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Related Experiment Video

Updated: Jun 17, 2026

Oral Health Assessment by Lay Personnel for Older Adults
08:47

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Published on: February 2, 2020

Hawai'i Island Health Workforce Assessment 2008.

Kelley Withy1, January Andaya, Sharon Vitousek

  • 1John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI 96813, USA. withyk@hawaii.rr.com

Hawaii Medical Journal
|December 26, 2009
PubMed
Summary

The Big Island faces a significant health care provider shortage, with a need for at least 45 additional medical professionals. Solutions include coordinated recruitment, retention efforts, and enhanced training opportunities to address this growing crisis.

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Area of Science:

  • Health Services Research
  • Medical Workforce Analysis
  • Public Health Policy

Background:

  • Anecdotal evidence of a doctor shortage on the Big Island has persisted for years.
  • A comprehensive assessment of the health care workforce was previously lacking.

Purpose of the Study:

  • To assess the current medical and mental health workforce on Hawai'i Island.
  • To estimate the need for additional healthcare providers.
  • To identify challenges and propose solutions for the health workforce crisis.

Main Methods:

  • Utilized licensure data, focus groups, and telephone follow-ups.
  • Analyzed national provider supply estimates and insurance claims data.
  • Developed population-based future demand estimates.

Main Results:

  • Identified 310 physicians, 36 nurse practitioners, and 51 psychologists in February 2008.
  • Estimated a need for approximately 45 additional medical professionals for the insured population.
  • A complete mental health professional roster could not be ascertained.

Conclusions:

  • Specific regional provider shortages were identified by comparing supply to national averages and 2006 specialist visits.
  • Recommended collaborative efforts for recruitment, retention, and pipeline development.
  • Advocated for ongoing health workforce surveillance and community-provider-government collaboration to improve healthcare.