportion and clinical full-time equivalent (FTE) of academic versus nonacademic practitioners. ResultsThe 2015 adult workforce (physicians, nurse practitioners, and physician assistants) was estimated to be 6,013 providers (5,415 clinical FTE). At baseline, the estimated demand exceeded the supply of clinical FTE by 700 (12.9%). By 2030, the supply of rheumatology clinical providers is projected to fall to 4,882 providers, or 4,051 clinical FTE (a 25.2% decrease in supply from 2015 baseline levels). Demand in 2030 is projected to exceed supply by 4,133 clinical FTE (102%). ConclusionThe adult rheumatology workforce projections reflect a major demographic and geographic shift that will significantly impact the supply of the future workforce by 2030. These shifts include baby-boomer retirements, a millennial predominance, and an increase of female and part-time providers, in parallel with an increased demand for adult rheumatology care due to the growing and aging US population. Regional and innovative strategies will be necessary to manage access to care and reduce barriers to care for rheumatology patients.

引用

页码：617 / 626

页数：10

共 62 条

[1] Accreditation Council for Graduate Medical Education (ACGME), 2016, DAT RES BOOK AC YEAR
[2] ACGME, RHEUM PROGR AC YEAR
[3] American College of Rheumatology, 2016, 2015 WORKF STUD RHEU
[4] American Medical Association, 2017, REL VAL SCAL UPD COM
[5] American Medical Association, 2016, MED PHYS PAYM SCHED
[6] American Telemedicine Association, ATA SUPP NEW MED TEL
[7] [Anonymous], 2015, RES DAT 2015 MAIN RE
[8] [Anonymous], 2017, CANADIAN MED ASS CMA
[9] [Anonymous], GRAD MED 2021
[10] [Anonymous], 2012, Population Projections

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