Reflections on the Workforce study.
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Considering the physician supply in 2002, the potential number of new physicians, and the number of vacancies that year, rural Minnesota has shortages in the following specialties: family practice, internal medicine, obstetrics/gynecology, pediatrics, general surgery, gastroenterology, ophthalmology, orthopedic surgery, otolaryngology, psychiatry, and urology. Metropolitan areas have fewer shortages; however, there is a gap between supply and demand in obstetrics/gynecology, gastroenterology, general surgery, otolaryngology, and urology. Future areas of concern for all parts of the state include family practice, internal medicine, obstetrics/gynecology, pediatrics, cardiology, general surgery, psychiatry, ophthalmology, orthopedic surgery, and urology. In Minnesota, with several specialties facing a substantial number of retirements in the next 10 years, the number of new physicians completing graduate medical education remaining steady or declining, and the population growing--especially among people ages 65 to 84, the current shortages may increase, and additional specialties may experience a gap if the supply is not increased.
This issue brief examines two issues that are key to meeting children's unmet needs for mental health care: ensuring that the provider supply is adequate and that the care delivered is effective. It describes the shortage of qualified providers to address children's mental disorders, as well its possible causes; it describes how managed care, to a certain extent, drives practice patterns; and it discusses the gray areas in deciding which providers are most qualified to deliver what care. In addition, this paper introduces what is known about evidence-based care in children's mental health, the extent to which it is being taught and practiced, the extent to which health plans are adopting such practices, and the effect such strategies may have on the makeup of the children's mental health provider field.
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