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Insights
The American Academy of Pediatrics (AAP) identifies a shortage in pediatric subspecialists and surgical specialists. Future needs for primary care pediatricians are increasing due to complex health needs and healthcare reforms.
Area of Science:
- Pediatric Health Care Policy
- Physician Workforce Analysis
- Healthcare Access and Equity
Background:
- Trends impacting pediatric healthcare delivery and the pediatrician workforce are reviewed.
- Changes in the pediatric patient population and the nature of pediatric practice are analyzed.
- The effects of these shifts on pediatrician demand and patient care are discussed.
Purpose of the Study:
- To review trends affecting the pediatrician workforce and pediatric healthcare.
- To discuss the impact of these trends on pediatricians and demand for care.
- To summarize policy recommendations for addressing pediatrician workforce issues.
Main Methods:
- Policy statement review.
- Analysis of workforce trends and patient population changes.
- Synthesis of data on pediatric subspecialty and primary care needs.
Main Results:
- A shortage of pediatric medical subspecialists and surgical specialists exists.
- Current primary care pediatrician distribution is inadequate for rural/underserved areas.
- Increased demand for primary care pediatricians is projected due to chronic conditions, work hour changes, and health reform.
Conclusions:
- The American Academy of Pediatrics (AAP) concludes there are shortages in pediatric subspecialty and surgical care.
- Inadequate distribution of primary care pediatricians affects underserved populations.
- Future healthcare reforms necessitate more primary care pediatricians for comprehensive child care.
Abstract:
This policy statement reviews important trends and other factors that affect the pediatrician workforce and the provision of pediatric health care, including changes in the pediatric patient population, pediatrician workforce, and nature of pediatric practice. The effect of these changes on pediatricians and the demand for pediatric care are discussed. The American Academy of Pediatrics (AAP) concludes that there is currently a shortage of pediatric medical subspecialists in many fields, as well as a shortage of pediatric surgical specialists. In addition, the AAP believes that the current distribution of primary care pediatricians is inadequate to meet the needs of children living in rural and other underserved areas, and more primary care pediatricians will be needed in the future because of the increasing number of children who have significant chronic health problems, changes in physician work hours, and implementation of current health reform efforts that seek to improve access to comprehensive patient- and family-centered care for all children in a medical home. The AAP is committed to being an active participant in physician workforce policy development with both professional organizations and governmental bodies to ensure a pediatric perspective on health care workforce issues. The overall purpose of this statement is to summarize policy recommendations and serve as a resource for the AAP and other stakeholders as they address pediatrician workforce issues that ultimately influence the quality of pediatric health care provided to children in the United States.
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