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Health Professions Resource Center AHEC Diversity Regional Conferences http://www.dshs.state.tx.us/CHS/hprc/ Demographics and Diversity of Health Care Providers in Texas and Central Texas April 19, 2007 Brian King, Program Director, HPRC

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Page 1: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Health Professions Resource Center

AHEC Diversity Regional Conferences

http://www.dshs.state.tx.us/CHS/hprc/

Demographics and Diversityof Health Care Providers

in Texas and Central Texas

April 19, 2007

Brian King, Program Director, HPRC

Page 2: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Professions Demographics

Primary Care Physicians

Physician Assistants

General Dentists

Registered Nurses

Pharmacists

Physical Therapists

Occupational Therapists

Mental Health Providers (7 professions)

14 total professions

Race/Ethnicity

Gender

Age

Note: Some of these demographics are not available for some professions

Page 3: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

"The government is very keen on amassing statistics. They collect them, add them, raise them to the nth power, take the cube root and prepare wonderful diagrams. But you must never forget that every one of these figures comes in the first instance from the village watchman, who just puts down what he damn (well) pleases."

Josiah Charles Stamps1st Baron Stamp of Shortlands President of the Bank of England in the 1920's, statistician and administrator 1880-1941

Page 4: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Central Texas2006 Projected Population

•Bastrop County - 76,537

•Blanco County - 9,741

•Burnet County - 40,129

•Caldwell County - 36,989

•Hays County - 140,024

•Travis County - 891,190

•Williamson County - 339,686

Central Texas - 1,534,296 (6.5%)

Texas – 23,464,827

Page 5: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Population Growth Relative to 1990

1

1.1

1.2

1.3

1.4

1.5

1.6

1.7

1.8

1990 1992 1994 1996 1998 2000 2002 2004 2006

Gro

wth

Rel

ativ

e to

199

0 (1

990=

1.0) Texas

Central Texas

Page 6: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Race/Ethnicity and Gender Demographics2006

Texas: Central Texas:

White 48.6 % 58.6 %

Black 11.3 % 7.5 %

Hispanic 36.1 % 29.5 %

Other 3.9 % 4.4 %

Male 50.0 % 51.1 %

Female 50.0 % 48.9 %

Population data from the Texas State Data Center, Migration Scenario 2,

Produced 2/23/05, accessed 12/13/05, http://txsdc.utsa.edu/

Page 7: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

“Other” Race/EthnicityJuly 1, 2005 Estimate

Texas: Central Texas:

Asian/Oriental 3.3 % 4.2 %

American Indian 0.7 % 0.7 %

Hawaiian/Pacific Islander 0.1 % 0.1 %

Data from U.S. Census Bureauhttp://www.census.gov/popest/counties/asrh/files/cc-est2005-alldata-48.csvAccessed 10/23/06

Page 8: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Primary Care (PC) Physician Demographics – 2005

Texas: Central Texas:

Total 15,718 1,115

Male 67.8 % 60.3 %Female 32.2 % 39.7 %

White 60.2 % 73.0 %Black 5.7 % 2.9 %Hispanic 13.5 % 9.2 %American Indian/ Alaskan Native 0.3 % 0.2 %Asian/Pacific Islander 18.5 % 13.0 %Unknown 1.9 % 1.7 %

Physician data from the 2005 licensing database obtained from the Texas Medical Board; includes all active non-federal primary care physicians practicing in Texas. Residents and fellows, teachers, administrators, researchers, federal, military, retired and "not-in-practice" physicians are excluded from the supply totals. Primary care physicians include those with a primary specialty of family practice/medicine, general practice, pediatrics, internal medicine, obstetrics and/or gynecology, and geriatrics.

Page 9: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

PC Physicians - 2005Median Ages

Texas: Central Texas:

Total 46 45

Male 49 49Female 41 40

White 48 47Black 43 45Hispanic 45 41American Indian/ Alaskan Native 44 46*Asian/Pacific Islander 41 37

*based on two records

Data source: Texas Medical Board’s physician licensing database

Page 10: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

PC Physician Supply Trends

50

60

70

80

90

100

1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005

PC

Ph

ysic

ian

s p

er 1

00,0

00 P

op

ula

tio

n

Texas

Central Texas

Data source: Texas Medical Board’s physician licensing databasePrepared by: Health Professions Resource Center

Page 11: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

PC Physician Median Age Trends

40

41

42

43

44

45

46

47

48

49

50

1998 1999 2000 2001 2002 2003 2004 2005

PC

Ph

ysic

ian

s' M

edia

n A

ges

Texas

Central Texas

Data source: Texas Medical Board’s physician licensing databasePrepared by: Health Professions Resource Center

Page 12: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Physician Assistant Demographics – 2006

Texas: Central Texas:

Total 3,630 222

Male 44.1 % 35.6 %Female 55.9 % 64.4 %

White 74.0 % 82.4 %Black 5.2 % 2.3 %Hispanic 13.2 % 9.5 %American Indian/ Alaskan Native 0.6 % 1.4 %Asian/Pacific Islander 5.5 % 3.6 %Unknown 1.5 % 0.9 %

Physician Assistant data from the 2006 licensing database obtained from the Texas Medical Board; includes all active physician assistants practicing in Texas.

Page 13: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Physician Assistants - 2006Median Ages

Texas: Central Texas:

Total 40 39

Male 45 47Female 36 35

White 41 39Black 41.5 33Hispanic 37 40American Indian/ Alaskan Native 49 42Asian/Pacific Islander 33 32.5

Data source: Texas Medical Board’s physician assistant licensing database

Page 14: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Physician Assistant Supply Trends

2

4

6

8

10

12

14

16

18

1991 1993 1995 1997 1999 2001 2003 2005Ph

ysic

ian

Ass

ista

nts

per

100

,000

Po

pu

lati

on

Texas

Central Texas

Data source: Texas Medical Board’s physician assistant licensing databasePrepared by: Health Professions Resource Center

Page 15: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Physician Assistant Median Age Trends

35

36

37

38

39

40

41

42

43

44

45

1998 2000 2002 2004 2006

Ph

ysic

ian

Ass

ista

nts

' Med

ian

Ag

es Texas

Central Texas

Data source: Texas Medical Board’s physician assistant licensing databasePrepared by: Health Professions Resource Center

Page 16: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Dentist Demographics - 2006

Texas: Central Texas:

Total 8,453 649

Male 75.7 % 74.0 %Female 24.3 % 26.0 %

Median Age 48 48Male 51 52Female 38 38

Race/ethnicity data not available

Dentist data from the 2006 licensing database obtained from the Texas State Board of Dental Examiners; includes all active and non-federal primary care dentists practicing in Texas. Residents and fellows, teachers, administrators, researchers, federal, military, retired and "not-in-practice" dentists are excluded from the supply totals. Primary care dentists include those with a specialty of general dentistry, pediatric dentistry, or dental public health.

Page 17: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Dentist Supply Trends

30

35

40

45

50

1990 1992 1994 1996 1998 2000 2002 2004 2006

Den

tist

s p

er 1

00,0

00 P

op

ula

tio

n

Texas

Central Texas

Data source: Texas State Board of Dental Examiners’ licensing databasePrepared by: Health Professions Resource Center

Page 18: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Dentist

Median Age Trends

35

40

45

50

55

1993 1995 1997 1999 2001 2003 2005

Den

tist

s' M

edia

n A

ges

Texas

Central Texas

Data source: Texas State Board of Dental Examiners’ licensing databasePrepared by: Health Professions Resource Center

Page 19: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Registered Nurse Demographics - 2006Texas: Central Texas:

Total 149,948 9,228

Male 9.6 % 8.6 %Female 90.4 % 91.4 %

White 73.4 % 84.1 %Black 7.8 % 3.7 %Hispanic 9.0 % 6.4 %American Indian 0.3 % 0.3 %Asian/Oriental 7.9 % 4.4 %Other 1.5 % 1.2 %

Registered Nurse data from the 2006 licensing database obtained from the Texas Board of Nurse Examiners; includes all active registered nurses practicing in Texas.

Page 20: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Registered Nurses - 2006Median Ages

Texas: Central Texas:

Total 47 47

Male 44 46Female 47 47

White 48 48Black 46 45Hispanic 40 41American Indian 46 44Asian/Oriental 43 38Other 40 40

Data source: Board of Nurse Examiners’ RN licensing database

Page 21: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Registered Nurse Supply Trends

300

350

400

450

500

550

600

650

700

1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006Reg

iste

red

Nu

rses

per

100

,000

Po

pu

lati

on

Texas

Central Texas

Data source: Board of Nurse Examiners’ RN licensing databasePrepared by: Health Professions Resource Center

Page 22: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Registered Nurse Median Age Trends

40

41

42

43

44

45

46

47

48

49

50

1999 2000 2001 2002 2003 2004 2005 2006

Reg

iste

red

Nu

rses

' Med

ian

Ag

es

Texas

Central Texas

Data source: Board of Nurse Examiners’ RN licensing databasePrepared by: Health Professions Resource Center

Page 23: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Pharmacist Demographics - 2006 Texas: Central Texas:

Total 17,776 1,231

Male 51.2 % 41.7 %Female 48.8 % 58.3 %

White 61.4 % 78.6 %Black 13.0 % 2.2 %Hispanic 8.5 % 6.8 %American Indian 0.8 % 0.6 %Asian/Oriental 14.3 % 9.9 %Other 1.3 % 1.0 %Unknown 0.8 % 1.0 %

Pharmacist data from the 2006 licensing database obtained from the Texas State Board of Pharmacy; includes all active pharmacists practicing in Texas.

Page 24: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Pharmacist – 2006Median Ages

Texas: Central Texas:

Total 46 45

Male 52 53Female 40 41

White 50 47Black 42 39Hispanic 45 42.5American Indian 36 39Asian/Oriental 36 36Other 39 31

Data source: Texas State Board of Pharmacy’s licensing database

Page 25: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Pharmacist Supply Trends

50

60

70

80

90

100

110

1991 1993 1995 1997 1999 2001 2003 2005

Ph

arm

acis

ts p

er 1

00,0

00 P

op

ula

tio

n

Texas

Central Texas

Data source: Texas State Board of Pharmacy’s licensing databasePrepared by: Health Professions Resource Center

Note: Numbers in Central Texas are rising but not as fast as population

Page 26: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Pharmacist Median Age Trends

40

41

42

43

44

45

46

47

48

49

50

2000 2001 2002 2003 2004 2005 2006

Ph

arm

acis

ts' M

edia

n A

ges

Texas

Central Texas

Data source: Texas State Board of Pharmacy’s licensing databasePrepared by: Health Professions Resource Center

Page 27: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Physical Therapist Demographics - 2006Texas: Central Texas:

Total 8,933 867

Male 28.7 % 23.8 %Female 71.3 % 76.2 %

White 77.6 % 86.9 %Black 2.7 % 1.2 %Hispanic 6.2 % 5.4 %American Indian 0.2 % 0.1 %Asian/Oriental 10.3 % 4.2 %Other 2.4 % 2.0 %Unknown 0.5 % 0.3 %

Physical Therapist data from the 2006 licensing database obtained from the Executive Council of Physical Therapy & Occupational Therapy Examiners; includes all active physical therapists practicing in Texas.

Page 28: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Physical Therapist – 2006Median Ages

Texas: Central Texas:

Total 39 39

Male 39 38Female 39 39

White 40 39Black 38 32.5Hispanic 37 36American Indian 42.5 44*Asian/Oriental 39 37Other 32 34

* Based on one record

Data source: Executive Council of Physical Therapy & Occupational Therapy Examiners’physical therapist licensing database

Page 29: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Physical Therapist Supply Trends

20

30

40

50

60

70

1993 1995 1997 1999 2001 2003 2005Ph

ysic

al T

her

apis

ts p

er 1

00,0

00 P

op

ula

tio

n

Texas

Central Texas

Data source: Executive Council of Physical Therapy & Occupational Therapy Examiners’physical therapist licensing databasePrepared by: Health Professions Resource Center

Page 30: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Physical Therapist Median Age Trends

35

36

37

38

39

40

1999 2000 2001 2002 2003 2004 2005 2006

Ph

ysic

al T

her

apis

ts' M

edia

n A

ges Texas

Central Texas

Data source: Executive Council of Physical Therapy & Occupational Therapy Examiners’physical therapist licensing databasePrepared by: Health Professions Resource Center

Page 31: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Occupational Therapist Demographics - 2006Texas: Central Texas:

Total 5,534 474

Male 12.1 % 9.7 %Female 87.9 % 90.3 %

White 54.0 % 58.4 %Black 3.2 % 0.8 %Hispanic 9.4 % 6.5 %American Indian 0.1 % 0.2 %Asian/Oriental 3.9 % 3.4 %Other 3.8 % 4.4 %*Unknown 25.6 % 26.2 %

Occupational Therapist data from the 2006 licensing database obtained from the Executive Council of Physical Therapy & Occupational Therapy Examiners; includes all active occupational therapists practicing in Texas.

*High number of Unknown values; race/ethnicity percentages possibly skewed

Page 32: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Occupational Therapist – 2006Median Ages

Texas: Central Texas:

Total 39 39

Male 39 41.5Female 39 39

White 36 36Black 36 30Hispanic 34 37American Indian 39.5 42*Asian/Oriental 33 32.5Other 37 32

* Based on one record

Data source: Executive Council of Physical Therapy & Occupational Therapy Examiners’occupational therapist licensing database

Page 33: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Occupational Therapist Supply Trends

10

20

30

40

1994 1996 1998 2000 2002 2004 2006

Occ

up

atio

nal

Th

erap

ists

per

100

,000

P

op

ula

tio

n

Texas

Central Texas

Data source: Executive Council of Physical Therapy & Occupational Therapy Examiners’occupational therapist licensing databasePrepared by: Health Professions Resource Center

Page 34: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Occupational Therapist Median Age Trends

35

36

37

38

39

40

2001 2002 2003 2004 2005 2006

Occ

up

atio

nal

Th

erap

ists

' Med

ian

Ag

es

Texas

Central Texas

Data source: Executive Council of Physical Therapy & Occupational Therapy Examiners’occupational therapist licensing databasePrepared by: Health Professions Resource Center

Page 35: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Mental Health Professions

Licensed Professional Counselors

Licensed Chemical Dependency Counselors

Marriage and Family Therapists

Psychiatric Nurses

Psychiatrists

Psychologists

Social Workers

Page 36: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Licensed Professional Counselor Supply Trends

30

40

50

60

70

80

90

2001 2002 2003 2004 2005

Lic

ense

d P

rofe

ssio

nal

Co

un

selo

rs p

er 1

00,0

00

Po

pu

lati

on

Texas

Central Texas

Data source: Professional Licensing and Certification Unit’s licensed professional counselor licensing databasePrepared by: Health Professions Resource Center

Texas: Central Texas:

2005 Total 10,896 988

Gender and Race/Ethnicity not available

Page 37: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Licensed Professional Counselor Median Age Trends

45

46

47

48

49

50

51

52

53

54

55

2001 2002 2003 2004 2005

Lic

ense

d P

rofe

ssio

nal

Co

un

selo

rs' M

edia

n

Ag

es

Texas

Central Texas

Data source: Professional Licensing and Certification Unit’s licensed professional counselor licensing databasePrepared by: Health Professions Resource Center

Texas: Central Texas:

2005 Median Age 54 53

Page 38: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Licensed Chemical Dependency Counselor Demographics – 2005

Texas: Central Texas:

Total 4,186 387

Male 40.3 % 32.3 %Female 59.7 % 67.7 %

White 67.7 % 75.2 %Black 16.5 % 12.7 %Hispanic 12.8 % 10.1 %American Indian 0.8 % 0.5 %Asian/Oriental 0.5 % 0.3 %Other 1.2 % 0.8 %Unknown 0.5 % 0.5 %

Licensed Chemical Dependency Counselor data from the 2005 licensing database obtained from the Professional Licensing and Certification Unit, Department of State Health Services; includes all active licensed chemical dependency counselors practicing in Texas.

Page 39: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Licensed Chemical Dependency Counselor – 2005 Median Ages

Texas: Central Texas:

Total 53 52

Male 54 53Female 52 51

White 54 53Black 50 47Hispanic 49 48American Indian 55 58*Asian/Oriental 51 49Other 53 39**

*Based on two records**Based on three records

Data source: Professional Licensing and Certification Unit’s licensed chemical dependency counselor licensing database

Page 40: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Licensed Chemical Dependency Counselor Supply Trends

10

20

30

40

50

2002 2003 2004 2005Lic

ense

d C

hem

ical

Dep

end

ency

Co

un

selo

rs

per

100

,000

Po

pu

lati

on

Texas

Central Texas

Note: Numbers are dropping in both Texas and Central Texas

Data source: Professional Licensing and Certification Unit’s licensed chemical dependency counselor licensing databasePrepared by: Health Professions Resource Center

Page 41: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Licensed Chemical Dependency Counselor Median Age Trends

45

46

47

48

49

50

51

52

53

54

55

2002 2003 2004 2005Lic

ense

d C

hem

ical

Dep

end

ency

Co

un

selo

rs'

Med

ian

Ag

es

Texas

Central Texas

Data source: Professional Licensing and Certification Unit’s licensed chemical dependency counselor licensing databasePrepared by: Health Professions Resource Center

Page 42: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Marriage and Family Therapist Supply Trends

10

20

30

1999 2001 2003 2005Mar

riag

e an

d F

amil

y T

her

apis

ts p

er 1

00,0

00

Po

pu

lati

on

Texas

Central Texas

Note: Numbers have been dropping in both Texas and Central Texas, although the numbers have been rising in Central Texas since 2004.

Data source: Professional Licensing and Certification Unit’s marriage and family therapist licensing databasePrepared by: Health Professions Resource Center

Texas: Central Texas:

2005 Total 2,790 236Gender and Race/Ethnicity not available

Page 43: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Marriage and Family Therapist Median Age Trends

50

51

52

53

54

55

56

57

58

59

60

2002 2003 2004 2005

Mar

riag

e an

d F

amil

y T

her

apis

ts' M

edia

n A

ges

Texas

Central Texas

Data source: Professional Licensing and Certification Unit’s marriage and family therapist licensing databasePrepared by: Health Professions Resource Center

Texas: Central Texas:

2005 Median Age 57 55

Gender and Race/Ethnicity not available

Page 44: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Psychiatric Nurse Demographics - 2006

Psychiatric Nurse data from the 2006 licensing database obtained from the Texas Board of Nurse Examiners; includes all active registered nurses with a “work area” of psychiatric/mental health/substance abuse practicing in Texas.

Texas: Central Texas:

Total 4,569 401

Male 14.5 % 17.5 %Female 85.5 % 82.5 %

White 75.1 % 81.8 %Black 12.7 % 8.2 %Hispanic 6.9 % 5.5 %American Indian 0.4 % 0.2 %Asian/Oriental 3.9 % 3.7 %Other 0.9 % 0.5 %

Page 45: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Psychiatric Nurse – 2006Median Ages

Texas: Central Texas:

Total 53 52

Male 51 52Female 53 52

White 54 53Black 52 44Hispanic 51 53.5American Indian 53 52*Asian/Oriental 51 47Other 48 37**

* Based on one record* Based on two records

Data source: Board of Nurse Examiner’s RN licensing database

Page 46: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Psychiatric Nurse Supply Trends

10

15

20

25

30

35

40

45

50

55

1990 1992 1994 1996 1998 2000 2002 2004 2006

Psy

chia

tric

Nu

rses

per

100

,000

Po

pu

lati

on

Texas

Central Texas

Note: Numbers decreasing in both Texas and Central Texas

Data source: Board of Nurse Examiner’s RN licensing databasePrepared by: Health Professions Resource Center

Page 47: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Psychiatric Nurse Median Age Trends

45

46

47

48

49

50

51

52

53

54

55

1999 2000 2001 2002 2003 2004 2005 2006

Psy

chia

tric

Nu

rses

' Med

ian

Ag

es Texas

Central Texas

Data source: Board of Nurse Examiner’s RN licensing databasePrepared by: Health Professions Resource Center

Page 48: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Psychiatrist Demographics – 2005Texas: Central Texas:

Total 1,488 158

Male 67.0 % 65.2 %Female 33.0 % 34.8 %

White 66.3 % 77.8 %Black 3.7 % 0.6 %Hispanic 12.4 % 5.7 %American Indian/ Alaskan Native 0.3 % 0.6 %Asian/Pacific Islander 14.2 % 12.0 %Unknown 3.1 % 3.2 %

Psychiatrist data from the 2005 licensing database obtained from the Texas Medical Board; includes all active non-federal psychiatrists and child psychiatrists practicing in Texas. Residents and fellows, teachers, administrators, researchers, federal, military, retired and "not-in-practice" psychiatrists are excluded from the supply totals.

179 counties had no psychiatrists in 2005

Page 49: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Psychiatrist - 2005 Median Ages

Texas: Central Texas:

Total 51.5 50

Male 54 54Female 47 46

White 53 51Black 46 40*Hispanic 51 50American Indian/ Alaskan Native 45 49Asian/Pacific Islander 49.5 39*

*based on one record

Data source: Texas Medical Board’s physician licensing database

Page 50: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Psychiatrist Supply Trends

0

5

10

15

20

1990 1992 1994 1996 1998 2000 2002 2004

Psy

chia

tris

ts p

er 1

00,0

00 P

op

ula

tio

n

Texas

Central Texas

Data source: Texas Medical Board’s physician licensing databasePrepared by: Health Professions Resource Center

Page 51: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Psychiatrist Median Age Trends

45

46

47

48

49

50

51

52

53

54

55

1998 1999 2000 2001 2002 2003 2004 2005

Psy

chia

tris

ts' M

edia

n A

ges

Texas

Central Texas

Data source: Texas Medical Board’s physician licensing databasePrepared by: Health Professions Resource Center

Page 52: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Psychologist Supply Trends

20

30

40

50

60

1999 2000 2001 2002 2003 2004 2005

Psy

cho

log

ists

per

100

,000

Po

pu

lati

on

Texas

Central Texas

Psychologist data from the 2005 licensing database obtained from the Texas State Board of Examiners of Psychologists (TSBEP). In Texas, there are four categories of licensees recognized by TSBEP: Licensed Psychologist, Provisionally Licensed Psychologist, Licensed Specialist in School Psychology, and Licensed Psychological Associates. A psychologist may hold more than one of these licenses. The statistics in this presentation represent an unduplicated count of those four types of licensees.Prepared by: Health Professions Resource Center

Texas: Central Texas:

2005 Total 5,567 771

Gender, Age, and Race/Ethnicity not available

Page 53: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Social Worker Supply Trends

60

80

100

120

140

160

180

1999 2000 2001 2002 2003 2004 2005

So

cial

Wo

rker

s p

er 1

00,0

00 P

op

ula

tio

n

Texas

Central Texas

Data source: Professional Licensing and Certification Unit’s social worker licensing databasePrepared by: Health Professions Resource Center

Texas: Central Texas:

2005 Total 15,687 2,020

Gender and Race/Ethnicity not available

Page 54: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Social Worker Median Ages

40

41

42

43

44

45

46

47

48

49

50

2001 2002 2003 2004 2005

So

cial

Wo

rker

s' M

edia

n A

ges Texas

Central Texas

Data source: Professional Licensing and Certification Unit’s social worker licensing databasePrepared by: Health Professions Resource Center

Texas: Central Texas:

2005 Median Age 47 46

Page 55: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Population Trends by Race/Ethnicitypercent of total

0

10

20

30

40

50

60

70

80

90

100

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

White Black Hispanic Other

Texas Central Texas

0

10

20

30

40

50

60

70

80

90

100

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Per

cen

t

White Black Hispanic Other

Source: Texas State Data Center, Migration Scenario 2, 2/23/05, http://txsdc.utsa.edu/

Prepared by: Health Professions Resource Center

Page 56: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

PC Physician – Race/Ethnicity Trendspercent of total

0

10

20

30

40

50

60

70

80

90

100

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

White Black Hispanic Other

Texas Central Texas

0

10

20

30

40

50

60

70

80

90

100

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Per

cen

t

White Black Hispanic Other

Data source: Texas Medical Board’s physician licensing database

Page 57: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

PC Physician –Supply Ratio Trends by Race/Ethnicity

0

50

100

150

200

250

300

350

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

White Black Hispanic Other

Texas Central Texas

0

50

100

150

200

250

300

350

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Per

100

,000

Po

pu

lati

on

White Black Hispanic Other

Data source: Texas Medical Board’s physician licensing database

Page 58: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Physician Assistant – Race/Ethnicity Trendspercent of total

0

10

20

30

40

50

60

70

80

90

100

1998 1999 2000 2001 2002 2003 2004 2005 2006

White Black Hispanic Other

Texas Central Texas

0

10

20

30

40

50

60

70

80

90

100

1998 1999 2000 2001 2002 2003 2004 2005 2006

Per

cen

t

White Black Hispanic Other

Data source: Texas Medical Board’s physician assistant licensing database

Page 59: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Physician Assistant – Supply Ratio Trends by Race/Ethnicity

0

5

10

15

20

25

30

1998 1999 2000 2001 2002 2003 2004 2005 2006

White Black Hispanic Other

Texas Central Texas

0

5

10

15

20

25

30

1998 1999 2000 2001 2002 2003 2004 2005 2006

per

100

,000

po

pu

lati

on

White Black Hispanic Other

Data source: Texas Medical Board’s physician assistant licensing database

Page 60: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Registered Nurse – Race/Ethnicity Trendspercent of total

0

10

20

30

40

50

60

70

80

90

100

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

White Black Hispanic Other

Texas Central Texas

0

10

20

30

40

50

60

70

80

90

100

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Per

cen

t

White Black Hispanic Other

Data source: Board of Nurse Examiners’ registered nurse licensing database

Page 61: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Registered Nurse – Supply Ratio Trends by Race/Ethnicity

0

200

400

600

800

1000

1200

1400

1600

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

White Black Hispanic Other

Texas Central Texas

0

200

400

600

800

1000

1200

1400

1600

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Per

100

,000

Po

pu

lati

on

White Black Hispanic Other

Data source: Board of Nurse Examiners’ registered nurse licensing database

Page 62: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Race/Ethnicity Trends – Texas2000 % 2005 % 2005 Pop %

PC Physicians White 65.2 60.2 49.4 Black 4.5 5.7 11.4 Hispanic 12.6 13.5 35.4 Other 15.9 18.8 3.8

Physician Assistants White 78.5 74.8 49.4 Black 5.0 5.2 11.4 Hispanic 9.7 12.5 35.4 Other 4.2 5.9 3.8

Registered Nurses White 78.0 74.6 49.4 Black 6.7 7.6 11.4 Hispanic 7.2 8.5 35.4 Other 8.0 9.3 3.8

Note:percentages may not equal 100 due to the number whose race was Unknown

Population data from the Texas State Data Center, Migration Scenario 2, 2/23/05, http://txsdc.utsa.edu/

Page 63: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Race/Ethnicity Trends – Central Texas

2000 % 2005 % 2005 Pop %PC Physicians White 77.0 73.0 59.2 Black 3.1 2.9 7.6 Hispanic 8.5 9.2 28.9 Other 10.0 13.2 4.3

Physician Assistants White 88.1 84.6 59.2 Black 1.8 2.1 7.6 Hispanic 4.6 7.7 28.9 Other 2.8 4.6 4.3

Registered Nurses White 87.5 85.1 59.2 Black 3.2 3.6 7.6 Hispanic 5.2 6.0 28.9 Other 4.1 5.2 4.3

Note:percentages may not equal 100 due to the number whose race was Unknown

Population data from the Texas State Data Center, Migration Scenario 2, 2/23/05, http://txsdc.utsa.edu/

Page 64: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Summary – Supply RatiosOver time, the supply ratios have decreased or remained flat for all of the mental health professions Statewide and in Central Texas.

Central Texas had higher supply ratios than Texas as a whole for the mental health professions.

The supply ratios for the non-mental health professions have been increasing in Texas and Central Texas over the long term *except Dentists, where the ratios have remained relatively flat in both, andPharmacists, which have shown a decrease in Central Texas.

For at least the last decade, the Central Texas supply ratios have been higher than the Texas supply ratios for 5 of the 7 non-mental health professions.

Note: This summary only applies to the professions included in this presentation (14 professions).

Page 65: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Summary – Race/EthnicityWhites comprised the majority of all professions in Texas*, and Central Texas had a higher percentage of Whites in both those professions and the population than did Texas as a whole.

Texas had a higher percentage of Blacks, Hispanics, and Asian/Orientals/Pacific Islanders than did Central Texas for all professions.

Texas had a higher percentage of Native American/Alaskan Natives than did Central Texas for 5 professions; Central Texas had a higher percentage for 3 professions, and for 1 profession, the percentage was equal.*Note: These conclusions only apply to the professions included in this presentation for which race/ethnicity was available (9 professions).

Page 66: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Summary – Race/Ethnicity TrendsThe percentages - and supply ratios - of non-White physicians, physician assistants, and registered nurses are generally increasing both in Texas and Central Texas.

However, Blacks and Hispanics are underrepresented, compared to their proportion of the general population.

The proportion of Hispanic health providers is growing slowly compared to their rate of growth in the general population.

The proportion of “Others” are generally higher than their proportion in the general population

Note: These conclusions only apply to physicians, physician assistants, and registered nurses.

Page 67: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Summary – Gender & Median Ages

For all professions, other than psychiatric nurses, Central Texas had a higher percentage of females in the workforce than did Texas as a whole.*

For Texas, the median ages of males were higher than those of females for 6 of 10 professions, and were equal in 2 others.**

Texas had higher median ages than Central Texas for 9 of 13 professions, and the median ages were the same for the other 4 professions.**

*applies only to the professions included in this presentation for which gender was available (10 professions)**applies only to the professions included in this presentation for which age was available (13 professions).

Page 68: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Summary – Race/Ethnicity & Median Ages

Note: This summary only applies to the professions included in this presentation for which race/ethnicity and age were available (9 professions).

For 6 of 9 professions, Whites had the highest median ages.

The categories of Asian/Pacific Islanders or “Other” had the lowest median ages in 7 of 9 professions.

Marriage and Family Therapists had the highest median ages, and Physical and Occupational Therapists had the lowest median ages.

Mental Health professions generally had higher median ages than other professions.

Page 69: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Based on the information presented here:

The supply ratios are increasing for most

professions other than mental health, suggesting

that those professionals who leave the workforce

are being replaced by new practitioners, and that

new practitioners are entering the professions at a

greater rate than the population growth. However,

the workforce is aging, and more study will be

required to understand how this will affect supply

ratios in the future.

Conclusions

Page 70: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

In general, based on the information presented here:

Central Texas providers are generally younger than the providers in the state as a whole.

There is less racial/ethnic diversity - both in the general population and in the professions included in this presentation - in Central Texas than in Texas as a whole.

There is more gender diversity in Central Texas than in Texas as a whole.

Conclusions

Page 71: Health Professions Resource Center AHEC Diversity Regional Conferences  Demographics and Diversity of Health Care

Conclusions

In general, based on the information presented here:

If the status quo is maintained, the proportions of minorities in the health professions should continue to increase (although perhaps at a slower rate in Central Texas), but it will likely take some time before Blacks and Hispanics are represented in proportions comparable to their proportion in the general population.