Abstract
Using data for 1975 to 1985 from the Area Resource File (ARF), net number changes in different age groups of physicians practicing in nonmetropolitan counties are examined. Small net increases are seen in the higher age groups in most county size categories but the most striking change is large increases in the age groups up to age 44. Family practitioners show a net decline in all county size categories for ages 45-54, but these are offset by increases in medical specialists. In counties of less than 25,000 population, the rate of turnover of physicians over the 1983-1988 period was 25 percent; physicians exiting these counties had a mean age of 52.3 years. The data indicate that aging of physicians in rural counties should not affect maintenance of current supply in the short run, but that increasing the physician-to-population ratio in areas with less adequate supply will be difficult, particularly if the rate of increase of younger physicians in nonmetropolitan counties does not continue.
Full text
PDF













Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Dever G. E., Thomson C. D., Williams D. P., Kornegay D. D. Physician supply and distribution in Georgia. J Med Assoc Ga. 1989 Aug;78(8):553–557. [PubMed] [Google Scholar]
- Hicks L. L. Social policy implications of physician shortage areas in Missouri. Am J Public Health. 1984 Dec;74(12):1316–1321. doi: 10.2105/ajph.74.12.1316. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kindig D. A., Movassaghi H. The adequacy of physician supply in small rural counties. Health Aff (Millwood) 1989 Summer;8(2):63–76. doi: 10.1377/hlthaff.8.2.63. [DOI] [PubMed] [Google Scholar]
- Langwell K. M., Drabek J., Nelson S. L., Lenk E. Effects of community characteristics on young physicians' decisions regarding rural practice. Public Health Rep. 1987 May-Jun;102(3):317–328. [PMC free article] [PubMed] [Google Scholar]
- Makuc D., Kleinman J. C., Pierre M. B., Jr Service areas for ambulatory medical care. Health Serv Res. 1985 Apr;20(1):1–18. [PMC free article] [PubMed] [Google Scholar]
- Movassaghi H., Kindig D. Medical practice and satisfaction of physicians in sparsely populated rural countries of the United States: results of a 1988 survey. J Rural Health. 1989 Apr;5(2):125–136. doi: 10.1111/j.1748-0361.1989.tb01040.x. [DOI] [PubMed] [Google Scholar]
- Schwartz W. B., Newhouse J. P., Bennett B. W., Williams A. P. The changing geographic distribution of board-certified physicians. N Engl J Med. 1980 Oct 30;303(18):1032–1038. doi: 10.1056/NEJM198010303031803. [DOI] [PubMed] [Google Scholar]
