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Generalist physicians in nonmetropolitan countries in Ohio

P T Williams1, M Whitcomb, R Harris

  • 1Department of Family Medicine, Ohio State University, Columbus.

Archives of Family Medicine
|May 1, 1994
PubMed
Summary

Generalist physician numbers increased in Ohio

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Area of Science:

  • Public Health
  • Healthcare Workforce Analysis
  • Rural Health

Background:

  • Geographic maldistribution of physicians is a persistent challenge in healthcare.
  • Understanding trends in generalist physician supply is crucial for rural areas.
  • Ohio's nonmetropolitan counties present a specific case for workforce study.

Purpose of the Study:

  • To quantify generalist physicians per 100,000 population in Ohio's nonmetropolitan counties by specialty.
  • To analyze trends in these physician ratios from 1975 to 1990.
  • To identify factors influencing physician distribution in rural settings.

Main Methods:

  • Data compiled on a county basis using physician census takers.
  • Utilized the US Office of Management and Budget's definition for nonmetropolitan counties.
  • Calculations focused on family practice, general internal medicine, and general pediatrics.

Main Results:

  • General internal medicine ratios increased from 5.9 to 10.2 per 100,000 population.
  • General pediatrics ratios rose from 2.6 to 4.9 per 100,000 population.
  • Family practice ratios decreased from 31.0 to 28.7 per 100,000 population; hospitals influenced recruitment.

Conclusions:

  • Specialty and location-specific data are vital for physician workforce analysis.
  • Increased physician supply alone does not guarantee improved geographic distribution.
  • Findings inform policies to address rural physician shortages and maldistribution.

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