Chapter 5:Workforce

Workforce

Chartbook 2004

1.92.1

2.22.4

2.5 2.6 2.5 2.6 2.6

0.0

0.5

1.0

1.5

2.0

2.5

3.0

80 85 90 95 97 98 99 00 01

Chart 5.1:Total Number of Active Physicians

per 1,000 Persons1980 – 2001

Chart 5.2:Total Number of Active Physicians(1)

per 1,000 Persons by State2001

Source: Health United States, 1982, 1996-97, 1999, 2000, 2001, 2002

(1) 1980 does not include doctors of osteopathy

Source: CDC, NCHS Health United States 2003 - Table 99 "Active non-Federal physicians and doctors of medicine in patient care, according to geographic division and State: United States, 1975, 1985, 1995, and 2001“

(1) Includes active non-federal doctors of medicine and active doctors of osteopathy

< 2

2 – 2.993 – 3.99

> 4

RI 3.34DE 2.51DC 6.25

(1)

51

Workforce

Chartbook 2004

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

4,500

80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02

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

Chart 5.3:Medical and Dental Residents in Training

in Community Hospitals1980 - 2002

Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals

Chart 5.4:Total Full Time Equivalent Employees

Working in Hospitals1980 - 2002

Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals

Thousa

nd

s

52

Workforce

Chartbook 2004

0

200

400

600

800

1,000

1,200

86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 020.010

0.012

0.014

0.016

0.018

0.020

0.022

0.024

0

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

Chart 5.5:Full Time Equivalent Employees

per Adjusted Admission1980 - 2002

Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals

Chart 5.6:Number of RN Full Time Equivalent

Employees and RN FTEs per Adjusted Admission

1986 - 2002

Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1986 – 2002, for community hospitals

Thousa

nd

s of

RN

FTEs

RN

FTEs

per

Ad

just

ed

A

dm

issi

on

RN FTEs RN FTEs per Adjusted Admission

53

Workforce

Chartbook 2004

20%

21%

22%

23%

24%

25%

86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02

Chart 5.7:RN Full Time Equivalents

as a Percentage of Total Hospital Full Time Equivalents1986 - 2002

Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1986 – 2002, for community hospitals

Chart 5.8:Number of Physicians by Age

1980, 1990, and 2002

Source: American Medical Association, Physician Characteristics and Distribution in the US, 2003-2004 Edition

54

350300250200150100500

50100150200250300350400450500

1980 1990 2002

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

nd

s)

Age Group

Workforce

Chartbook 2004 55

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

1980 1984 1988 1992 1996 2000

Chart 5.9:RN Employment by Type of Provider

1980 - 2000

Source: Findings from the National Sample Survey of Registered Nurses, 1980-2000, Bureau of Health Professions, Division of Nursing

Hospitals

Nursing Homes / Extended Care Facilities

Public / Community Health

All Other

Chart 5.10:Distribution of RN Workforce by Age Group

1980 - 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

nd

s)

Ag

e u

nder

40

Ag

e 4

0 a

nd

over

AgeGroup

20s

30s

40s

50s

60s

Workforce

Chartbook 2004 56

Chart 5.11:Annual Percentage Change in Entry Level

Baccalaureate Nursing Enrollment1990 - 2003

12.4%

10.2%

2.6%

-2.6%

-6.2%-6.5%-4.8%-4.4%

-2.0%

3.7%

8.0%

16.6%

14.3%

-10.0%

-5.0%

0.0%

5.0%

10.0%

15.0%

20.0%

90 92 93 94 95 96 97 98 99 00 01 02 03

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, 2003.

1,500

1,700

1,900

2,100

2,300

2,500

2,700

2,900

2000 2005 2010 2015 2020

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, 2002

FTEs

(in t

housa

nd

s)

RN FTE Demand

RN FTE Supply

Shortage of over 800,000 nurses in 2020