Physicians in New York, 2009
The Center has posted to its Web site a spreadsheet on active patient care physicians in New York in 2009. The data are drawn from the 2009 survey of all licensed physicians in New York at the time of re-registration. The data are aggregated by specialty groups and include counts of active physicians as well as physician full-time equivalents reported by zip code. To access this spreadsheet, go to: http://www.chwsny.org/r-2009-10/.
Trends in Demand for New Physicians, 2003-2009
The Center conducts an annual survey of all physicians completing residency training or fellowship programs in New York. Based on analyses of these data, the Center’s report describes trends in demand for new physicians in 35 specialties between 2003 and 2009. The study found that overall demand for new physicians is generally good. In addition, demand for new primary care physicians is growing, as evidenced by primary care physicians reporting more job offers than specialists and fewer primary care physicians reporting difficulty finding a satisfactory practice position. View the report: http://www.chwsny.org/archive/uploads/2012/07/extrends2009.pdf.
Work in Progress…
Primary Care Rational Service Areas: A New Approach to the Designation of Shortage Areas
The Center, in collaboration with the Community Health Care Association of New York State, has developed a preliminary set of statewide rational service areas (RSAs) as part of a HEAL 9 Local Health Planning grant. The RSAs were created with data on patient commuting patterns for primary care services, including Medicare, Medicaid, and commercial payers, as well as Uniform Data System (UDS) data from community health centers. The RSAs are intended to be the basis for a more systematic approach to designating primary care shortage areas in the future. As part of this research project, the Center is seeking feedback from key stakeholders through local meetings and via the Center’s Web site on local issues that might affect patient commuting patterns and require an adjustment to the initial set of RSAs.
A Workforce Study of Certified Asthma Educators in New York
The Center, with support from the Bureau of Chronic Disease Prevention and Health Promotion at the New York State Department of Health, is conducting a study of certified asthma educators (AE-Cs) in the state. The study examines the supply, distribution, demographic, and practice characteristics of AE-Cs as well as demand for their services. The study also assesses the educational and career pathways for AE-Cs in New York. A census survey of AE-Cs statewide is being conducted in order to develop a comprehensive profile of the profession. A sample survey of providers of asthma education services will also be conducted in order to learn more about the delivery of asthma self-management education (ASME) support services and to better understand the role of AE-Cs in providing asthma education services to high-risk populations. For more information about this study, please contact Margaret Langelier at (518) 402-0250.
The Effect of Local Primary Care Physician Supply on the Utilization of Preventive Health Services in the United States
This article was authored by Tracey Continelli, Sandra McGinnis, and Timothy Holmes. Using telephone survey data within the Adirondack region of upstate New York, this article exams the effect of local primary care physician supply on obtaining regular preventive health care checks. The authors constructed a customized local commuting radius based on the average commuting distance between the survey respondent’s zip code of residence and the zip code of their primary care physician. The results indicated that the local primary care physician supply significantly increases the likelihood of individuals having a primary care physician; in turn, having a primary care physician significantly increases the likelihood of obtaining regular preventive health care services.
Continelli T, McGinnis S and Holmes T. “The Effect of Local Primary Care Physician Supply on the Utilization of Preventive Health Services in the United States.” Health & Place 2010;16(5):942-951.
Cultural Similarity, Cultural Competence, and Nurse Workforce Diversity
This article, published in the November 2010 issue of Western Journal of Nursing Research was authored by Sandra McGinnis, Barbara Brush, and Jean Moore. This study examined the use of national racial/ethnic categories in both patient and registered nurse (RN) populations and found them to be a poor indicator of cultural similarity. Rather, the researchers found that cultural similarity between RN and patient populations needs to be established at the level of local labor markets and broadened to include other cultural parameters such as country of origin, primary language, and self-identified ancestry. Only then can the relationship between cultural similarity and cultural competence be accurately determined and its outcomes measured.
McGinnis SL, Brush BL and Moore J. “Cultural Similarity, Cultural Competence, and Nurse Workforce Diversity.” West J Nurs Res 2010 Nov;32(7):894-909.
Jean Moore, director of the Center, attended the state-based GME and Medical Workforce Summit convened by the AMA Center for Transforming Medical Education and the AMA Advocacy Resource Center. The Summit was held this month in Chicago. Ms. Moore participated in a panel discussion entitled “Importance of Data in Workforce Planning and Policy.”
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