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Assessing Supply, Demand, and Adequacy of Cardiologists in the United States: Projecting a National Shortage
Jason Silvestre1, Ahmed Brgdar2, Qasim Khurshid2
1Medical University of South Carolina Charleston SC USA.
Insights
The US cardiologist workforce faces shortages, with demand outpacing supply. Projections show decreasing adequacy, especially in the West and nonmetropolitan areas, necessitating strategic interventions.
Area of Science:
- Cardiovascular Medicine
- Health Workforce Analysis
- Healthcare Policy
Background:
- Contemporary studies on US cardiologist supply and demand are limited.
- Understanding future workforce needs is crucial for healthcare planning.
Purpose of the Study:
- To project the supply and demand of cardiologists in the United States from 2025 to 2037.
- To analyze the adequacy of the cardiology workforce and identify areas of potential shortage.
Main Methods:
- Cross-sectional study utilizing the Health Workforce Simulation Model.
- Defined supply as full-time equivalent (FTE) physicians working in cardiology.
- Defined demand as FTE physicians needed in cardiology.
Main Results:
- Cardiologist supply projected to increase 2.0% (37,000 to 37,730 FTEs) from 2025-2037.
- Cardiologist demand projected to increase 15.7% (40,110 to 46,390 FTEs) from 2025-2037.
- Workforce adequacy projected to decrease from 92.2% to 81.4%; significant regional disparities noted, with the West and nonmetropolitan areas facing the greatest shortages.
Conclusions:
- Anticipated cardiologist workforce shortages in the US, particularly in the West, specific states, and nonmetropolitan regions.
- Urgent need for strategic initiatives to enhance cardiologist workforce adequacy nationwide.
Background:
There is a paucity of contemporary studies on the projected supply and demand of cardiologists in the United States.
Methods:
This was a cross-sectional study of US-based cardiologists using data from the Health Workforce Simulation Model. Demand and supply were defined as the number of full-time equivalent physicians needed and working in cardiology, respectively. Adequacy was defined as the ratio of supply over demand. Cardiology workforce trends were calculated from 2025 to 2037.
Results:
From 2025 to 2037, the supply of cardiologists was projected to increase from 37 000 to 37 730 (2.0% increase). Demand for cardiologists was projected to increase (40 110 to 46 390, 15.7% increase). As a result, the adequacy of the cardiologist workforce was projected to decrease from 92.2% to 81.4%. By 2037, nonmetropolitan areas were projected to have a less adequate supply than metropolitan areas (29.2% versus 88.9%). The West had the lowest adequacy relative to the Northeast (69.1% versus 117%). By 2037, the states with the lowest adequacy were Idaho (47.8%), Nevada (48.8%), and Alaska (50.0%). In 2025, cardiology ranked 14th out of 21 specialties for physician workforce adequacy, which increased to 12th by 2037.
Conclusions:
Future workforce shortages are anticipated in cardiology, which are greatest in the West, certain US states, and nonmetropolitan areas. Future work is needed to implement strategies that improve the adequacy of the cardiologist workforce in the United States.
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