Rural–Urban Distribution of the U.S. Geriatrics Physician Workforce

Member: American Geriatrics Society

The American Geriatrics Society's Geriatrics Workforce Policy Studies Center released new findings on the distribution of geriatricians across the rural–urban continuum from 2000 to 2008, compared with primary care physicians in 2008.

This article by Lars E. Peterson MD, PhD, Andrew Bazemore MD, MPH, Elizabeth J. Bragg PhD, RN, Imam Xierali PhD, and Gregg A. Warshaw MD was published in the March issue of the Journal of the American Geriatrics Society (JAGS).

The researchers found that the number of self-identified geriatricians nationwide increased from 5,157 to 7,412 from 2000 to 2008. The number of geriatricians increased in each RUCC level, with nearly 90% of geriatricians residing in urban areas in all years. In 2008, the number of geriatricians per 10,000 older adults declined as rurality increased (from 1.48 in the most-urban areas to 0.80 in the most rural). General internal medicine physicians are more plentiful in urban counties and declined as rurality increased (from 27.29 to 3.85 per 10,000 older adults in 2008). In contrast, family physicians were more evenly distributed with the elderly population across the rural–urban continuum (22.02 to 14.27 per 10,000 older adults in 2008).

The study found that a small numbers of geriatricians combined with a growing elderly population poses a challenge and an opportunity. Healthcare systems and policy-makers will need to modify care models to better use the skill of geriatricians in concert with other providers to provide quality care for older rural and urban Americans.

View the Map here.

View the JAGS report here.