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Health Professions Resource Center

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Title: Health Professions Resource Center


1
Health Professions Resource Center
AHEC Diversity Regional Conferences
Demographics and Diversity of Health Care
Providers in Texas and Central Texas
Brian King, Program Director, HPRC
http//www.dshs.state.tx.us/CHS/hprc/
April 19, 2007
2
Professions Demographics
Primary Care Physicians Physician
Assistants General Dentists Registered
Nurses Pharmacists Physical Therapists Occupati
onal Therapists Mental Health Providers (7
professions) 14 total professions
Race/Ethnicity Gender Age Note Some of these
demographics are not available for some
professions
3
"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 Stamps 1st Baron Stamp of
Shortlands President of the Bank of England in
the 1920's, statistician and administrator
1880-1941
4
Central Texas 2006 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

5
Population Growth Relative to 1990
6
Race/Ethnicity and Gender Demographics 2006
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/
7
Other Race/Ethnicity July 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 Bureau http//www.census.gov
/popest/counties/asrh/files/cc-est2005-alldata-48.
csv Accessed 10/23/06
8
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.
9
PC Physicians - 2005 Median Ages
Texas Central Texas Total
46 45 Male 49
49 Female 41
40 White 48
47 Black 43
45 Hispanic 45
41 American Indian/ Alaskan Native
44
46 Asian/Pacific Islander 41
37 based on two records Data
source Texas Medical Boards physician licensing
database
10
PC Physician Supply Trends
Data source Texas Medical Boards physician
licensing database Prepared by Health
Professions Resource Center
11
PC Physician Median Age Trends
Data source Texas Medical Boards physician
licensing database Prepared by Health
Professions Resource Center
12
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.
13
Physician Assistants - 2006 Median Ages
Texas Central Texas Total
40 39 Male 45
47 Female 36
35 White 41
39 Black 41.5
33 Hispanic 37
40 American Indian/ Alaskan Native
49
42 Asian/Pacific Islander 33
32.5
Data source Texas Medical Boards physician
assistant licensing database
14
Physician Assistant Supply Trends
Data source Texas Medical Boards physician
assistant licensing database Prepared by Health
Professions Resource Center
15
Physician Assistant Median Age Trends
Data source Texas Medical Boards physician
assistant licensing database Prepared by Health
Professions Resource Center
16
Dentist Demographics - 2006
Texas Central Texas Total 8,453
649 Male 75.7
74.0 Female 24.3 26.0
Median Age 48 48 Male
51 52 Female
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.
17
Dentist Supply Trends
Data source Texas State Board of Dental
Examiners licensing database Prepared by Health
Professions Resource Center
18
Dentist Median Age Trends
Data source Texas State Board of Dental
Examiners licensing database Prepared by Health
Professions Resource Center
19
Registered Nurse Demographics - 2006
Texas 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.
20
Registered Nurses - 2006 Median Ages
Texas Central Texas Total
47 47 Male 44
46 Female 47
47 White 48
48 Black 46
45 Hispanic 40
41 American Indian 46
44 Asian/Oriental 43
38 Other 40
40
Data source Board of Nurse Examiners RN
licensing database
21
Registered Nurse Supply Trends
Data source Board of Nurse Examiners RN
licensing database Prepared by Health
Professions Resource Center
22
Registered Nurse Median Age Trends
Data source Board of Nurse Examiners RN
licensing database Prepared by Health
Professions Resource Center
23
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.
24
Pharmacist 2006 Median Ages
Texas Central Texas Total 46
45 Male 52
53 Female 40
41 White 50
47 Black 42
39 Hispanic 45
42.5 American Indian 36
39 Asian/Oriental 36
36 Other 39
31
Data source Texas State Board of Pharmacys
licensing database
25
Pharmacist Supply Trends
Data source Texas State Board of Pharmacys
licensing database Prepared by Health
Professions Resource Center Note Numbers in
Central Texas are rising but not as fast as
population
26
Pharmacist Median Age Trends
Data source Texas State Board of Pharmacys
licensing database Prepared by Health
Professions Resource Center
27
Physical Therapist Demographics - 2006
Texas 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.
28
Physical Therapist 2006 Median Ages
Texas Central Texas Total
39 39 Male 39
38 Female 39
39 White 40
39 Black 38
32.5 Hispanic 37
36 American Indian 42.5
44 Asian/Oriental 39
37 Other 32
34 Based on one record
Data source Executive Council of Physical
Therapy Occupational Therapy Examiners physical
therapist licensing database
29
Physical Therapist Supply Trends
Data source Executive Council of Physical
Therapy Occupational Therapy Examiners physical
therapist licensing database Prepared by Health
Professions Resource Center
30
Physical Therapist Median Age Trends
Data source Executive Council of Physical
Therapy Occupational Therapy Examiners physical
therapist licensing database Prepared by Health
Professions Resource Center
31
Occupational Therapist Demographics - 2006
Texas 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
32
Occupational Therapist 2006 Median Ages
Texas Central Texas Total 39
39 Male 39
41.5 Female 39
39 White 36
36 Black 36
30 Hispanic 34
37 American Indian 39.5
42 Asian/Oriental 33
32.5 Other 37
32 Based on one record
Data source Executive Council of Physical
Therapy Occupational Therapy Examiners occupati
onal therapist licensing database
33
Occupational Therapist Supply Trends
Data source Executive Council of Physical
Therapy Occupational Therapy Examiners occupati
onal therapist licensing database Prepared by
Health Professions Resource Center
34
Occupational Therapist Median Age Trends
Data source Executive Council of Physical
Therapy Occupational Therapy Examiners occupati
onal therapist licensing database Prepared by
Health Professions Resource Center
35
Mental Health Professions
Licensed Professional Counselors Licensed
Chemical Dependency Counselors Marriage and
Family Therapists Psychiatric Nurses Psychiatris
ts Psychologists Social Workers
36
Licensed Professional Counselor Supply Trends
Texas Central Texas
2005 Total 10,896
988 Gender and Race/Ethnicity not available
Data source Professional Licensing and
Certification Units licensed professional
counselor licensing database Prepared by Health
Professions Resource Center
37
Licensed Professional Counselor Median Age Trends
Texas Central Texas 2005 Median
Age 54 53
Data source Professional Licensing and
Certification Units licensed professional
counselor licensing database Prepared by Health
Professions Resource Center
38
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.
39
Licensed Chemical Dependency Counselor 2005
Median Ages
Texas Central Texas Total 53
52 Male 54
53 Female 52
51 White 54
53 Black 50
47 Hispanic 49
48 American Indian 55
58 Asian/Oriental 51
49 Other 53
39 Based on two records Based on three
records
Data source Professional Licensing and
Certification Units licensed chemical dependency
counselor licensing database
40
Licensed Chemical Dependency Counselor Supply
Trends
Note Numbers are dropping in both Texas and
Central Texas Data source Professional
Licensing and Certification Units licensed
chemical dependency counselor licensing
database Prepared by Health Professions Resource
Center
41
Licensed Chemical Dependency Counselor Median Age
Trends
Data source Professional Licensing and
Certification Units licensed chemical dependency
counselor licensing database Prepared by Health
Professions Resource Center
42
Marriage and Family Therapist Supply Trends
Texas Central Texas
2005 Total 2,790 236 Gender
and Race/Ethnicity not available
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 Units
marriage and family therapist licensing
database Prepared by Health Professions Resource
Center
43
Marriage and Family Therapist Median Age Trends
Texas Central Texas
2005 Median Age 57
55 Gender and Race/Ethnicity not available
Data source Professional Licensing and
Certification Units marriage and family
therapist licensing database Prepared by Health
Professions Resource Center
44
Psychiatric Nurse Demographics - 2006
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
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.
45
Psychiatric Nurse 2006 Median Ages
Texas Central Texas Total 53
52 Male 51
52 Female 53
52 White 54
53 Black 52
44 Hispanic 51
53.5 American Indian 53
52 Asian/Oriental 51
47 Other 48
37 Based on one record Based on two
records
Data source Board of Nurse Examiners RN
licensing database
46
Psychiatric Nurse Supply Trends
Note Numbers decreasing in both Texas and
Central Texas Data source Board of Nurse
Examiners RN licensing database Prepared by
Health Professions Resource Center
47
Psychiatric Nurse Median Age Trends
Data source Board of Nurse Examiners RN
licensing database Prepared by Health
Professions Resource Center
48
Psychiatrist Demographics 2005
Texas 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
179 counties had no psychiatrists in 2005
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.
49
Psychiatrist - 2005 Median Ages
Texas Central Texas Total
51.5 50 Male 54
54 Female 47
46 White 53
51 Black 46
40 Hispanic 51
50 American Indian/ Alaskan Native
45
49 Asian/Pacific Islander 49.5
39 based on one record
Data source Texas Medical Boards physician
licensing database
50
Psychiatrist Supply Trends
Data source Texas Medical Boards physician
licensing database Prepared by Health
Professions Resource Center
51
Psychiatrist Median Age Trends
Data source Texas Medical Boards physician
licensing database Prepared by Health
Professions Resource Center
52
Psychologist Supply Trends
Texas Central Texas
2005 Total 5,567
771 Gender, Age, and Race/Ethnicity not available
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
53
Social Worker Supply Trends
Texas Central Texas
2005 Total 15,687 2,020 Gender
and Race/Ethnicity not available
Data source Professional Licensing and
Certification Units social worker licensing
database Prepared by Health Professions Resource
Center
54
Social Worker Median Ages
Texas Central Texas
2005 Median Age 47 46
Data source Professional Licensing and
Certification Units social worker licensing
database Prepared by Health Professions Resource
Center
55
Population Trends by Race/Ethnicity percent of
total
Central Texas
Texas
Source Texas State Data Center, Migration
Scenario 2, 2/23/05, http//txsdc.utsa.edu/ Prepar
ed by Health Professions Resource Center
56
PC Physician Race/Ethnicity Trends percent of
total
Texas
Central Texas
Data source Texas Medical Boards physician
licensing database
57
PC Physician Supply Ratio Trends by
Race/Ethnicity
Texas
Central Texas
Data source Texas Medical Boards physician
licensing database
58
Physician Assistant Race/Ethnicity
Trends percent of total
Central Texas
Texas
Data source Texas Medical Boards physician
assistant licensing database
59
Physician Assistant Supply Ratio Trends by
Race/Ethnicity
Central Texas
Texas
Data source Texas Medical Boards physician
assistant licensing database
60
Registered Nurse Race/Ethnicity Trends percent
of total
Central Texas
Texas
Data source Board of Nurse Examiners registered
nurse licensing database
61
Registered Nurse Supply Ratio Trends by
Race/Ethnicity
Texas
Central Texas
Data source Board of Nurse Examiners registered
nurse licensing database
62
Race/Ethnicity Trends Texas
2000 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
Notepercentages 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/
63
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
Notepercentages 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/
64
Summary Supply Ratios
Over 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,
and Pharmacists, 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).
65
Summary Race/Ethnicity
Whites 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).
66
Summary Race/Ethnicity Trends
The 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.
67
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).
68
Summary Race/Ethnicity Median Ages
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.
Note This summary only applies to the
professions included in this presentation for
which race/ethnicity and age were available (9
professions).
69
Conclusions
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.
70
Conclusions
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.
71
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.
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