Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June...
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![Page 1: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/1.jpg)
![Page 2: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/2.jpg)
Who’s Overworked and Who’s Underworked among Radiologists
Academy Health Annual MeetingJune 26-28, 2005
Boston, MA
Cristian Meghea, PhD ([email protected])
Jonathan Sunshine, PhD ([email protected] )
Research Dept., Am. College of Radiology, Reston, VA
Pre-publication information. Please do not cite
![Page 3: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/3.jpg)
1. Context
• Physicians in general– 1980s and 1990s: predicted excess by 2000– At present, and in future: shortage, specialists in
particular
• Radiologists in particular– Past decades: relationship between supply and
demand fluctuated– A few years ago: severe shortage– Recently: situation changed, shortage eased (some
indicators even suggest no shortage)
![Page 4: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/4.jpg)
2. Radiologist shortage: long-term trends
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1990 1992 1994 1996 1998 2000 2002 2004
Year
Job
Lis
tin
gs
Per
Jo
b S
eeke
r
Number of job listings per job seeker at Professional Bureau Placement Service of the American College of Radiology during week of annual meeting of Radiological Society of North America, 1990-2004.
![Page 5: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/5.jpg)
3. This paper…
• Provides an update on the radiologist labor market
• Uses innovative measure for shortage/surplus: the extent to which physicians wanted more/less work if income changes proportionately– real world, physician preference measure for
shortage/surplus
• Want more work = surplus; want less work = shortage
• Uses information on workload in addition to radiologist counts
![Page 6: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/6.jpg)
4. Data: 2003 Survey of Radiologists
• American College of Radiology, 2003 Survey of
Radiologists
• Nationally representative random sample of all
radiologists in the U.S.
• Question of interest: how does your workload compare
with the desired one
1. Workload OK
2. Want __% less work and proportionately less income
3. Want __% more work and proportionately more
income
![Page 7: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/7.jpg)
5. Method for analyzing shortage/surplus
• Overall (all radiologists): desired change in workload
• By subgroups (by subspecialty, gender, practice type, and practice location): desired change in workload
• What accounts for the different workload changes desired by radiologists: multivariate regression analysis
![Page 8: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/8.jpg)
Want LESSwork
Work OK
Want MOREwork
ALL
Percentage of radiologists 17 67 16 100
Mean weekly hours54
(0.98)47
(0.48)49
(0.88)49
(0.40)
Mean annual hours 2283
(50.49)1964
(23.03)2064
(43.91)2034
(19.36)
Mean % change sought21
(0.71)NA
26 (1.28)
0.59 (0.46)
Mean annual hour change sought501
(24.69)NA
546 (33.67)
1.59 (10.90)
6. Overall shortage/surplus
![Page 9: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/9.jpg)
• Close overall balance supply/demand?
• Same percentages want less (17%) and more (16%) work
• Overall desired percentage change not different than 0
• Accounting for the hours worked, overall desired workload change not different than 0
7. Overall shortage/surplus
![Page 10: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/10.jpg)
8. Imbalances by subspecialty
Subspecialty Mean annual hoursChange sought
(hours)Change sought
(%)
Body 2150 (60)
49 (32)
2.3
Breast 1797 (53)
- 26 (26)
- 1.4
MRI 2048(84)
27(53)
1.3
Musculoskeletal 2102(82)
- 70(45)
- 3.3
Neuroradiology 2142(59)
35(33)
1.6
Nuclear 2107(78)
46(47)
2.2
Ultrasound 2033(90)
26(72)
1.3
![Page 11: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/11.jpg)
• Imbalances within subspecialties?
• Each subspecialty: average desired workload change not different than 0
9. Imbalances by subspecialty
![Page 12: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/12.jpg)
10. Imbalances, other subgroups
Annual hoursChange sought
(hours)Change
sought (%)
Academic 2229 (46)
83** (36)
3.7
Non-acad, government2013
(108)246** (88)
12
Non-acad, private 2094 (26)
- 52**(15)
- 2.4
Large metro 2038 (25)
22(17)
1.1
Small metro 2088 (30)
-4(17)
- 0.2
Non metro 2056 (53)
- 58**(30)
- 2.8
Women 1859 (42)
- 1(21)
- 0.05
Men 2102 (20)
2(12)
0.1
![Page 13: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/13.jpg)
• Other factors associated with desire for workload change?
• Practice type:• Academic: want to work more (+ 4%)• Government: want to work more (+ 12%)• Private: want to work less (- 2%)
• Location:• Non-metro area: want to work less (- 3%)
11. Imbalances, other subgroups
![Page 14: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/14.jpg)
12. Desired change in workload
Coefficient Standard error
Annual hours -0.09* 0.06
Age 34 and less (vs. 45-54) 168.91** 79.08
Age between 35 and 44 (vs. 45-54) 39.73 32.42
Age between 55 and 64 (vs. 45-54) -74.73** 37.83
Age 65 and over (vs. 45-54) -54.23 68.09
Gender: male (vs. female) 59.70* 36.21
Practice is in small metro area (vs. large) -16.97 30.21
Practice is in non-metro area (vs. large) -84.10* 45.10
Academic practice (vs. private) 151.51*** 51.73
Govt, non-acad. practice (vs. private) 466.82*** 159.01
*: p<0.10; **: p<0.05; ***: p<0.01. Full-time radiologists.
![Page 15: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/15.jpg)
• What accounts for the different workload changes desired by radiologists
– Hours worked: more hour worked smaller increase desired, as expected
– Age: younger radiologists want larger workload increases
– Location: non-metro radiologists want smaller increase
– Practice type: academic and government radiologists want larger increase than private radiologists
13. Desired change in workload
![Page 16: Who’s Overworked and Who’s Underworked among Radiologists Academy Health Annual Meeting June 26-28, 2005 Boston, MA Cristian Meghea, PhD (cristianm@acr.org)](https://reader030.fdocuments.in/reader030/viewer/2022032722/56649ce15503460f949ac3fa/html5/thumbnails/16.jpg)
• Overall balance between the demand and supply of radiologists in 2003
• Within this overall balance
– shortages of private radiologists and of radiologists in non-metropolitan areas
– surpluses of academic and government radiologists• Relevance
– Present and projected shortage of physicians, specialists in particular
– The shortage of radiologists eased in the recent years– Innovative measure of shortage/surplus broadly
applicable in the health workforce
14. Summary and conclusions