Just Released…
Annual New York Physician Workforce Profile, 2009
The Center recently completed its annual profile of the supply and distribution of physicians licensed in New York. The study found that 72% of active physicians practiced in downstate New York and 91% were located in urban counties. The study also found that while New York experienced an overall increase in the supply of active physicians between 2004 and 2008, some regions saw little growth in their physician supply during that time period. This report is posted to the Center’s Web site at: https://www.chwsny.org/r-2009-10/.
New York Registered Nursing Graduations, 1996-2010
The Center annually surveys deans and directors of New York’s nursing education programs to better understand trends that affect the supply of registered nurses (RNs) in the state. The most recent survey was conducted in the spring and summer of 2009. RN graduations in New York increased in 2009, rising by 762 or by nearly 9% over 2008 graduations, the seventh consecutive annual increase. While graduations continue to rise, the current economic downturn has adversely impacted the job market for newly-trained RNs. In stark contrast to previous years, significantly fewer program directors reported many available job opportunities in their region for newly-trained RNs. To view the full report, go to the Center’s Web site at: https://www.chwsny.org/archive/uploads/2012/07/nursinged2010.pdf.
A Profile of New York’s Underrepresented Minority Physicians, 2009
This research brief examines the demographic and practice characteristics of New York physicians as well as newly-trained physicians who are from racial and ethnic groups considered underrepresented in medicine. The number of underrepresented minority (URM) physicians practicing in New York has not substantially increased over the past 15 years and remains far less than their proportion in the state’s population. New York’s URM physicians are more likely to practice in primary care specialties and serve more Medicaid patients. This research brief can be downloaded here.
Supply of and Demand for Licensed Practical Nurses in New York
The Center recently completed a research study on supply and demand gaps for licensed practical nurses (LPNs) in the state’s nursing homes. There is concern about serious shortages of LPNs in long term care, but not much is known about contributing factors. The Center’s study involved primary data collection i.e., surveys of the state’s LPN education programs and nursing homes, and analysis of secondary data sources to better understand the current issues affecting the LPN workforce. The study found that New York has fewer LPNs per capita than the national average and that the supply of LPNs is not well distributed across the state. LPN shortages persist in New York, and are more pronounced in certain regions and for certain types of employers. While LPN graduations are projected to increase, this increase will not apply equally to all areas of the state. This report can be downloaded here.
Resident Exit Survey Research Brief
In order to better understand the demand for physicians and outcomes of training in New York, the Center conducts an annual survey of all physicians completing a residency or fellowship training program in the state (the Resident Exit Survey). The research brief summarizes 2009 survey results focused on the in-state retention of new physicians, why some physicians decide to practice out of state, and what recruitment incentives were most important to them when choosing a practice location. Less than half of new physicians were planning to stay in New York after completing training. The two most common reasons for leaving New York were proximity to family (24%) and better jobs in desired locations outside of New York (14%). Income guarantees were the most influential recruitment incentive reported by newly-trained physicians in making their decision to accept a practice position. To view the research brief, go to the Center’s Web site at: https://www.chwsny.org/archive/uploads/2012/07/exitleavingny2009.pdf.
Publications…
Toward a New Method for Identifying Facilities and Communities With Critical Shortages of Nurses
Authored by Center staff Paul Wing, Sandra McGinnis, and Jean Moore, this article was published in the November 2009 edition of Policy, Politics and Nursing Practice. It summarized the key findings of a study designed to evaluate the effectiveness of different methods for assessing the severity of nursing shortages in four types of health care facilities in the U.S. (hospitals, long-term care facilities, home health agencies, and public health agencies). The study tested several statistical models using available data to assess their accuracy and ease of use as possible bases for estimating and predicting nursing shortages in individual health care facilities.
Wing P, McGinnis SL, Moore JM, “Toward a New Method for Identifying Facilities and Communities With Critical Shortages of Nurses,” Policy Polit Nurs Pract. 2009 Feb;10(1):28-39. Epub 2009 Jan 11.
http://ppn.sagepub.com/cgi/content/abstract/10/1/28
Studying an Ill-Defined Workforce: Public Health Workforce Research
This article, written by Jean Moore, was published in the November 2009 supplement of the Journal of Public Health Management and Practice. With support from the Office of Workforce and Career Development, Centers for Disease Control and Prevention, the supplement was designed to bring select social science perspectives and tools into the discussion of the public health workforce. Moore’s article describes challenges, issues, and strategies associated with public health workforce research. It also provides examples of public health workforce research conducted by the Center to illustrate levels of analyses that can be used to better understand the public health workforce.
Moore JM, “Studying an Ill-Defined Workforce: Public Health Workforce Research,” J Public Health Manag Pract. 2009 Nov;15(6 Suppl):S54-5.
http://journals.lww.com/jphmp/toc/2009/11001#-722579509
The Health Services Research Workforce: Current Stock
This article, published in the December 2009 issue of Health Services Research (HSR), was authored by Sandra McGinnis and Jean Moore. The article summarizes the key findings of a study designed to examine the size and characteristics of the health services research (HSR) workforce; the job satisfaction, job security, and future plans reported by the workforce; and the future of the HSR workforce supply. The study involved analyzing data on health service researchers from a variety of sources, including survey data from AcademyHealth and lists of researchers from AcademyHealth membership lists, two HSR journals, and the HSRProj database. It was estimated that the field has grown dramatically in size since 1995, but is characterized by various levels of involvement (e.g., self-identification with the interdisciplinary field of HSR versus identification with specific disciplines). While the field currently enjoys high levels of job satisfaction and job security, it appears that the workforce may face future challenges.
McGinnis S and Moore J, “The Health Services Research Workforce: Current Stock,” Health Serv Res. 2009 Dec;44(6):2214-2226.
http://www3.interscience.wiley.com/journal/122605773/abstract
Other News…
Jean Moore, director of the Center, attended the International Symposium on Health Workforce held in Neuchatel, Switzerland October 14-16, 2009. She presented a paper, An Analysis of Racial/Ethnic Pay Disparities Between Asian and Non-Hispanic White Registered Nurses in New York City Hospitals. The data for this analysis were drawn from a survey of RNs working in New York hospitals conducted by the Center in 2006.
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