Arkansas Health Professions Manpower Statistics 2014

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1 rkansas ealth rofessions anpower tatistics 2014 arilea Brock, B.. ynda ehing, B..., B hirley ouie,.., rkansas epartment of ealth ealth tatistics Branch n cooperation with: rkansas tate Board of hiropractic xaminers rkansas tate Board of ental xaminers rkansas ietetics Board rkansas edical Board rkansas tate Board of ursing rkansas tate Board of ptometry rkansas tate Board of harmacy rkansas tate Board of hysical herapy rkansas Board of odiatric edicine rkansas tate Board of xaminers of sychology rkansas ocial Work icensing Board Board of xaminers in peech-anguage athology & udiology rkansas tate Veterinary edical xamining Board eptember,

2 F his report is based on information obtained by licensing boards during the 2014 license renewal process. opies of practitioner responses to questions on license renewal applications were provided to the ealth tatistics Branch by the licensing boards. Because the data was collected by several boards using questionnaires designed to meet the licensing requirements of the individual professions, a certain consistency of format and content, desirable for manpower measurement, is missing from the data. Various items of demographic data, e.g., ethnic origin and gender, are obtained by some, but not all, of the boards. nformation relating to a practitioner s location- address, city, county, state, etc.- meets the licensing board s need to communicate with the practitioner by mail and may or may not identify the site(s) where health related services are actually performed. he report includes tables, maps and graphs representing health professions manpower distribution and demographics in rkansas counties. he 2010 ensus from the.. ensus Bureau, opulation ivision, was used in the computation of population ratios throughout this report. ddress comments and questions to: arilea Brock, ealth rogram pecialist rkansas epartment of ealth ealth tatistics Branch 4815 West arkham treet, lot 19 ittle ock, rkansas, elephone: (501) mail: dyth.brock@arkansas.gov cknowledgement: We wish to express our gratitude to the licensing boards of these professions for their cooperation in providing requested access to their license-renewal files. 2

3 B F B B B ealth rofessionals n rkansas. 4 ap: ealth rofessionals er 10,000 opulation... 4 ealth rofessionals by ounty 5-8 B ap: hiropractors er 10,000 opulation.. 9 hiropractors by rkansas egions.. 10 hiropractors verage ge istribution in rkansas X ap: ental ealth roviders er 10,000 opulation.. 13 B ental ealth roviders by rkansas egions. 14 ental ealth roviders verage ge istribution in rkansas B ap: ietitians er 10,000 opulation. 19 ietitians by rkansas egions 20 ietitians verage ge in rkansas. 21 B ap: rimary are hysicians er 10,000 opulation. 22 rimary are hysicians by rkansas egions aps: rimary are pecialty er 10,000 opulation rimary are hysicians verage ge istribution in rkansas hysicians as a econdary pecialist in rkansas hysicians as a econdary pecialist ge roup in rkansas. 39 ealth elated rofessionals by rkansas egions ealth elated rof. verage ge istribution in rkansas B ap: urses er 10,000 opulation. 47 urses by rkansas egions aps: s and s er 10,000 opulation urses verage ge istribution in rkansas ap: dvanced ractice urses er 10,000 opulation.. 55 dvanced ractice urses by rkansas egions. 56 dvanced ractice urses verage ge in rkansas B ap: ptometry er 10,000 opulation ptometrists by rkansas egions ptometrists verage ge istribution in rkansas B ap: harmacists er 10,000 opulation. 64 harmacists by rkansas egions 65 harmacists verage ge istribution in rkansas ap: hysical herapists er 10,000 opulation. 68 B hysical herapists by rkansas egions hysical herapists verage ge in rkansas B ap: odiatrists er 10,000 opulation 75 odiatrists by rkansas egions odiatrists verage ge istribution in rkansas ap: sychologists er 10,000 opulation.. 79 X B sychologists by rkansas egions sychologists in rkansas. 82 WK B ap: ocial Workers er 10,000 opulation 83 ocial Worker by rkansas egions ocial Workers verage ge istribution in rkansas & ap: peech & udiologists er 10,000 opulation B peech & udiologists by rkansas egions peech & udiologists verage ge istribution in rkansas V B ap: Veterinarians per 10,000 opulation Veterinarians by rkansas egions.. 97 Veterinarians ender istribution in rkansas 98 3

4 ealth rofessionals in rkansas n 2014, there were 80,098 licensed health professionals with rkansas mailing addresses serving 2.96 million rkansans, a population ratio of 270 professionals for every 10,000 population living in the tate. here were 17 professions administered by 13 boards. he largest registration was by the rkansas tate Board of ursing with 49,210 licensees, followed by the rkansas tate edical Board with 10,077 licensees. he smallest registration was by the rkansas Board of odiatric edicine with 73 licensees. s a group, health professionals were distributed fairly evenly across the counties with a heavier concentration in counties with larger populations. 4

5 5 ealth rofessionals in rkansas: 2014 F K: 2014 F W K V V F B / K BX B B B K B V B W WF

6 6 F K: 2014 F W K V V F B / W FK FK F W Z JK JFF J F W V K

7 7 F K: 2014 F W K V V F B / V W K K K B V

8 8 F K: 2014 F W K V V F B / F V B W W WFF

9 hiropractors in rkansas n 2014, the Board of hiropractic xaminers licensed 503 chiropractors with mailing addresses in rkansas, about 1.7 per 10,000 populations. f the 75 counties in rkansas, 14 counties (19%) had no registered chiropractors and 14 other counties (19%) had only one. 9

10 he following graphs show the distribution of chiropractors based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral and orthwest regions accounted for approximately 73% of chiropractors in the state. istribution of hiropractors by egion 4% 5% 30% 43% 18% W W he gender distribution of chiropractors is heavily skewed for males, 75%, with only 25%, females. 10

11 he following table reflects the distribution age of chiropractors with respect to gender. he average age of chiropractors is 48 years old. K B & F (20-29) (30-39) (40-49) (50-59) (60-69) (70-79) (80-89)

12 he following table reflects the demographics distribution of chiropractors in rkansas. he table displays count demographics and average age by county. V K: 2014 V. V. V K W BX B B K 1 53 B 0 0 W K Z JK K 2 58 JFF 9 45 K J B F V 0 0 W B W B V 0 0 V 1 69 WF K 9 48 F V B 2 35 W W FK W FK WFF 0 0 F 3 46 V

13 ental ealth roviders in rkansas n 2014, the Board of ental xaminers licensed 6,026 providers of dental health services with mailing addresses in rkansas, about 20 per 10,000 populations. his total includes 1,301 dentists (), 3,124 dental assistants (), and 1,601 dental hygienists (). verall, the number of dental health providers increased by 0.2% for the state. ndividually there was an increase in by 2.6%, a decrease in by 2.6%, and an increase in by 6.9%. ach of the 75 counties in rkansas had at least three registered dental health providers. 13

14 he following graphs show the distribution of dental health providers based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral and orthwest regions accounted for approximately 70% of the dental health providers in the state. istribution of ental roviders by egion istribution of ental roviders by pecialty 5% 7% 34% 26% 22% 36% 18% 52% W W entists ental ssistants ental ygienists ental ealth roviders by egion *ee age 14 for explanation of abbreviations. 14

15 he following graph shows the gender distribution of licensed dentists is heavily skewed for males (82%) with only (18%) of rkansas dentists being female. owever, the gender distribution of licensed dental hygienists is heavily skewed for females (>99%) with only (<1%) being males. ender was not received for dental assistants. he following table reflects the age distribution of dental health providers. V K B V 15 (15-19) (20-29) (30-39) (40-49) (50-59) (60-69) (70-79) (80-89) V_

16 he following table reflects the demographics distribution of dental health providers in rkansas. he table displays count demographics and average age by county. V B V K: 2014 V. 16 V. V K BX B B B K B V B W WF W FK FK F V.

17 W Z JK JFF J F W V K V W K K K B V F

18 V B W W WFF

19 ietitians in rkansas n 2014, the ietetics icensing Board licensed 630 dietitians with mailing addresses in rkansas, about 2.1 per 10,000 populations. f the 75 rkansas counties, 22 counties (29%) had no registered dietitians, and 12 (16%) of the counties had only one. 19

20 he following table and graph show the distribution of dietitians based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral region accounted for approximately 54% of the dietitians in the state. istribution of ietitians by egion B K W W % 6% 25% 54% 11% W W he table below shows the age distribution of dietitians. (20-29) (30-39) K B (40-49) (50-59) (60-69) (70-79) (80-89)

21 he following table reflects the distribution of dietitians in rkansas. he table displays count demographics and average age by county. V K: 2014 V. V. V K W BX B B K 0 0 B 0 0 W K Z JK K JFF K J B 4 49 F V 2 51 W B W B V 1 27 V 0 0 WF K F V B 1 42 W W FK W FK WFF 1 65 F 0 0 V

22 edical (octors) in rkansas n 2014, the edical Board licensed 10,077 health professionals with mailing addresses in rkansas. he 2014 registry includes 3,721 physicians (37%) registered in five primary care specialties with mailing addresses in rkansas, about 12.5 per 10,000 population. his list includes: 1,454 family practice, 95 general practice, 1,299 internal medicine, 302 obstetrics-gynecologists (B/), and 571 pediatrics. t least one fully licensed primary care physician was registered in each rkansas ounty with the exception of rairie ounty. he board licensed 2,675 physicians as secondary specialists and 25 physicians who reported no specialty. lso, the board licensed 3,681 health professionals as ealth elated rofessionals. his total is made up of 1,739 espiratory herapists (), 1,236 ccupational herapists (), 426 ccupational herapy ssistants (-), 270 hysician ssistants (), 6 adiologists () and 4 adiology ssistants (). 22

23 he following graphs show the distribution of primary care physicians based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral and orthwest regions accounted for approximately 74% of the primary care physicians in the state. istribution of rimary are hysicians by egion 6% 6% 43% 31% 14% W W istribution of rimary are hysicians by pecialty 15% 8% 39% 35% 3% F B/ 23

24 rimary are hysicians by egion and pecialty 24

25 he gender distribution of licensed primary care physicians is heavily skewed toward males (71%), with only (29%) of licensed primary care physicians being females. he next graph displays gender demographics among primary care physicians by specialty. he data indicate that, with the exception of pediatricians, primary care physicians are disproportionately male. 25

26 he following table reflects the age distribution of primary care physicians. K B F B/ (20-29) (30-39) (40-49) (50-59) (60-69) (70-79) (80-89) V_

27 27

28 28

29 he following table reflects the distribution of primary care physicians in rkansas. he table displays count demographics and average age by county. V K: 2014 F B/ V. V. V. V. V. V K BX B B B K B V B W WF

30 V K: 2014 F B/ V. V. V. V. V. V. W FK FK F W Z JK JFF J F W V K

31 V K: 2014 F B/ V. V. V. V. V. V V W K K K B V F

32 V K: 2014 F B/ V. V. V. V. V. V V B W W WFF

33 33 he following two tables reflect the demographics distribution of physicians licensed as secondary specialists. he first table displays county demographics for each secondary specialty by county. he second table displays each secondary specialty by age group. K: 2014 / & & & B V V & K BX B B B K B

34 34 K: 2014 / & & & B V V & V B W WF W FK FK F

35 35 K: 2014 / & & & B V V & W Z JK JFF J F W V

36 36 K: 2014 / & & & B V V & K V W K K

37 37 K: 2014 / & & & B V V & K B V F V B W

38 38 K: 2014 / & & & B V V & W WFF

39 B K: / & & & B VV &

40 s a reminder from the introduction earlier, the board licensed 3,681 health professionals as ealth elated rofessionals, this total includes 1,739 espiratory herapists (), 1,236 ccupational herapists (), 426 ccupational herapy ssistants (-), 270 hysician ssistants (), 6 adiologists () and 4 adiology ssistants (). he following graphs show the health related professionals based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral region accounted for approximately 43% of the health related professionals in the state. ealth elated rofessionals by egion 5% 9% 43% 26% 17% W W ealth elated rofessionals by pecialty 11% 8% 47% 34% -, and 40

41 ealth elated rofessionals by egion and pecialty *ee age 45 for explanation of abbreviations 41

42 he gender distribution of licensed health related professionals is heavily skewed for females (76%), with only (24%) of licensed health related professionals being males. he next graph displays gender demographics among health related professionals by specialty. he data indicates that, with the exception hysician ssistants () and adiology ssistants () the health related professionals are disproportionately female. 42

43 he following table reflects the age distribution of health related professionals. F K B - (20-29) (30-39) (40-49) (50-59) (60-69) (70-79) (80-89)

44 he following table reflects the distribution of health related professionals in rkansas. he table displays count demographics and average age by county. F V K: V. V. V. 44 V. V. V K BX B B B K B V B W WF W FK FK F W V.

45 Z JK JFF J F W V K V W K K K B V F

46 V B W W WFF

47 urses in rkansas n 2014, the ursing Board licensed 49,210 nurses with mailing addresses in rkansas, about 166 per 10,000 populations. his total includes 32,397 egistered urses (), 13,963 icensed ractical urses (), 89 icensed sychiatric echnician urses (), and 383 egistered urse ractitioners (). here were 2,378 nurses registered as dvanced ractice urses (). hese 49,210 nurses had a total of 52,845 licenses but for the purposes of this report we used the following hierarchy to take the highest of the five license types: < < < <. he s consist of four different licenses but will be grouped together for the majority of this section. hey will be broken down into individual licenses later in the section. he number of licensed nurses for the state increased 1.4% from 2013 to fter completing basic nursing programs, and must pass nationally standardized examinations. must have passed a state licensure exam. have completed a nurse practitioner program in addition to their program. o be licensed as an, an must complete an advanced practice nursing program and hold certification from a Board approved, nationally recognized, certifying body. 47

48 he following graphs show the distribution of nurses based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral and orthwest regions accounted for approximately 61% of the nurses in the state. istribution of urses by egion 11% 8% 34% 27% 20% W W istribution of urses by itle 28% 1% 5% 66% 48

49 urses by egions and icense ype *ee age 53 for explanation of abbreviations. 49

50 50

51 he following table reflects the age distribution of nurses by license type. K B s BW W (20-29) (30-39) (40-49) (50-59) (60-69) (70-79) (80-89) V

52 he following table reflects the distribution of nurses in rkansas. he table displays count demographics and average age by county. V K: 2014 s V. V. V. V. V K BX B B B K B V B W WF V. 52

53 W FK FK F W Z JK JFF J F W V K

54 V W K K K B V F V B W W WFF

55 t this point in the section, we will look at the dvanced ractice urse group and break it down into the individual license types. he four licenses in this category: ertified urse idwife (), linical urse pecialist (), ertified egistered urse nesthetist (), and ertified urse ractitioner (). ertified urse ractitioner has replaced the term dvanced urse ractitioner (). hese four licenses are considered equal in educational requirements so there is not a hierarchy for this group. ince they are considered equal, the nurses that have more than one license will be counted in the analysis for each license they have. here are 2,378 dvanced ractice urses with a total of 2,393 licenses. his total includes 1,691 ertified urse ractitioners (), 24 ertified urse idwives (), 137 linical urse pecialists (), and 541 ertified egistered urse nesthetists (). 55

56 dvanced ractice urses by egion *ee age 62 for explanation of abbreviations. 56

57 he following table reflects the distribution of advanced practice nurses in rkansas. he table displays count demographics and average age by county. V V K: 2014 V. V. V. V K BX B B B K B V B W WF W V. 57

58 FK FK F W Z JK JFF J F W V K V W

59 K K K B V F V B W W WFF

60 ptometry in rkansas n 2014, the ptometry icensing Board licensed 396 optometrists with mailing addresses in rkansas, about 1.3 optometrists per 10,000 populations. f the 75 counties in rkansas, 19 counties (25%) had no registered optometrist and 13 other counties (17%) had only one. 60

61 he following graphs show the distribution of optometrists based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral and northwest regions accounted for approximately 66% of the optometry in the state. istribution of ptometrists by egion 6% 7% 33% 33% 21% W W he gender distribution of optometrists is heavily skewed for males (70%), with only (30%) females. 61

62 he following table reflects the age distribution of optometrists. he table indicates that optometry is disproportionate to males above the age of 49. K B F (20-29) (30-39) (40-49) (50-59) (60-69) (70-79)

63 he following table reflects the distribution of optometrists in rkansas. he table displays count demographics and average age by county. V K: 2014 V. V. V K W BX B B K 0 0 B 1 67 W K Z JK K 3 43 JFF 7 59 K J B 2 41 F V 0 0 W B W B V 0 0 V 0 0 WF K F V B 0 0 W W FK W 9 61 FK WFF 0 0 F 0 0 V

64 harmacists in rkansas n 2014, the Board of harmacy licensed 3,524 pharmacists with mailing addresses in rkansas, about 11.9 per 10,000 populations. ach of the 75 counties in rkansas had at least three registered pharmacists, with the exception of ee ounty, which had only one. 64

65 he following graphs show the distribution of pharmacists based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral and orthwest regions accounted for approximately 69% of the pharmacists in the state. istribution of harmacists by egion 6% 8% 41% 28% 17% W W he gender distribution of pharmacists is approximately equal, (52%) for female, with (48%) males. 65

66 he following table reflects the age distribution of pharmacists. he tables indicate that above the age of 50 there is almost 2:1 male to female. K B F (20-29) (30-39) (40-49) (50-59) (60-69) (70-79) (80-89) V_

67 he following table reflects the distribution of pharmacists in rkansas. he table displays count demographics and average age by county. V K: 2014 V. V. V K W BX B B K B W K Z JK K JFF K J B F V 8 45 W B W B V 8 45 V 9 56 WF K F V B W W FK W FK WFF 4 48 F 9 53 V

68 hysical herapists in rkansas n 2014, the hysical herapy Board licensed 1,789 hysical herapists (), about 6 per 10,000 population, and 1,151 hysical herapist ssistants (), about 3.9 per 10,000 population, with mailing addresses in rkansas. f the 75 counties in rkansas, 1 (1.3%) county had no registered physical therapist or physical therapist assistant and 3 (4%) counties had only one physical therapist with no physical therapist assistant in the registry. 68

69 he following table and graphs shows the distribution of physical therapists based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral and orthwest regions accounted for approximately 75% of physical therapists in the state. he orthwest and ortheast regions however, accounted for approximately 67% of the physical therapist assistants in the state. hysical herapists by egion 3% 5% 31% 44% 17% W W hysical herapist ssistants by egion 13% 16% 4% 37% 30% W W 69

70 he gender distribution of physical therapists and physical therapist assistants is skewed for females (69%), with only (31%) being males. 70

71 he following table reflects the age distribution of physical therapists. he average age of physical therapists in rkansas is 42 years, and for physical therapist assistants is 39 years. K B (15-19) (20-29) (30-39) (40-49) (50-59) (60-69) (70-79)

72 he following table reflects the distribution of physical therapists and physical therapist assistants in rkansas. he table displays count demographics and average age by county. V K: 2014 V. V. 72 V K BX B B B K B V B W WF W FK FK F W

73 Z JK JFF J F W V K V W K K K B V F V B

74 W W WFF

75 odiatrists in rkansas n 2014, the Board of odiatric xaminers licensed 73 podiatrists, less than 1 per 10,000 populations. f the 75 counties, 57 (76%) had no podiatrist. 75

76 he following graphs show the distribution of podiatrists based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral and orthwest regions accounted for approximately 73% of podiatrists in the state. odiatrists by egion 4% 3% 36% 37% 20% W W he gender distribution of podiatrists is heavily skewed for males (78%), with only (22%) females. 76

77 he following table reflects age distribution of chiropractors with respect to gender. K B & F (20-29) (30-39) (40-49) (50-59) (60-69) (70-79) (80-89)

78 he following table reflects the distribution of podiatrists in rkansas. he table displays count demographics and average age by county. V K: 2014 V. V. V K W BX B B K 0 0 B 0 0 W K Z JK K 0 0 JFF 3 48 K J B 0 0 F V 0 0 W B W B V 0 0 V 0 0 WF K 1 45 F V B 0 0 W W 8 50 FK W 1 53 FK WFF 0 0 F 0 0 V

79 sychology xaminers in rkansas n 2014, the sychology Board licensed 832 psychologists with mailing addresses in rkansas, about 2.8 per 10,000 population. his total includes 432 sychologists (), 172 sychologists xaminers (), and 228 sychological xaminer ndependents (); about 1.5, 0.6 and 0.8 respectively, per 10,000 population. f the 75 rkansas counties, 19 (25%) did not have a registered psychologist and 11 (15%) of the counties had only one. 79

80 he following table and graphs show the distribution of psychologists based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral and orthwest regions accounted for approximately 80% of the psychologists in the state. istribution of sychologists by egion 5% 4% 25% 55% 11% W W istribution of sychologists by itle 27% 52% 21% sych sych xaminer sych xaminer ndependents 80

81 sychologists by egion and icense ype *ee age 90 for explanation of abbreviations. 81

82 he following table reflects the distribution of psychologists in rkansas by county. K: K W BX B B K B W K Z JK K JFF K J B F V W B W B V V WF K F V B W W FK W FK WFF F V

83 ocial Workers in rkansas n 2014, the ocial Work icensing Board licensed 2,775 social workers with mailing addresses in rkansas about 9.3 per 10,000 populations. his total includes 441 social workers (W), 1,466 certified social workers (W), and 767 master social workers (W). n addition, the ocial Worker icensing Board issued 101 provisional licenses for social workers with mailing addresses in rkansas (rovisional license for social workers means: First-time applicants for W or W licensure will be issued a provisional license upon approval of his or her application. provisional license will be issued one time per person and expires exactly one-year from the date of issuance. rovisional licensing is prohibited at the W level.). his total includes 51 rovisional license social workers (W), and 50 provisional license master social workers (W). t least one fully licensed social worker was licensed in each of the rkansas counties with the exception of ike and earcy ounty. 83

84 he following graphs show the distribution of social workers based on five rkansas regions: entral, ortheast, orthwest, outheast, and outhwest. he entral region accounted for approximately 53% of the social workers in the state. istribution of ocial Workers by egion 6% 5% 28% 53% 8% W W istribution of ocial Workers by icense ype evel 16% 2% 2% 27% 53% W W W W W 84

85 ocial Workers by egion and icense ype *ee age 94 for explanation of abbreviations. 85

86 he following table reflects the age distribution of social workers. WK K B V W W W W W (20-29) (30-39) (40-49) (50-59) (60-69) (70-79) (80-89)

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