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Manpower Accomplishments The distribution of physicians across the state is a major concern to the AHEC Program. Each year the Program studies the distribution of physicians compared to the population of each of the 100 counties in North Carolina. The maps below show the change in physician/population ratio by county for the years 1963-1973, prior to the AHEC Program, and the same information for 1973-1983. From 1963-1973, 50 counties experienced a worsening physician to population ratio. In the years 1973-1983, after the creation of the statewide AHEC Program, the Office of Rural Health Services and other health manpower programs, 86 counties experienced an improved physcian to population ratio. The map for 1983-1988 shows a reversal in this situation. While it might be expected a plateau would be reached in the number of counties showing improvement, the state has seen 34 counties have a decline in the ratio of population to physicians. Although the majority of these counties are in a better situation than 10 years ago, the trend is undeniable. Several state agencies have worked to improve the distribution of physicians, and this trend reflects forces that are more powerful than the programs currently in place, including: The declining economic base of rural communities The economic deterioration of the rural hospital The cost of professional liability insurance for physicians wanting to deliver babies in rural areas The dramatic cutback in the National Health Services Corps The poor reimbursement of primary care physicians in rural areas Changing Patterns of Physician Distribution in the State (active non-federal physicians) Change in ratio of physicians/10,000 population, by county, for the state's 100 counties 1963-73 1973-83 The dark colored counties on the maps above are those which had an increase in total active, "in-federal physician/10,000 population ratios for the indicated time period. The counties in white had a de ase in total active, non-federal physician/10,000 ratios.
Object Description
Rating | |
Fixed Title * | NCHH-121: Progress Report [1976-] |
Document Title | Progress Report [1976-] |
Subject Name | North Carolina Area Health Education Centers Program -- Periodicals. |
Subject Topical | Medical education -- North Carolina -- Periodicals. |
Subject Topical Other | Education, Medical -- North Carolina.; Health Occupations -- education -- North Carolina.; Schools, Health Occupations -- North Carolina. |
Creator | North Carolina Area Health Education Centers Program. |
Publisher | [Chapel Hill, N.C. : The Program], |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1989 |
Identifier | NCHH-121-000 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Health Discipline | Pharmacy |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-121/nchh-121-089.pdf |
Document Sort | all; nchh-121 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-121-000 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-121 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2114723 |
Revision History | done |
Contributing Institution | University of North Carolina at Chapel Hill. Health Sciences Library. |
Description
Fixed Title * | Page 14 (image) |
Document Title | Progress Report [1976-] |
Subject Name | North Carolina Area Health Education Centers Program -- Periodicals. |
Subject Topical | Medical education -- North Carolina -- Periodicals. |
Subject Topical Other | Education, Medical -- North Carolina.; Health Occupations -- education -- North Carolina.; Schools, Health Occupations -- North Carolina. |
Creator | North Carolina Area Health Education Centers Program. |
Publisher | [Chapel Hill, N.C. : The Program], |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1989 |
Identifier | NCHH-121-000-0016 |
Form General | Periodicals |
Page Type | all; all images; map; organizational news; report/review |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | progressreportse1989nort_0016.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Page Number | 14 |
Health Discipline | Pharmacy |
Full Text | Manpower Accomplishments The distribution of physicians across the state is a major concern to the AHEC Program. Each year the Program studies the distribution of physicians compared to the population of each of the 100 counties in North Carolina. The maps below show the change in physician/population ratio by county for the years 1963-1973, prior to the AHEC Program, and the same information for 1973-1983. From 1963-1973, 50 counties experienced a worsening physician to population ratio. In the years 1973-1983, after the creation of the statewide AHEC Program, the Office of Rural Health Services and other health manpower programs, 86 counties experienced an improved physcian to population ratio. The map for 1983-1988 shows a reversal in this situation. While it might be expected a plateau would be reached in the number of counties showing improvement, the state has seen 34 counties have a decline in the ratio of population to physicians. Although the majority of these counties are in a better situation than 10 years ago, the trend is undeniable. Several state agencies have worked to improve the distribution of physicians, and this trend reflects forces that are more powerful than the programs currently in place, including: The declining economic base of rural communities The economic deterioration of the rural hospital The cost of professional liability insurance for physicians wanting to deliver babies in rural areas The dramatic cutback in the National Health Services Corps The poor reimbursement of primary care physicians in rural areas Changing Patterns of Physician Distribution in the State (active non-federal physicians) Change in ratio of physicians/10,000 population, by county, for the state's 100 counties 1963-73 1973-83 The dark colored counties on the maps above are those which had an increase in total active, "in-federal physician/10,000 population ratios for the indicated time period. The counties in white had a de ase in total active, non-federal physician/10,000 ratios. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-121/nchh-121-089.pdf |
Document Sort | all; nchh-121 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-121-000 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-138 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2114723 |
Revision History | done |
Contributing Institution | University of North Carolina at Chapel Hill. Health Sciences Library. |
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