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Hawai'i Physician Workforce Assessment 2020.

Kelley Withy1, Kathleen Joo1, Christian Potter2

  • 1Hawai'i/Pacific Basin Area Health Education Center, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (KW, KJ).

Hawai'I Journal of Health & Social Welfare
|May 2, 2022
PubMed
Summary

Hawai

Area of Science:

  • Health Policy
  • Medical Workforce Analysis
  • Public Health

Background:

  • The Hawai'i Physician Workforce project has tracked state physician supply and demand since 2010.
  • Increasing workforce demands have outpaced physician supply in Hawai'i over the past decade.
  • The COVID-19 pandemic has exacerbated existing physician shortages.

Purpose of the Study:

  • To describe the current state of Hawai'i's physician workforce.
  • To analyze physician age, past trends, and pandemic-related supply changes.
  • To quantify current physician demand and unmet needs.

Main Methods:

  • Data collection via surveys, internet searches, and direct calls for non-military physicians.
  • Proprietary microsimulation modeling to assess physician demand.
Keywords:
Physician supplydemandhealthcareprovidersshortageworkforce

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  • Analysis of practice location, full-time equivalency, and specialty.

    • Main Results:

    • Hawai'i faces a physician shortage of 710–1,008 full-time equivalents, the largest in a decade.
    • Primary care has the greatest statewide demand, with a shortage of 412 full-time equivalents.
    • Hawai'i Island experiences over a 50% physician shortage; the average physician age is 54.

    Conclusions:

    • Hawai'i's physician shortage is critical, particularly in primary care and on neighbor islands.
    • The pandemic accelerated retirements and practice closures, with over 52% of providers using telehealth.
    • Urgent recruitment and retention strategies are necessary to address Hawai'i's physician deficit.