Allied Health Workforce and Services Workshop Summary (2011) / Chapter Skim
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4 Supply and Demand
4 Supply and Demand
Pages 15-28
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From page 15... ...
Erin Fraher, director of the Health Professions Data System at the University of North Carolina at Chapel Hill, described the data collection and analysis system in North Carolina, which serves as an example for health care workforce planning. Finally, Jennifer Nooney, management analyst within the Health Resources and Services Administration's (HRSA's)
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They identify industries expected to undergo growth, so that an individual can consider a career in those industries or policy makers can invest in workforce development. For example, as seen in Figure 4-1, the BLS data show health care occupations have grown rapidly as a percentage of total employment in the past: from about 3 percent in 1958 to almost 12 percent today.
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Community and social 2,724 3,172 16.5 1,033 services occupations Education, training, and 9,210 10,534 14.4 3,332 library occupations Health care practitioners 7,491 9,091 21.4 3,139 and technical occupations Health care support 3,982 5,130 28.8 1,595 occupations Sales and related 15,903 16,883 6.2 5,713 occupations Office and administrative 24,101 25,943 7.6 7,255 support occupations Installation, maintenance, 5,798 6,238 7.6 1,586 and repair occupations Production occupations 10,083 9,734 –3.5 2,156 SOURCE: BLS, 2009a.
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Physicians and surgeons 661 806 21.8 261 Pharmacists 270 316 17.0 106 Registered nurses 2,619 3,200 22.2 1,039 Occupational therapists 105 131 25.6 46 Physical therapists 186 242 30.3 79 Physician assistants 75 104 39.0 43 Speech-language 119 141 18.5 44 pathologists Athletic trainers 16 22 37.0 12 Medical and clinical lab 172 193 11.9 53 technologists Medical and clinical lab 156 181 16.1 55 technicians Dental hygienists 174 237 36.1 98 Radiologic technologists 215 252 17.2 68 and technicians Respiratory therapists 106 128 20.9 41 Home health aides 922 1,383 50.0 553 Medical assistants 484 648 33.9 218 SOURCE: BLS, 2009a. demand for pharmacists growing by 17 percent from 2008 to 2018, with 106,000 new jobs over that period.
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The population of physical therapy assistants has grown even faster, and both grew faster than the supply of physicians, nurses, and pharmacists. However, the population of physical therapists grew most dramatically in the areas of the state that do not have shortages of health care professionals.
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The workforce development commission in North Carolina has created an allied health regional skills partnership that includes community colleges, local government, health care employers, and other regional stake 900 Manufacturing 800 700 773.8 Employment (1000s) 553.7 600 500 393.7 400 448.6 Health Care and Social Assistance 300 200 100 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Year FIGURE 4-2 Health care and social assistance employment vs.
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3650 467 460 3600 450 455 3550 3500 440 3450 430 3,435 3400 420 Non-Health Care 3350 Employment 410 3300 3250 400 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 Jan-08 Month-Year FIGURE 4-3 Health care and non-health care employment during recession, North Carolina. SOURCE: Reprinted with permission from Erin Fraher, North Carolina Health Professions Data System.
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Much better and more data will be needed on the effects of these differences on outcomes. North Carolina has received a state health care workforce planning grant from HRSA and has used it to assess the key health care services provided by PCMHs, the number and types of professionals needed in PCMHs, and how well supply matches the needs of the population.
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National data would benefit North Carolina as well as other states, because then state data could be compared with numbers in other states and with data for the nation as a whole. One impediment is that different states and the federal government have different ways of collecting and analyzing data.
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, physician assistants, dentists and dental hygienists, pharmacists, and physical therapists. These professions are some of the largest in health care and also reflect the priorities of HRSA, which is focused on primary care and health profession shortage areas.
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In fact, concluded Nooney, data for the allied health professions will be even more useful than in other areas because so little data are available today. DISCUSSION During the discussion period, the moderator of the session on data needs, Edward Salsberg, director of the National Center for Health Workforce Analysis, said that HRSA was open to talking with other allied health professions, in addition to physical therapy, about the minimum dataset.
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Activities such as coordinating chronic disease management could be handled in many different ways, and health care reform will influence the decisions that are made. Fraher brought up the divide between advanced educational requirements and the activities actually performed in some allied health fields.
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Salsberg responded that a challenge in the workforce planning community is to understand both short- and long-term trends. In the recent recession, the job market was soft even for nurses and allied health professionals, but that does not say much about what the job market will be like 10 years from now.
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