Primary Care Workforce
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Item Issue Brief: Indiana’s Health Professions Workforce Shortages and Mal-distribution(2007-10) McKeag, Douglas B.; Zollinger, Terrell W.; Allen, Deborah I.; Przybyiski, Michael J.; Holloway, Angela M.; Kochhar, Komal; Muegge, Carolyn M.; Emery, Elizabeth J.Workforce shortages have been documented across a broad spectrum of health profession disciplines in Indiana. Currently, federal, state and local programs exist to recruit and retain health professionals in our state; however, these programs have had minimal impact on the underlying factors that contribute to the problem. Additional steps must be taken to expand the supply of health professionals to adequately meet the growing need for health care services among Indiana residents. While many health professional shortages exist, this brief will focus on the primary care physicians and nurses needed to provide medical homes for residents of our state.Item Indiana Primary Care Clinician 2012 Workforce Report(2012-08) Lewis, Cynthia K.; Sheff, Zachary T.; Zollinger, Terrell W.; Allen, Deborah I.Primary care clinicians are a critical segment of the health care workforce in Indiana. The Institute of Medicine defined primary care as “the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.” 1 For this report, a physician was considered a “primary care physician” if their specialty was one of the following: family medicine, general internal medicine, general practice, internal medicine – pediatrics, and general pediatrics. In addition to these physician specialties, physician assistants and nurse practitioners who also provide primary care and are included in this report as part of the group considered to be primary care clinicians. The purpose of this report is to describe the current state of the primary care clinician workforce in Indiana, their demographic characteristics, practice setting, and geographical locations. The geographical locations are presented in different ways for the various stakeholders. The information presented in this report may be useful for projecting future needs given the current number of providers and proportion nearing retirement as well as the geographical areas where special attention may be needed to insure residents have adequate access to primary care clinicians in the future.Item Indiana Primary Health Care: Description, Distribution, Challenges, and Strategic Recommendation to Empowered Decision Making(2012-12) Maxey, Hannah L.; Malcolm, Amber; Norwood, Connor W.; Sheff, Zachary T.; Walters, Staci JoOver the past few years, and in light of the recent Supreme Court ruling on the Patient Protection and Affordable Care Act (ACA) and the result of the 2012 Presidential election, access to health care services has been in the forefront of health care discussions. Driving these discussions are rising chronic disease rates, skyrocketing health care costs, and the ever increasing number of individuals falling into that black hole known as the “uninsured” -- all of which are major burdens on Indiana’s health system. Regardless of ones perspective on health reform, the links between primary health care access, health outcomes, and health care costs are undeniable [1-3]. People with access to primary health care services live longer, healthier lives, and the overall cost of their health care are less than those without access to these services. Ensuring a strong primary health care system across the State of Indiana is crucial to ensuring the health of Hoosiers and improving the efficiency of Indiana’s health system. However, before our current system can be strengthened, it must be understood. This begs the following questions: what is primary care?; why is it important?; who provides these services?; and where are they located? The development and implementation of health policies and primary health care programs that would secure Hoosier health relies on the ability of the State of Indiana to make informed decisions.Item Indiana Primary Health Care: Description, Distribution, Challenges, and Strategic Recommendation to Empowered Decision Making(2012-12) Maxey, Hannah L.; Malcolm, Amber; Norwood, Connor W.; Sheff, Zachary; Walters, Staci JoItem Indiana’s Health Workforce: Description, Distribution, and Strategic Recommendation to Empowered Decision Making(2013-08-07) Maxey, Hannah L.; Norwood, Connor W.; Sheff, Zachary T.; Walters, StaciItem Bowen Center for Health Workforce Research and Policy Provider Verification Protocol(2016) Bowen Center for Health Workforce Research and PolicyThis report describes the verification protocol conducted by researchers for verification of primary care physicians, psychiatrists, and dentists in Indiana.Item 2018 Physician Verification Protocol(Indiana University, 2018-12-10) Bowen Center for Health Research Workforce and PolicyThe purpose of provider verification is to validate the practice characteristics of primary care physicians and psychiatrists actively practicing in Indiana.Item An Assessment of Obstetricians/Gynecologists in Indiana(Indiana University, 2019-04-15) Bowen Center for Health Workforce Research and PolicyAfter physicians’ license renewal period (the most recent occurring in 2017), the Bowen Center for Health Workforce Research and Policy collects their license and survey data from the Indiana Professional Licensing Agency (IPLA) for cleaning, coding and storage in a longitudinal database. After processing these data, the Bowen Center then conducts additional data collection on every physician in Indiana who is actively practicing in order to verify their specialty, practice address, hours in patient care and patient panel characteristics (such as % of patient covered by Medicaid and % of patients on a sliding fee scale). This verification process helps to ensure that the provider data used to inform Health Professional Shortage Area (HPSA) designations accurately reflect the capacity of primary care physicians and psychologists practicing in Indiana. Obstetrician/Gynecologists (OB/GYN) are included as part of the primary care workforce and were verified through this process. The accompanying GIS map utilizes this verified data to display the capacity of these physicians and their geographic distribution in the State of Indiana.