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Area of Science:

  • Pediatric Rheumatology Workforce Analysis
  • Healthcare Access and Outcomes

Background:

  • The current supply of pediatric rheumatologists (PRH) in the U.S. is insufficient to meet the healthcare needs of children.
  • Limited access to timely PRH care is linked to adverse health outcomes for pediatric patients with rheumatic diseases.

Purpose of the Study:

  • To analyze the current and projected future supply of pediatric rheumatologists in the United States.
  • To identify factors contributing to the pediatric rheumatology workforce shortage and propose potential interventions.

Main Methods:

  • Utilized literature review and American Board of Pediatrics data.
  • Employed a predictive model developed by the Sheps Center for Health Services Research, Strategic Modeling and Analysis Ltd., and the American Board of Pediatrics Foundation to estimate future workforce supply.

Main Results:

  • The pediatric rheumatologist workforce was 0.27 per 100,000 children in 2020, projected to increase to 0.47 by 2040.
  • Despite a predicted 72% increase in providers, the supply remains inadequate, particularly in the Southern and Western U.S. regions.
  • Identified multifactorial causes for the shortage, including low awareness, competitive salaries, practice concerns, and retirements.

Conclusions:

  • The projected increase in pediatric rheumatologists will not meet the demand, highlighting a persistent workforce gap.
  • Addressing the shortage requires novel interventions, as recognized by the American College of Rheumatology's workforce solutions initiative.