Rural Health Research Gateway

National Changes in Physician Supply

Funder: Office of Rural Health Policy (ORHP)
Research center: WWAMI Rural Health Research Center
Phone: 206.685.0402
Lead researcher: Meredith Fordyce , PhD , 206.543.6548, meredith_fordyce@fammed.washington.edu
Project funded: September 1999
Project completed:February 2008
Topics: International Medical Graduates (IMGs)
Physicians
Workforce

This study describes the 2005 supply and distribution of physicians (including osteopathic physicians and international medical graduates) with particular emphasis on generalists in rural areas. Data sources were the AMA and AOA 2005 Masterfiles Rural-Urban Commuting Area codes were used to categorize practice locations. The study found uneven rural-urban distribution of physicians and wide variation among rural locations. Conditions nationally were not necessarily representative of those at Census Division or state level. Generalists were the mainstay of physician care in rural areas, becoming more prominent as degree of rurality increased, while the specialist/population ratio generally decreased as rural locations become smaller and more isolated. Osteopaths and international medical graduates made substantial contributions to health care in rural areas, although their relative representation varied geographically. The decline in the number of U.S. medical students entering family medicine residencies, greater difficulty for non-U.S. physicians to obtain visas to work in the U.S., and reductions in Title VII funding, among other issues, threaten to further reduce the supply of rural generalist physicians, potentially hindering access to health care in rural locations. This study is complete and a copy of the Final Report and Policy Brief are available from the WWAMI RHRC website.

Publications

  • 2005 Physician Supply and Distribution in Rural Areas of the United States (Full Report)
    Author(s): Meredith A. Fordyce, Frederick M. Chen, Mark P. Doescher, L. Gary Hart
    Date: 11 / 2007
    This study describes the 2005 supply and distribution of physicians (including osteopathic physicians and international medical graduates) with particular emphasis on generalists in rural areas. Results indicate variability in the rural-urban distribution of physicians, with generalist physicians playing prominent roles in rural areas.
  • 2005 Physician Supply and Distribution in Rural Areas of the United States (Project Summary)
    Author(s): Meredith A. Fordyce, Frederick M. Chen, Mark P. Doescher, L. Gary Hart
    Date: 11 / 2007
    This study describes the 2005 supply and distribution of physicians (including osteopathic physicians and international medical graduates) with particular emphasis on generalists in rural areas. Results indicate variability in the rural-urban distribution of physicians, with generalist physicians playing prominent roles in rural areas.