2015 American College of Rheumatology Workforce Study and Demand Projections of Pediatric Rheumatology Workforce, 2015-2030.
Journal
Arthritis care & research
ISSN: 2151-4658
Titre abrégé: Arthritis Care Res (Hoboken)
Pays: United States
ID NLM: 101518086
Informations de publication
Date de publication:
03 2022
03 2022
Historique:
revised:
30
09
2020
received:
20
05
2020
accepted:
22
10
2020
pubmed:
28
10
2020
medline:
11
3
2022
entrez:
27
10
2020
Statut:
ppublish
Résumé
To describe the character and composition of the 2015 pediatric rheumatology workforce in the US, evaluate current workforce trends, and project future supply and demand of the pediatric rheumatology workforce through 2030. The American College of Rheumatology created the workforce study group to study the rheumatology workforce. The workforce study group used primary and secondary data to create a representative workforce model. Pediatric rheumatology supply and demand was projected through 2030 using an integrated data-driven framework to capture a more realistic clinical full-time equivalent (FTE) and produce a better picture of access to care issues in pediatric rheumatology. The 2015 pediatric rheumatology workforce was estimated at 287 FTEs (300 providers), while the estimated excess demand was 95 (33%). The projected demand will continue to increase to almost 100% (n = 230) by 2030 if no changes occur in succession planning, new graduate entrants into the profession, and other factors associated with the workforce. This study projects that the pediatric rheumatology workforce gap will continue to worsen significantly from the 2015 baseline, and by 2030 the demand for pediatric rheumatologists will be twice the supply. Innovative strategies are needed to increase the workforce supply and to improve access to care.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
340-348Informations de copyright
© 2020 American College of Rheumatology.
Références
Sacks JJ, Helmick CG, Luo YH, Ilowite NT, Bowyer S. Prevalence of and annual ambulatory health care visits for pediatric arthritis and other rheumatologic conditions in the United States in 2001-2004. Arthritis Rheum 2007;57:1439-45.
Cassidy JT, Athreya B. Pediatric rheumatology: status of the subspecialty in United States medical schools [letter]. Arthritis Rheum 1997;40:1182.
Althouse LA, Stockman JA. Pediatric workforce: a look at pediatric rheumatology data from the American Board of Pediatrics. J Pediatr 2006;149:869-70.
Deal CL, Hooker R, Harrington T, Birnbaum N, Hogan P, Bouchery E, et al. The United States rheumatology workforce: supply and demand, 2005-2025. Arthritis Rheum 2007;56:722-9.
Henrickson M. Policy challenges for the pediatric rheumatology workforce. Part I. Education and economics. Pediatr Rheumatol Online J 2011;9:23-4.
Henrickson M. Policy challenges for the pediatric rheumatology workforce. Part II. Health care system delivery and workforce supply. Pediatr Rheumatol Online J 2011;9:24.
Henrickson M. Policy challenges for the pediatric rheumatology workforce. Part III. The international situation. Pediatr Rheumatol Online J 2011;9:26.
Battafarano DF, Ditmyer M, Bolster MB, Fitzgerald JD, Deal C, Bass AR, et al. 2015 American College of Rheumatology workforce study: supply and demand projections of adult rheumatology workforce, 2015-2030. Arthritis Care Res (Hoboken) 2018;70:617-26.
American College of Rheumatology. 2015 workforce study of rheumatology specialists in the United States. URL: https://www.rheumatology.org/portals/0/files/ACR-Workforce-Study-2015.pdf.
American College of Rheumatology Committee on Rheumatology Training and Workforce Issues. Regional distribution of adult rheumatologists. Arthritis Rheum 2013;65:3017-25.
Health Resources and Services Administration. Health professional shortage areas. 2016. URL: https://bhw.hrsa.gov/shortage-designation/hpsas.
American Board of Pediatrics. Data and workforce. 2015. URL: https://www.abp.org/content/data-and-workforce.
Association of American Medical Colleges. Data and reports. 2016. URL: https://www.aamc.org/data-reports.
Accreditation Council for Graduate Medical Education. Data collection systems. 2015. URL: https://www.acgme.org/Data-Collection-Systems/Overview.
United States Census Bureau. Income and poverty in the United States: 2015. URL: https://www.census.gov/content/dam/Census/library/publications/2016/demo/p60-256.pdf.
Ding P, VanderWeele TJ. Sensitivity analysis without assumptions. Epidemiology 2016;27:368-77.
National Commission on Certification of Physician Assistants. 2016 statistical profile of certified physician assistants by specialty. URL: https://prodcmsstoragesa.blob.core.windows.net/uploads/files/2016StatisticalProfilebySpecialty.pdf.
Ewert S. U.S. Census Bureau data on the foreign born. URL: https://www.unece.org/fileadmin/DAM/stats/documents/ece/ces/ge.10/2016/mtg2_WS/4_Ewert_USA.pdf.
American Association of Colleges of Nursing. Core competencies for interprofessional collaborative practice. 2011. URL: http://apps.who.int/iris/bitstream/handle/10665/70185/WHO_HRH_HPN_10.3_eng.pdf;jsessionid=F8FB7FB7088BFE33FAA1BD17E034069D?sequence=1.
Framework for Action on Interprofessional Education and Collaborative Practice Health Professions Networks Nursing and Midwifery Human Resources for Health. 2010. URL: http://www.who.int/hrh/nursing_midwifery/en/.
The WHO STEPwise approach to chronic disease risk factor surveillance. 2005. URL: https://apps.who.int/iris/bitstream/handle/10665/43376/9241593830_eng.pdf.
Statista. Gross domestic product (GDP) per capita in the United States in current prices from 1986 to 2026. URL: https://www.statista.com/statistics/263601/gross-domestic-product-gdp-per-capita-in-the-united-states/.
U.S. Bureau of Labor Statistics. Occupational outlook handbook: physicians and surgeons. URL: https://www.bls.gov/ooh/healthcare/physicians-and-surgeons.htm.
U.S. Bureau of Labor Statistics. Career outlook. Older workers: labor force trends and career options. URL: https://www.bls.gov/careeroutlook/2017/article/older-workers.htm.
Association of American Medical Colleges. Research shows shortage of more than 100,000 doctors by 2030. URL: https://www.aamc.org/news-insights/research-shows-shortage-more-100000-doctors-2030.
U.S. Bureau of Labor Statistics. Employment projections. Education pays: earnings and unemployment rates and earnings by educational attainment, 2020. URL: https://www.bls.gov/emp/chart-unemployment-earnings-education.htm.
Lehman TJ, Magilavy DB, Warren R. Pediatric rheumatology manpower and training: planning for the 1990s. Pediatrics 1989;84:567-8.
The American Board of Pediatrics. Pediatric physicians workforce data book, 2018-2019. 2018. URL: https://www.abp.org/sites/abp/files/workforcedata2018-2019.pdf.
Rimsza ME, Ruch-Ross HS, Clemens CJ, Moskowitz WB, Mulvey HJ. Workforce trends and analysis of selected pediatric subspecialties in the United States. Acad Pediatr 2018;18:805-12.
Correll CK, Spector LG, Zhang L, Binstadt BA, Vehe RK. Barriers and alternatives to pediatric rheumatology referrals: survey of general pediatricians in the United States. Pediatr Rheumatol Online J 2015;13: 32.
Mayer ML, Sandborg CI, Mellins ED. Role of pediatric and internist rheumatologists in treating children with rheumatic diseases. Pediatrics 2004;113:e173-81.
Sherry DD, Wallace CA, Kahn SJ. Pediatric rheumatology in adult rheumatology practices in Washington state. Arthritis Rheum 1996;39:1218-21.
American College of Rheumatology. Pediatric rheumatology residents program. URL: https://www.rheumatology.org/I-Am-A/Student-Resident/Explore-Rheumatology/Pediatric-Rheumatology-Residency-Program.
Childhood Arthritis and Rheumatology Research Alliance. Pediatric residents program. URL: https://carragroup.org/meetings-events/past-carra-annual-scientific-meetings/2021-annual-meeting/2021-pediatric-residents-program.
Solomon DH, Bitton A, Fraenkel L, Brown E, Tsao P, Katz JN. Roles of nurse practitioners and physician assistants in rheumatology practices in the US. Arthritis Care Res (Hoboken) 2014;66:1108-13.
Hooker RS. The extension of rheumatology services with physician assistants and nurse practitioners. Best Pract Res Clin Rheumatol 2008;22:523-33.
Scarbrough AW, Moore M, Shelton SR, Knox RJ. Improving primary care retention in medically underserved areas. Health Care Manag (Frederick) 2016;35:368-72.
Reed J. All Info - S.2443 - 116th Congress (2019-2020): Investment in tomorrow's pediatric health care workforce act. 2019.
Kessler EA, Sherman AK, Becker ML. Decreasing patient cost and travel time through pediatric rheumatology telemedicine visits. Pediatr Rheumatol Online J 2016;14:54.
Bullock DR, Vehe RK, Zhang L, Correll CK. Telemedicine and other care models in pediatric rheumatology: an exploratory study of parents’ perceptions of barriers to care and care preferences. Pediatr Rheumatol Online J 2017;15:55.
Contreras CM, Metzger GA, Beane JD, Dedhia PH, Ejaz A, Pawlik TM. Telemedicine: patient-provider clinical engagement during the COVID-19 pandemic and beyond. J Gastrointest Surg 2020;24:1692-7.
Correll CK, Spector LG, Zhang L, Binstadt BA, Vehe RK. Use of rheumatology laboratory studies among primary pediatricians. Clin Pediatr (Phila) 2016;55:1279-88.
McGhee JL, Burks FN, Sheckels JL, Jarvis JN. Identifying children with chronic arthritis based on chief complaints: absence of predictive value for musculoskeletal pain as an indicator of rheumatic disease in children. Pediatrics 2002;110:354-359.
Bankhurst A, Olivas C, Larson JH, Bradford A, Fields R, Kalishman S, et al. Rheumatology care in under-resourced areas utilizing the ECHO model . Arthritis Care Res (Hoboken) 2019.
Monrad S, Imundo L, Battafarano D DM. Access to care: the patient perspective from the 2015 ACR/ARHP workforce study. Arthritis Rheumatol 2016;68.
Mayer ML. Are we there yet? Distance to care and relative supply among pediatric medical subspecialties. Pediatrics 2006;118:2313-2321.