Regional distribution of adult rheumatologists

John D. FitzGerald, Michael Battistone, Calvin R. Brown, Amy C. Cannella, Eliza Chakravarty, Allan Gelber, Carlos J. Lozada, Marilynn Punaro, Barbara Slusher, Abby Abelson, David A. Elashoff, Latanya Benford

Research output: Contribution to journalArticle

Abstract

Objective: To analyze the distribution of rheumatology practices in the US and factors associated with that distribution, in order to better understand the supply of the rheumatology workforce. Methods: Using the American College of Rheumatology membership database, all practicing adult rheumatologist office addresses were mapped with ArcView software. The number of rheumatologists per Core Based Statistical Area (CBSA) was calculated. To investigate whether sociodemographic factors correlated with clustering of rheumatologists, covariates from the 2010 US Census for each CBSA, including age, sex, race/ethnicity, and median household income, were modeled. Results: Many CBSAs, predominantly smaller micropolitan areas, did not have a practicing rheumatologist. For some of these smaller micropolitan areas (with populations of at least 40,000), the closest practicing rheumatologist was more than 200 miles away. However, we also identified several more-populous areas (populations of 200,000 or more) without a practicing rheumatologist. Greater numbers of rheumatologists were more likely to practice in areas with higher population densities and higher median incomes. More rheumatologists were also found in CBSAs in which there were rheumatology training programs. Conclusion: These findings demonstrate that many smaller regions of the country have no or few practicing adult rheumatologists. Patients with chronic rheumatic conditions in these areas likely have limited access to rheumatology care. Policy changes could address potential regional rheumatology workforce shortages, but limitations of the current data would need to be addressed prior to implementation of such changes.

Original languageEnglish (US)
Pages (from-to)3017-3025
Number of pages9
JournalArthritis and Rheumatism
Volume65
Issue number12
DOIs
StatePublished - Dec 2013

Fingerprint

Rheumatology
Rheumatologists
Censuses
Population Density
Population
Cluster Analysis
Software
Databases
Education

ASJC Scopus subject areas

  • Immunology
  • Immunology and Allergy
  • Rheumatology
  • Pharmacology (medical)

Cite this

FitzGerald, J. D., Battistone, M., Brown, C. R., Cannella, A. C., Chakravarty, E., Gelber, A., ... Benford, L. (2013). Regional distribution of adult rheumatologists. Arthritis and Rheumatism, 65(12), 3017-3025. https://doi.org/10.1002/art.38167

Regional distribution of adult rheumatologists. / FitzGerald, John D.; Battistone, Michael; Brown, Calvin R.; Cannella, Amy C.; Chakravarty, Eliza; Gelber, Allan; Lozada, Carlos J.; Punaro, Marilynn; Slusher, Barbara; Abelson, Abby; Elashoff, David A.; Benford, Latanya.

In: Arthritis and Rheumatism, Vol. 65, No. 12, 12.2013, p. 3017-3025.

Research output: Contribution to journalArticle

FitzGerald, JD, Battistone, M, Brown, CR, Cannella, AC, Chakravarty, E, Gelber, A, Lozada, CJ, Punaro, M, Slusher, B, Abelson, A, Elashoff, DA & Benford, L 2013, 'Regional distribution of adult rheumatologists', Arthritis and Rheumatism, vol. 65, no. 12, pp. 3017-3025. https://doi.org/10.1002/art.38167
FitzGerald JD, Battistone M, Brown CR, Cannella AC, Chakravarty E, Gelber A et al. Regional distribution of adult rheumatologists. Arthritis and Rheumatism. 2013 Dec;65(12):3017-3025. https://doi.org/10.1002/art.38167
FitzGerald, John D. ; Battistone, Michael ; Brown, Calvin R. ; Cannella, Amy C. ; Chakravarty, Eliza ; Gelber, Allan ; Lozada, Carlos J. ; Punaro, Marilynn ; Slusher, Barbara ; Abelson, Abby ; Elashoff, David A. ; Benford, Latanya. / Regional distribution of adult rheumatologists. In: Arthritis and Rheumatism. 2013 ; Vol. 65, No. 12. pp. 3017-3025.
@article{3729679af511450fa1bfb251036057fd,
title = "Regional distribution of adult rheumatologists",
abstract = "Objective: To analyze the distribution of rheumatology practices in the US and factors associated with that distribution, in order to better understand the supply of the rheumatology workforce. Methods: Using the American College of Rheumatology membership database, all practicing adult rheumatologist office addresses were mapped with ArcView software. The number of rheumatologists per Core Based Statistical Area (CBSA) was calculated. To investigate whether sociodemographic factors correlated with clustering of rheumatologists, covariates from the 2010 US Census for each CBSA, including age, sex, race/ethnicity, and median household income, were modeled. Results: Many CBSAs, predominantly smaller micropolitan areas, did not have a practicing rheumatologist. For some of these smaller micropolitan areas (with populations of at least 40,000), the closest practicing rheumatologist was more than 200 miles away. However, we also identified several more-populous areas (populations of 200,000 or more) without a practicing rheumatologist. Greater numbers of rheumatologists were more likely to practice in areas with higher population densities and higher median incomes. More rheumatologists were also found in CBSAs in which there were rheumatology training programs. Conclusion: These findings demonstrate that many smaller regions of the country have no or few practicing adult rheumatologists. Patients with chronic rheumatic conditions in these areas likely have limited access to rheumatology care. Policy changes could address potential regional rheumatology workforce shortages, but limitations of the current data would need to be addressed prior to implementation of such changes.",
author = "FitzGerald, {John D.} and Michael Battistone and Brown, {Calvin R.} and Cannella, {Amy C.} and Eliza Chakravarty and Allan Gelber and Lozada, {Carlos J.} and Marilynn Punaro and Barbara Slusher and Abby Abelson and Elashoff, {David A.} and Latanya Benford",
year = "2013",
month = "12",
doi = "10.1002/art.38167",
language = "English (US)",
volume = "65",
pages = "3017--3025",
journal = "Arthritis and Rheumatology",
issn = "2326-5191",
publisher = "John Wiley and Sons Ltd",
number = "12",

}

TY - JOUR

T1 - Regional distribution of adult rheumatologists

AU - FitzGerald, John D.

AU - Battistone, Michael

AU - Brown, Calvin R.

AU - Cannella, Amy C.

AU - Chakravarty, Eliza

AU - Gelber, Allan

AU - Lozada, Carlos J.

AU - Punaro, Marilynn

AU - Slusher, Barbara

AU - Abelson, Abby

AU - Elashoff, David A.

AU - Benford, Latanya

PY - 2013/12

Y1 - 2013/12

N2 - Objective: To analyze the distribution of rheumatology practices in the US and factors associated with that distribution, in order to better understand the supply of the rheumatology workforce. Methods: Using the American College of Rheumatology membership database, all practicing adult rheumatologist office addresses were mapped with ArcView software. The number of rheumatologists per Core Based Statistical Area (CBSA) was calculated. To investigate whether sociodemographic factors correlated with clustering of rheumatologists, covariates from the 2010 US Census for each CBSA, including age, sex, race/ethnicity, and median household income, were modeled. Results: Many CBSAs, predominantly smaller micropolitan areas, did not have a practicing rheumatologist. For some of these smaller micropolitan areas (with populations of at least 40,000), the closest practicing rheumatologist was more than 200 miles away. However, we also identified several more-populous areas (populations of 200,000 or more) without a practicing rheumatologist. Greater numbers of rheumatologists were more likely to practice in areas with higher population densities and higher median incomes. More rheumatologists were also found in CBSAs in which there were rheumatology training programs. Conclusion: These findings demonstrate that many smaller regions of the country have no or few practicing adult rheumatologists. Patients with chronic rheumatic conditions in these areas likely have limited access to rheumatology care. Policy changes could address potential regional rheumatology workforce shortages, but limitations of the current data would need to be addressed prior to implementation of such changes.

AB - Objective: To analyze the distribution of rheumatology practices in the US and factors associated with that distribution, in order to better understand the supply of the rheumatology workforce. Methods: Using the American College of Rheumatology membership database, all practicing adult rheumatologist office addresses were mapped with ArcView software. The number of rheumatologists per Core Based Statistical Area (CBSA) was calculated. To investigate whether sociodemographic factors correlated with clustering of rheumatologists, covariates from the 2010 US Census for each CBSA, including age, sex, race/ethnicity, and median household income, were modeled. Results: Many CBSAs, predominantly smaller micropolitan areas, did not have a practicing rheumatologist. For some of these smaller micropolitan areas (with populations of at least 40,000), the closest practicing rheumatologist was more than 200 miles away. However, we also identified several more-populous areas (populations of 200,000 or more) without a practicing rheumatologist. Greater numbers of rheumatologists were more likely to practice in areas with higher population densities and higher median incomes. More rheumatologists were also found in CBSAs in which there were rheumatology training programs. Conclusion: These findings demonstrate that many smaller regions of the country have no or few practicing adult rheumatologists. Patients with chronic rheumatic conditions in these areas likely have limited access to rheumatology care. Policy changes could address potential regional rheumatology workforce shortages, but limitations of the current data would need to be addressed prior to implementation of such changes.

UR - http://www.scopus.com/inward/record.url?scp=84888989733&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84888989733&partnerID=8YFLogxK

U2 - 10.1002/art.38167

DO - 10.1002/art.38167

M3 - Article

VL - 65

SP - 3017

EP - 3025

JO - Arthritis and Rheumatology

JF - Arthritis and Rheumatology

SN - 2326-5191

IS - 12

ER -