Perspectives

Potential Provider Oversupply and Underserved Areas: The Future of Alabama Medicine

Authors: Kelly R. Warren, MSW, MPH, Bernard H. Eichold,MD, DrPH, Elizabeth Morrissette, AB

Abstract

Alabama must turn around its primary care provider deficit in its rural areas or risk its population’s health, finances, and well-being. Recent data show that a large portion of Alabama’s population is moving from rural areas to urban areas of the state, seeking jobs, whereas others are leaving Alabama for other areas in the United States. In addition, the population growth of Alabama has slowed considerably during the last 50 years. Alabama’s population has only risen 9.4% since 2000, but that increase was not the result of an increase in births, because the number of children born decreased. In contrast, during that same period, the population older than age 65 years has increased >16.1%.1

This content is limited to qualifying members.

Existing members, please login first.

If you have an existing account please login now to access this article or view your purchase options.

Purchase only this article ($15)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1. Kirby B. Graying Alabama. https://www.al.com/news/index.ssf/2015/05/graying_alabama_senior_populat.html. Published May 19, 2015. Accessed August 31, 2018.
 
2. Alabama Board of Nursing. Annual report, 2010. http://www.abn.alabama.gov/wp-content/uploads/2016/02/AnnualReport_2010.pdf. Accessed October 25, 2017.
 
3. Alabama Board of Nursing. Annual report. A new beginning, 2015. http://www.abn.alabama.gov/wp-content/uploads/2016/06/2015-Annual-Report.pdf. Accessed October 25, 2017.
   
5. Kent Azok D. Lack of hospitals, healthcare services are key roadblocks to job growth in Alabama’s rural counties. http://www.al.com/business/index.ssf/2013/09/lack_of_hospitals_healthcare_s.html. Published September 1, 2013. Accessed October 20, 2017.
 
6. Alabama Rural Health Association. Alabama Rural Health Talking Points-2017. www.alabamacounties.org/wp-content/uploads/2017/08/rural-health-handouts.pdf. Accessed September 22, 2018.
 
7. Alabama: projecting care physician workforce. www.graham-center.org/content/dam/rgc/documents/maps-data-tools/state collections/workforce projections/alabama.pdf. Accessed February 15, 2018.
 
8. University of Auburn College of Sciences and Mathematics. Rural medicine crisis in Alabama. Medically underserved areas of Alabama. http://www.auburn.edu/cosam/departments/student-services/pre-health-programs/ruralmedicine/Alabamas-Crisis.htm. Published April 12, 2010. Accessed August 31, 2018.
 
9. United Health Foundation. America’ health rankings, 2017 annual report. https://www.americashealthrankings.org/learn/reports/2017-annual-report. Accessed August 31, 2018.
 
10. Alabama Rural Health Association. Alabama Rural Health Talking Points-2017. www.alabamacounties.org/wp/-content/uploads/2017/08/rural-health-handouts.pdf. Accessed September 22, 2018.
 
11. Altschuler J, Margolius D, Bodenheimer T, et al. Estimating a reasonable patient panel size for primary care physicians with team-based task delegation. Ann Fam Med 2012;10:396-400.
 
12. Alabama Rural Health Association. Alabama Rural Health Talking Points-2017. www.alabamacounties.org/wp/-content/uploads/2017/08/rural-health-handouts.pdf. Accessed September 22, 2018.
 
13. American Academy of Family Physicians. Workforce reform. Family physician workforce reform: recommendations of the American Academy of Family Physicians. https://www.aafp.org/about/policies/all/workforce-reform.html. Published March 2014. Accessed October 25, 2017.
 
14. The World of Rural Medical Education. Why doctor’ don’ go where they’ needed. http://www.ruralmedicaleducation.org/why_docs_dont.htm. Accessed October 24, 2017.