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. 2023 Jan;55(1):20-26.
doi: 10.22454/FamMed.55.619324.

A Study of Arizona Physician Relocation Patterns by Rurality and Primary Care Status

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A Study of Arizona Physician Relocation Patterns by Rurality and Primary Care Status

Benjamin R Brady et al. Fam Med. 2023 Jan.

Abstract

Background and objectives: Physician location is an important element of health care access. However, physician shortages and disparities in geographic distribution exist. This study examines physician locations, relocation patterns, and factors associated with relocating.

Methods: We used Arizona licensure data and rural-urban commuting area (RUCA) codes to identify Arizona physicians and their office or mailing address locations. Our sample included Arizona physicians estimated to be younger than 70 years of age who had an active license between in 2014 and 2019. We used multivariable logistic regression to assess physicians' adjusted odds of relocating in Arizona by RUCA code, primary care status, age, gender, and medical education location.

Results: We identified 11,202 Arizona physicians in our sample, 33% of whom changed practice addresses within Arizona between 2014 and 2019. Primary care physicians (PCPs) in large rural areas had lower odds of relocating in Arizona (0.62, 95% CI 0.43-0.90) than PCPs in urban areas. Compared to 64-69-year-old physicians, those less than 34 and 34-43 years old had statistically higher odds of relocating within Arizona.

Conclusions: Primary care status and rurality are important factors consider to understand physician relocation patterns. We found that a substantial number of Arizona physicians relocated within Arizona between 2014 and 2019, and few of those who relocated (2%) moved to a more rural area.

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Figures

Figure 1
Figure 1. Percent of Physicians Who Did Not Relocate Within Arizona by Primary Care Physician and Nonprimary Care Physician Status and Rural-Urban Commuting Area Location

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References

    1. Agency for Healthcare Research and Quality . AHRQ; 2016. Chartbook on Access to Health Care.
    1. Heller E, Enlund S, Blackman K, National Conference of State Legislatures Improving Access to Care in Rural and Underserved Communities: State Workforce Strategies. . https://www.ncsl.org/documents/health/WorkforceStrategies2017.pdf 2017
    1. Salsberg E S. Is the physician shortage real? Implications for the recommendations of the Institute of Medicine Committee on the Governance and Financing of Graduate Medical Education. Acad Med. 2015;90(9):1210–1214. - PubMed
    1. Petterson S M, Liaw W R, Phillips R L, Rabin D L, Meyers D S, Bazemore A W. Projecting US primary care physician workforce needs. Ann Fam Med. 2012;10(6):503–509. - PMC - PubMed
    1. Association of American Medical Colleges. The Complexities of Physician Supply and Demand: Projections from 2017 to 2032. 2019