Chartbook 2005
Trends in the Overall Health Care Market
Chapter 5:Workforce
Chartbook 2005
Trends in the Overall Health Care Market
5-2
1.92.1
2.22.4
2.5 2.6 2.5 2.6 2.6 2.5
0.0
0.5
1.0
1.5
2.0
2.5
3.0
80 85 90 95 97 98 99 00 01 02
Chart 5.1:Total Number of Active Physicians
per 1,000 Persons1980 – 2002
Source: CDC, NCHS Health United States, 1982, 1996-97, 1999, 2000, 2001, 2002, 2003, 2004
(1) 1980 does not include doctors of osteopathy
Chartbook 2005
Trends in the Overall Health Care Market
5-3
2 – 2.99
< 2
3 – 3.99
> 4
Chart 5.2:Total Number of Active
Physicians(1)
per 1,000 Persons by State2002
Source: CDC, NCHS Health United States 2004
(1) Includes active non-federal doctors of medicine and active doctors of osteopathy
RI 3.34DE 2.52DC 6.18
Chartbook 2005
Trends in the Overall Health Care Market
5-4
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Chart 5.3:Medical and Dental Residents in Training
in Community Hospitals1980 - 2003
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2003, for community hospitals
Chartbook 2005
Trends in the Overall Health Care Market
5-5
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2003, for community hospitals
Chart 5.4:Total Full-Time Equivalent Employees
Working in Hospitals1980 - 2003
Mill
ions
Chartbook 2005
Trends in the Overall Health Care Market
5-6
0.00
0.01
0.02
0.03
0.04
0.05
0.06
0.07
0.08
0.09
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2003, for community hospitals
(1) An aggregate measure of workload reflecting the number of inpatient admissions, plus an estimate of the volume of outpatient services, expressed in units equivalent to an inpatient admission in terms of level of effort
Chart 5.5:Full-Time Equivalent Employees
per Adjusted Admission(1)
1980 - 2003
Chartbook 2005
Trends in the Overall Health Care Market
0
200
400
600
800
1,000
1,200
86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 030.010
0.012
0.014
0.016
0.018
0.020
0.022
0.024
5-7
Chart 5.6:Number of RN Full-Time Equivalent Employees
and RN FTEs per Adjusted Admission1986 - 2003
Thousa
nds
of
RN
FTEs
RN
FTEs
per
Adju
sted A
dm
issi
on
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1986 – 2003, for community hospitals
RN FTEs RN FTEs per Adjusted Admission
Chartbook 2005
Trends in the Overall Health Care Market
5-8
20%
21%
22%
23%
24%
25%
86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Chart 5.7:RN Full-Time Equivalents as a Percentage of
Total Hospital Full-Time Equivalents1986 - 2003
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1986 – 2003, for community hospitals
Chartbook 2005
Trends in the Overall Health Care Market
5-9
Chart 5.8:Number of Physicians by Age
1980, 1990, and 2003
Source: American Medical Association, Physician Characteristics and Distribution in the US, 2005 Edition
350
300
250
200
150
100
50
0
50
100
150
200
250
300
350
400
450
500
1980 1990 2003
Under 35
35-44
45-54
55-64
65 & Over
Ag
e 4
5 a
nd
over
Ag
e u
nd
er
44
Num
ber
of
Physi
cians
(in t
housa
nds)
Age Group
Chartbook 2005
Trends in the Overall Health Care Market
5-10
Chart 5.9:RN Employment by Type of
Provider1980 - 2000
Source: Findings from the National Sample Survey of Registered Nurses, 1980-2000, Bureau of Health Professions, Division of Nursing
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1980 1984 1988 1992 1996 2000
Hospitals
Nursing Homes /Extended Care Facilities
Public / Community Health
All Other
Chartbook 2005
Trends in the Overall Health Care Market
5-11
Chart 5.10:Distribution of RN Workforce by
Age Group1980 - 2020 (Projected)
Source: Buerhaus, P.I. et al. Implications of an Aging Registered Nurse Workforce. JAMA: 2000: 283: 2948-2954
1,000
500
0
500
1,000
1,500
1980 1990 2000 (proj.) 2010 (proj.) 2020 (proj.)
Num
ber
of
RN
s (i
n t
housa
nds)
Ag
e u
nd
er
40
Ag
e 4
0 a
nd
over
AgeGroup
20s
30s
40s
50s
60s
Chartbook 2005
Trends in the Overall Health Care Market
5-12
2.6%
-2.6%
-6.2% -5.5%-4.6%
-2.1%
3.7%
8.1%
16.6%14.9%
10.2%
12.4%
-6.6%
14.3%
-10%
-5%
0%
5%
10%
15%
20%
90 92 93 94 95 96 97 98 99 00 01 02 03 04
Chart 5.11:Annual Percentage Change in
Entry Level Baccalaureate Nursing Enrollment
1990 - 2004
Source: Berlin LE et al. Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing. Washington, DC: American Association of Colleges of Nursing, 1990-1991 – 1996-1997. American Association of Colleges of Nursing, 2004.
Chartbook 2005
Trends in the Overall Health Care Market
1500
1700
1900
2100
2300
2500
2700
2900
2000 2005 2010 2015 2020
5-13
Chart 5.12:National Supply and Demand Projections
for FTE RNs2000 - 2020
Source: National Center For Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration, 2004
RN FTE Demand
RN FTE Supply
Shortage of over 1,000,000 nurses in 2020
FTEs
(in t
housa
nds)