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North Carolina Health Professions 2004 DATA BOOK Effective: October 2004 An annual report prepared by: The N. C. Health Professions Data System Claire de la Varre, Research Associate Katie Gaul, Research Associate Erin P. Fraher, Director Hazel L. Hadley, Applications Analyst Programmer Jane D. Darter, Applications Analyst Programmer Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Campus Box # 7590, 725 Martin Luther King, Jr. Boulevard Chapel Hill, NC 27599- 7590 nchp@ unc. edu http:// www. shepscenter. unc. edu/ hp ( 919) 966- 7112 North Carolina Health Professions Data System Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Copyright © 2005 by the University of North Carolina at Chapel Hill 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k i Table of Contents List of Figures and Tables......................................................................................................................... ............. ii Acknowledgments................................................................................................................ .................................. iii Introduction................................................................................................................... ............................................ 1 Sources and Limitations of the Data ...................................................................................................................... 2 Source of Health Professions Data ............................................................................................................... 2 Definitions and Limitations.................................................................................................................... ...... 3 Population Data ............................................................................................................................... .............. 4 Demographic and Economic Data................................................................................................................ 4 Summary of Trends in North Carolina Health Professional Supply............................................................... 6 Changes in Supply......................................................................................................................... ............................... 7 Physicians ............................................................................................................................... ........................ 7 Nurse Practitioners, Certified Nurse Midwives and Physician Assistants............................................. 8 Licensed Practical and Registered Nurses................................................................................................... 9 Dentists and Dental Hygienists .................................................................................................................... 9 Pharmacists.................................................................................................................... ............................... 10 Physical Therapists and Physical Therapist Assistants ........................................................................... 10 Psychologists and Psychological Associates ............................................................................................. 10 Podiatrists, Optometrists and Chiropractors ............................................................................................ 11 Respiratory Therapists ............................................................................................................................... . 11 Changes in Practitioner to Population Ratios............................................................................................................. 11 Physicians per 10,000 Population Ratio ..................................................................................................... 12 Primary Care Physicians per 10,000 Population Ratio ............................................................................ 13 Dentists per 10,000 Population Ratio ......................................................................................................... 15 Registered Nurses per 10,000 Population Ratio ....................................................................................... 16 Pharmacists per 10,000 Population Ratio .................................................................................................. 17 Active Health Professionals per 10,000 Population Ratios for All Counties ........................................ 18 Inventory of Health Professions Including Selected Demographic, Economic and Health- Related Statistics..................................................................................................................... ............................................... 21 County Totals in Alphabetic Order by County ........................................................................................ 22 State Totals......................................................................................................................... ......................... 122 Nonmetropolitan County Totals .............................................................................................................. 123 Metropolitan County Totals...................................................................................................................... 124 Area Health Education Centers ( AHEC) Regional Totals..................................................................... 125 Health Service Area ( HSA) Regional Totals............................................................................................ 134 Department of Environment, Health and Natural Resources ( DEHNR) Regional Totals ............... 140 Perinatal Care Regional ( PCR) Totals ...................................................................................................... 147 Appendix I: Technical Notes on Methods ........................................................................................................ 153 Appendix II: Definition of Terms ...................................................................................................................... 154 Health Professions Related........................................................................................................................ 154 Demographics ............................................................................................................................... ............. 155 Location....................................................................................................................... ................................ 160 Appendix III: Procedures for Requesting Additional Information ............................................................. 164 Procedures for Requesting Additional Information .............................................................................. 164 Addresses of Health Professions Licensing Boards ............................................................................... 165 Data Listing for Each Profession............................................................................................................... 167 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k ii L i s t o f F i g u r e s a n d T a b l e s Figure 1: Yearly Increases in the Number of Licensed Physicians, 1980- 2004............................................................. 7 Table 1: Number of Residents- In- Training by Sponsor Location, 2004....................................................................... 2 Table 2: North Carolina Health Professions Statistics: 2003 and 2004 ...................................................................... 6 Table 3: Counties with the Largest Physicians per 10,000 Population Ratios, 2004 vs. 2003................................... 12 Table 4: Counties with the Smallest Physicians per 10,000 Population Ratios, 2004 vs. 2003................................. 13 Table 5: Physicians & Primary Care Physicians per 10,000 Population, US and Selected States, 2004 .................. 13 Table 6: Counties with the Largest Primary Care Physicians per 10,000 Population Ratios, 2004 vs. 2003............ 14 Table 7: Counties with the Smallest Primary Care Physicians per 10,000 Population Ratios, 2004 vs. 2003.......... 14 Table 8: Counties with the Largest Dentists per 10,000 Population Ratios, 2004 vs. 2003 ...................................... 15 Table 9: Counties with the Smallest Dentists per 10,000 Population Ratios, 2004 vs. 2003 .................................... 15 Table 10: Counties with the Largest RNs per 10,000 Population Ratios, 2004 vs. 2003........................................... 16 Table 11: Counties with the Smallest RNs per 10,000 Population Ratios, 2004 vs. 2003......................................... 16 Table 12: Counties with the Largest Pharmacists per 10,000 Population Ratios, 2004 vs. 2003 .............................. 17 Table 13: Counties with the Smallest Pharmacists per 10,000 Population Ratios, 2004 vs. 2003 ............................ 17 Table 14: Active Health Professionals per 10,000 Population Ratios, 2004............................................................... 18 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k iii A c k n o w l e d g m e n t s Information included in this report has been made available by the following organizations: • North Carolina Board of Chiropractic Examiners • North Carolina Board of Nursing • North Carolina Board of Pharmacy • North Carolina Board of Physical Therapy Examiners • North Carolina Board of Podiatry Examiners • North Carolina Medical Board • North Carolina Medical Society • North Carolina Midwifery Joint Committee • North Carolina Psychology Board • North Carolina Respiratory Care Board • North Carolina State Board of Dental Examiners • North Carolina State Board of Examiners in Optometry • American Medical Association • Government and Business Services Branch, North Carolina State Library • North Carolina Department of Commerce, Employment Security Commission • North Carolina Department of Health and Human Services, Division of Facility Services • North Carolina Department of Health and Human Services, Division of Medical Assistance • North Carolina State Center for Health Statistics • North Carolina State Data Center, Office of State Budget and Management This report was developed by the N. C. Health Professions Data System, Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill. Funds for the publication of this document were provided by the North Carolina Area Health Education Centers ( NC AHEC) Program, UNC- CH School of Medicine, and the Office of the Provost ( Health Affairs), University of North Carolina at Chapel Hill. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 1 I n t r o d u c t i o n This is the twenty- seventh annual report prepared from data collected by the N. C. Health Professions Data System ( HPDS), formerly the Health Manpower Component of the North Carolina Cooperative Health Information System. The N. C. Health Professions Data System was developed to collect and disseminate timely and reliable data on licensed health professionals in North Carolina. The System was initiated in 1975 with federal funding from the National Center for Health Statistics and was assisted in the early 1980s by a grant from the Duke Endowment through the N. C. Hospital Association. Although selected data are available beginning in 1976, continuous and equivalent data files have been maintained since 1979. For most professions these data include name, mailing address, birth year, gender, race, information on basic professional education, specialty of practice, activity status, form of employment, and practice setting. Special analyses and reports from all data files may be requested ( see Appendix III). This report draws on data from the HPDS and describes the supply and distribution in 2004 of licensed individuals in seventeen health professions by county and selected regions. The HPDS is maintained by the Cecil G. Sheps Center for Health Services Research of the University of North Carolina at Chapel Hill. Support for the HPDS is provided by the N. C. Area Health Education Centers ( NC AHEC) Program and the University of North Carolina Office of the Provost ( Health Affairs). This report would not be possible without the cooperation of the independent health professions licensing boards that provide data to the Cecil G. Sheps Center for Health Services Research. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 2 S o u r c e s a n d L i m i t a t i o n s o f t h e D a t a Source of Health Professions Data Health professions data for this report are provided annually by the regulatory boards for each of the following professions: certified nurse midwives, chiropractors, dental hygienists, dentists, licensed practical nurses, nurse practitioners, optometrists, pharmacists, physical therapists, physical therapist assistants, physicians, physician assistants, podiatrists, practicing psychologists, psychological associates and registered nurses. New to the system in 2004 are respiratory therapists. The Boards provide demographic, practice, and location information on every professional licensed to practice in the state of North Carolina. This year, and for the past twenty- six years, this annual report has been prepared using data files current up to October for the respective year; this makes it possible for users to perform longitudinal analyses and to examine yearly changes in health professionals over time. Physician data are derived from the N. C. Medical Board’s licensure files. These data contain physicians who are currently in postgraduate medical training programs but who have permanent licenses. In an effort to accurately separate physicians in residency training from those that are not in residency training, listings of physicians in postgraduate medical education programs as of July 2004 were obtained from all North Carolina residency program institutions. These lists were compared with the N. C. Medical Board’s licensing file. Physicians in residency training are not included in the number of counts by county in this publication. All resident physicians enrolled in postgraduate medical education programs were identified and are reported in Table 1. Table 1: Number of Residents- In- Training by Sponsor Location, 2004 Residency Program County Residents Percent Duke University Medical Center Durham 855 32.28 University of North Carolina at Chapel Hill— UNC Hospitals Orange 648 24.47 Wake Forest University Baptist Medical Center Forsyth 485 18.31 East Carolina University— Pitt County Memorial Hospital Pitt 283 10.69 Charlotte AHEC— Carolinas Medical Center Mecklenburg 186 7.08 Coastal AHEC— New Hanover Regional Medical Center New Hanover 61 2.16 Greensboro AHEC— Moses H. Cone Memorial Hospital Guilford 44 1.66 Mountain AHEC— Mission Hospital Buncombe 46 1.63 Cabarrus Memorial Hospital Cabarrus 23 0.81 Southern Regional AHEC— Fayetteville Cumberland 17 0.60 State Totals 2,648 100.00 Source: Residency data are received annually from the respective residency programs and are based on the institutions’ lists of house staff, residents and fellows as of July 2004. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 3 The N. C. Midwifery Joint Committee provided data on certified nurse midwives ( CNMs). Data for nurse practitioners ( NPs) and physician assistants ( PAs) were obtained from the N. C. Medical Board. Certified nurse midwives and nurse practitioners are included in the registered nurse ( RN) counts because CNMs and NPs maintain their RN licensure with the N. C. Board of Nursing. Definitions and Limitations Because state law requires a license to practice for each of the professions profiled, the data reported reflect an accurate enumeration of the supply and distribution of licensed practitioners. However, because the actual activity status of a given professional may change over time ( i. e. the person may retire, move out of the state but maintain a license, or maintain a license while working in another profession), having a license does not always indicate that the individual is actively practicing. To adjust for this, the data presented in this report include only those individuals who indicated on their license registration renewal form that they were working in North Carolina and were actively engaged in the profession. Active status may include administrators, researchers and educators who are active in the profession but not engaged in direct patient care. Active status is assigned to individuals who are newly licensed and have not reported their status. Those with unknown activity status often include newly licensed professionals who at the time of licensure had not yet secured employment in their profession. Those individuals who report a business address or hours but who do not report their status are also assigned an active status1. Health care professionals are assigned to their self- designated primary practice location county if they are active and to their mailing address county if they are active and their primary practice location is unknown. For physicians, this is based on ZIP code information; for all other professions, counties are identified by the professional on their licensure form. The nursing professions ( registered nurses, certified nurse midwives, nurse practitioners, and licensed practical nurses) and the dental professions ( dentists and dental hygienists) are grouped together in the region and county pages. Physicians are broken down separately. The remaining professions are listed in alphabetical order. For the purpose of this report, doctors of medicine ( MDs) and doctors of osteopathy ( DOs), both of whom register with the N. C. Medical Board, are grouped together. Physicians are classified by specialty according to the self- reported primary specialty indicated on their Application for Registration with the N. C. Medical Board. Physicians whose primary and/ or secondary specialty has changed since 2003 were checked against specialty data provided by the N. C. Medical Society. Physician data in this report are classified by residency- training status in 2004 and federal or non- federal employment status. The physician data reported in this publication are for non- resident licensed physicians who are not currently participating in one of the postgraduate medical education programs listed in Table 1. 1 For physical therapists and physical therapist assistants, individuals who report that they are not actively employed in physical therapy but are seeking employment in physical therapy are also considered active. These are the only professions that have data available on whether individuals are seeking employment. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 4 Within the category of non- resident physicians are federal and non- federal physicians. Physicians included in the federal category have reported that their principal employer is the federal government. These individuals may have primary practice settings in a health facility in a military installation, Department of Veterans Affairs, U. S. Public Health Service, Indian Health Service, or other federal health facility. Because their practices are in community settings, all National Health Service Corps physicians are included in the non- federal category, except for uniformed Public Health Service physicians who may be in a Health Service Corps placement. The N. C. Medical Board supplied federal physician data reported in this document. Federal physicians practicing in government facilities are not required to be licensed by the N. C. Medical Board to practice medicine in North Carolina, so the numbers for federal physicians reported in this publication may fall short of the actual numbers of federal physicians in the state. Federal providers are not asked to specify their employment setting on the annual registration renewal form; therefore, military providers cannot be subcategorized within the federal providers category. Beginning in 2003, physicians indicating non- federal status were checked against primary practice setting. Physicians who indicated non- federal status but whose primary practice address was in a military setting were reclassified as federal physicians. The N. C. Board of Nursing requires biennial registration ( on the birth month) for the state’s registered nurses ( RNs) and licensed practical nurses ( LPNs) with half of the state’s RNs and LPNs registering with the Board each year. Therefore, the report includes data on the 50% of RNs and LPNs who renewed their registration in 2004, and data for the remaining 50% who renewed their registration in their birth month. Additionally, the N. C. Psychology Board requires biennial registration. Both the Board of Nursing and the Psychology Board update their data in non- renewal years to reflect address changes and deceased practitioners. Population Data The 2004 projected population data reported in this publication were downloaded from Log Into North Carolina ( LINC), the State Data Center’s online data system ( http:// www. linc. state. nc. us) administered through the Office of State Budget and Management. The 2004 population data are projected numbers as the 2004 estimates were not available at the time of publication. The 2003 population figures are based on the April 1, 2000 Census. Ratios of health professionals reported are per 10,000 population. Demographic and Economic Data This publication includes additional health, vital statistics and socio- demographic data. The majority of these data are available on- line via the websites of the specific source agencies or through LINC. A list of the variable names, numbers, definitions, and the source of data by variable number can be found in Appendix II: Definition of Terms. All county and substate regional level health professions data provided in this publication will also be available online at http:// www. shepscenter. unc. edu/ hp. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 5 The infant mortality rates reported in the 2004 State Totals, Non- Metropolitan/ Metropolitan counties, Area Health Education Centers, Health Service Areas, the Department of Environment, Health and Natural Resources, and the Perinatal Care regions are computed as a one year rate. Prior to 2003 the Data Book reported regional infant mortality based on a five year rate. This publication reports the number of general hospital discharges in 2003 from acute care, short-stay hospitals by county of patient residence. The year 2004 general hospital discharges were not available at the time this report was compiled. The data exclude normal newborn discharges ( DRG 391). These data are made available through the LINC Data Base. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 6 S u m m a r y o f T r e n d s i n N o r t h C a r o l i n a H e a l t h P r o f e s s i o n a l S u p p l y The overall number of health professionals in North Carolina grew from November 2003 to October 2004. Table 2 below summarizes the number of health professionals licensed in the past two years and the percent change in those numbers between 2003 and 2004. Table 2: North Carolina Health Professions Statistics: 2003 and 2004 Active in Profession ( October) 2 2003 2004 Percent Change Physicians Non- federal, not in training 17,090 17,349 1.5% Primary Care Specialties 7,265 7,401 1.9% Family Practice 2,347 2,376 1.2% General Practice 151 142 - 6.0% Internal Medicine 2,481 2,542 2.5% Obstetrics/ Gynecology 960 981 2.2% Pediatrics 1,326 1,360 2.6% Other Specialties 9,825 9,927 1.0% Federal3 473 510 7.8% Residency Training 2,541 2,648 4.2% Nurses Registered Nurses 76,334 77,655 1.7% Certified Nurse Midwives 196 195 - 0.5% Nurse Practitioners4 2,122 2,256 6.3% Licensed Practical Nurses 16,946 16,918 - 0.2% Other Health Professionals Chiropractors 1,160 1,205 3.9% Optometrists 885 899 1.6% Pharmacists 7,218 7,295 1.1% Physician Assistants 2,390 2,498 4.5% Physical Therapists 3,347 3,594 7.4% Physical Therapy Assistants 1,671 1,761 5.4% Podiatrists 234 249 6.4% Practicing Psychologists 1,626 1,584 - 2.6% Psychological Associates 927 899 - 3.0% Respiratory Therapists N/ A 3,278 N/ A Dentists and Dental Hygienists Dentists 3,462 3,628 4.8% Dental Hygienists 4,095 4,324 5.6% 2 Data are for in- state professionals; includes unknown activity status. 3 Includes federal physicians in the armed services, U. S. Public Health Service, Indian Health Service, and the Department of Veterans Affairs. Federal physicians practicing in government facilities are not required to be licensed in the state and therefore these data may underestimate actual supply. 4 Data on Nurse Practitioners are from the NC Medical Board. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 7 The majority of health professions saw moderate growth in 2004. The number of primary care physicians increased 1.9% (+ 136) from 2003 to 2004. Internal medicine (+ 61, 2.5%) and family practice (+ 29, 1.2%) physicians continued to expand but with less of an increase than in 2003. There were no primary care specialties with less than 1% growth this year; both pediatricians (+ 34, 2.6%) and obstetrician- gynecologists (+ 21, 2.2%) showed a greater increase than in 2003. There was another decrease in the number of general practitioners from 151 to 142 (- 6.0%). The largest percentage increases in other health professions were seen by physical therapists (+ 247, 7.4%), nurse practitioners (+ 134, 6.3%), podiatrists (+ 15, 6.4%) and dental hygienists (+ 229, 5.6%). In 2004 there were moderate increases in the supply of dentists (+ 166, 4.8%) and physician assistants (+ 108, 4.5%) and small increases in registered nurses (+ 1,321, 1.7%), optometrists (+ 14, 1.6%) and pharmacists (+ 77, 1.1%). Psychological associates (- 28, - 3.0%) continued on a downward trend for the fourth year in a row. CHANGES IN SUPPLY Physicians Figure 1 depicts the annual growth, over the past 24 years, of the total number of active licensed physicians practicing in North Carolina, excluding those in residency training or employed by the federal government. The 1.5% (+ 259) growth of physicians licensed by the N. C. Medical Board between 2003 and 2004 is less than seen in the previous year, continuing the slowing trend in growth of physician supply. This is the sixth consecutive year that the growth in physicians has been equal to, or less than, 2.9%. Figure 1: Yearly Increases in the N umber of Licensed Physicians 1980- 2004 3.4% 5.7% 2.3% 5.5% 6.3% 6.5% 0.3% 4.0% 1.4% 5.9% 3.2% 9.2% 1.3% 0.6% 6.4% 4.2% 5.4% 2.2% 2.9% 2.9% 1.9% 1.5% 2.3% 5.3% 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0% 9.0% 10.0% 80- 81 81- 82 82- 83 83- 84 84- 85 85- 86 86- 87 87- 88 88- 89 89- 90 90- 91 91- 92 92- 93 93- 94 94- 95 95- 96 96- 97 97- 98 98- 99 99- 00 00- 01 01- 02 02- 03 03- 04 Year Percent 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 8 Prior to 1997, physician licensure renewal was a biennial process that, through 1994, was held in even- numbered years. In 1995, a switch was made to odd- numbered years. However, in 1997, licensure renewal became an annual process. Figure 1 shows a greater increase in non- renewal years, e. g., 95- 96, 92- 93, 90- 91, and 88- 89. This is because a non- renewal year reflects the migration of doctors into the state or into active practice ( i. e., newly licensed physicians or those who notified the Board of their change in status) but not the corresponding out- migration or inactivity because the license remains in effect throughout the entire two- year period. In 2004, every county in North Carolina had at least one physician reporting a primary practice location; the fewest were found in the following counties: Tyrrell ( 1), Hyde ( 1), Camden ( 2) and Perquimans ( 2). Forty- seven counties experienced an increase in the number of physicians; eighteen had no change in supply, and thirty- five counties lost physicians. Counties with the largest percentage growth in the supply of physicians between 2003 and 2004 include Washington (+ 2, 25.0%), Caswell (+ 2, 16.7%) and Chatham (+ 6, 17.1%). Watauga’s increase (+ 15, 16.5%) was due in part to the Banner Elk ZIP code ( 28604) being moved from Avery to Watauga. The largest reduction in numbers was in Orange County (- 21, 1.9%) while the largest percentage decrease was in Hyde County (- 1, - 50.0%). The supply of primary care physicians5 in North Carolina increased at a slightly greater rate ( 1.9%) than the physician supply( 1.5%) in 2004. When compared with the growth rate for primary care physicians in 2003 ( 2.0%) the growth rate in 2004 is slightly lower ( 1.9%). For the past six years the growth of primary care physicians has slowed, from a rate of 5.2% (+ 332) in 1999. Forty- three counties increased the numbers of primary care physicians, with Sampson (+ 8, 32.0%), Watauga (+ 10, 25.6%), Washington (+ 1, 20.0%), Mitchell (+ 3, 20.0%), and Caswell (+ 2, 20.0%) experiencing the largest percentage gains. Mecklenburg (+ 31, 4.3%) and Forsyth (+ 20, 5.0%) counties gained the most primary care physicians. The number of primary care physicians remained stable in twenty- four counties, and thirty- three counties had a reduction in supply. The largest decrease was in Orange County (- 16, - 3.8%). Nurse Practitioners, Certified Nurse Midwives and Physician Assistants The 6.3% (+ 134) expansion in the nurse practitioner ( NP) numbers in 2004 completes a decade of substantial annual growth. Perquimans regained a sole NP, for the first time since 1999. Five counties had no nurse practitioners ( Alexander, Camden, Hyde, Jones and Martin) 6 with Hyde and Jones losing their sole nurse practitioners and Alexander and Camden having had no NPs since 1998 and 1997 respectively. Nine counties only had one NP ( Bertie, Clay, Gates, Graham, Lincoln, Perquimans, Tyrrell, Transylvania and Washington) in 2004. In total, forty- three counties increased their supply of nurse practitioners, while twenty- four lost providers and thirty- three experienced no change. 5 Primary care physicians are those who report their primary specialty as family practice, general practice, internal medicine, pediatrics, or obstetrics/ gynecology. 6 Data are based on primary practice location; there may be NPs with secondary or other practice locations in these counties. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 9 The state’s certified nurse midwives ( CNMs) data show a very slight - 0.5% (- 1) percentage decrease in supply between 2003 and 2004. This is the first decrease in numbers since data started to be collected in 1995. Granville, Iredell and Union counties experienced large percentage expansions in CNM supply ( 150.0%, 50.0% and 100.0% respectively). Overall, eleven counties saw their CNM supply rise, seventy- five experienced no change, and fourteen counties lost providers7. Duplin, Greene, Moore and Wilson lost their sole CNM in 2004. However, two counties that previously had no CNMs ( Lincoln and Sampson) gained one midwife and two midwives respectively. The net result was that fifty counties in North Carolina had no CNMs in 2004, up from 47 in 2003. This year’s 4.5% (+ 108) increase in physician assistants ( PAs) continues a pattern of growth but is less of an increase than in recent years. In 2004, forty- three counties expanded their PA supply with Chatham County doubling its numbers (+ 2). Yancey, having lost its 2 providers in 2003, regained one in 2004. Forty- one counties experienced no change in their PA supply, including five counties that had no PAs in 2003 ( Avery, Camden, Currituck, Hyde and Mitchell). Sixteen counties decreased their PA supply. Registered Nurses and Licensed PracticalNurses The reader is reminded that prior to the year 2000, RN and LPN licensure renewals occurred in December of each year. The registered nurses ( RN) data show a 1.7% (+ 1,321) rise in counts of RNs in the state between 2003 and 2004. In 2004, fifty- eight counties expanded their RN supply. Three counties ( Currituck, Swain and Rockingham) had no change in their RN supply. RN numbers declined in thirty-nine counties with the largest percentage decrease in Camden county (- 7, - 28.0%). The largest numeric loss was in Richmond county (- 28, - 7.5%). The supply of licensed practical nurses ( LPNs) decreased slightly by - 0.2% (- 28) between 2003 and 2004. Forty- five counties increased their numbers of LPNs, forty- eight counties lost LPNs and seven counties stayed the same. The largest percentage losses were in Hyde (- 3, - 50.0%) and Pamlico (- 5, - 29.4%). The largest reductions in number were in Cumberland (- 20, - 2.3%) and Forsyth (- 19, - 1.7%). Dentists and Dental Hygienists Between 2003 and 2004, North Carolina experienced a 4.8% (+ 167) increase in its supply of dentists. Twelve counties showed reduced numbers of dentists between 2003 and 2004, thirty- seven counties had no change in their supply of dentists, and fifty- one counties saw their supply of dentists rise. The counties of Camden, Hyde, Jones and Tyrell have not had a dentist indicating a primary practice location since 1995. Gates, Graham and Northampton each have only one dentist. In 2004, there was a 5.6% (+ 229) rise in the number of dental hygienists registered with the Board of Dental Examiners. Sixty counties showed growth in 2003 while nineteen counties decreased their supply of hygienists. There were twenty- one counties with no change in their number of hygienists. In 2004, the 7 Data are based on primary practice location only; there may be CNMs with secondary or other practice locations in these counties. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 10 largest percentage expansions were seen in Pamlico (+ 3, 150.0%), Perquimans (+ 1, 100.0%) and Washington (+ 1, 100.0%). In 2004 the largest absolute gains occurred in Mecklenburg (+ 32, 6.8%) and Guilford (+ 18, 7.3%). Three counties had only one hygienist with a primary practice location ( Currituck, Jones, Northampton) and four counties did not possess any ( Bertie, Gates, Hyde and Tyrrell) in 2004. Pharmacists The number of licensed pharmacists showed a slight increase ( 1.1%, + 77) from 2003 to 2004. Between 2003 and 2004, the supply of pharmacists grew in forty- five counties. Wake experienced the largest raw number increase (+ 28, 3.8%) in pharmacists while Alleghany had the largest positive percentage change ( 66.7%) with the addition of two pharmacists. In 2004, Camden and Hyde were the only counties without a pharmacist indicating a practice in those jurisdictions. Thirty- eight counties lost pharmacists; the largest reduction in numbers occurred in Orange (- 15, - 6.5%) and Wilson (- 10, - 13.9%). Pamlico lost one of its five pharmacists for the largest percentage decrease (- 20.0%), while seventeen counties had no change. Physical Therapists and Physical Therapist Assistants Between 2003 and 2004, the supply of licensed physical therapists ( PTs) grew 7.4% (+ 134) in comparison to the previous year’s growth of 1.4% (+ 44). Forty- four counties expanded their supply of PTs, thirty- two lost PTs, and twenty- four counties had no change in numbers. Northampton, which lost both of its PTs in 2003, regained two providers in 2004. Gates lost its sole provider and Chowan lost its only two providers in 2004, resulting in five counties having no PTs. The number of physical therapist assistants ( PTAs) increased 5.4% (+ 90) in 2004. Forty- six counties expanded their supply of PTAs, thirty lost PTAs, and twenty- four counties had no change in numbers. Alexander (+ 1, + 100.0%), Caswell (+ 3, + 300.0%), Currituck (+ 1, + 100.0%), Jones (+ 1, + 100.0%), Dare (+ 3, + 300.0%) and Northampton (+ 4, + 400.0%) all gained PTAs each having had only 1 in 2004. Warren lost its sole provider in 2004 and Camden, Clay and Tyrrell have no PTAs, the same as in 2003. Psychologists and Psychological Associates The number of psychologists in North Carolina decreased by 2.6% (- 42) between 2003 and 2004. This is the first decrease in numbers since 2000. There were twenty- eight counties without a practicing psychologist in 2003 and twelve counties had only one psychologist. During 2004, thirty- one counties lost psychologists, sixty- one counties had no change in numbers and fourteen counties gained practicing psychologists. During 2004, the supply of psychological associates also decreased (- 28, - 3.0%), to its lowest number for a decade. Overall, thirty- seven counties lost psychological associates and fourteen counties had no psychological associates in 2004. Four counties ( Carteret, Davie, Martin and Northampton) lost their sole provider while Macon lost its only two providers. Thirty- three counties experienced no change, and thirty gained psychological associates. Nineteen counties had only one provider. Two counties, Scotland and 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 11 Transylvania, experienced the highest percentage growth (+ 2, + 200.0% for each) while Wake had the highest numeric gain (+ 6, 7.7%). Podiatrists, Optometrists and Chiropractors In 2004, the podiatry workforce experienced an expansion ( 6.4%, + 15). This year’s growth continues a trend of workforce increases since 19988. Nineteen counties gained podiatrists, including Duplin (+ 2) which had no podiatrists in 2002 and 2003. Eight counties lost podiatrists, and seventy- three had no change in numbers. Forty- three counties have no podiatrists, the same as 2003. Alamance (+ 2), Davidson(+ 1), Lenoir(+ 1), Wayne (+ 1) and Wilson(+ 1) all doubled their numbers (+ 100.0%). Together, Forsyth, Mecklenburg, and Wake accounted for almost one- third ( 30.1%) of all podiatrists in the state ( 75 out of 249). North Carolina’s optometrist workforce grew by 1.6% (+ 14) in 2004, continuing a slow growth trend that extends back to 1993, except for 2000 when there was a slight decrease in numbers (- 1, - 0.1%). Nineteen counties gained providers, twenty- two lost providers, and fifty- nine counties experienced no change. Ten counties had no optometrists, including Tyrrell which lost its sole practitioner in 2004; eight of these have had none since 1993. Avery (+ 1) had no optometrists in 2003 and gained one in 2004. Wake (+ 6, + 6.3%), Guilford (+ 6, + 13.0%) and Mecklenburg (+ 9, + 9.9%) experienced the largest gains. Together, Wake and Mecklenburg accounted for more than one- fifth ( 22.5%) of all optometrists in the state ( 102 out of 899). Between 2003 and 2004, North Carolina’s count of chiropractors grew by 3.9% (+ 45). Since 1993, there have been no losses in supply and 1995 and 1997 showed peak increases of 9.1% (+ 65) and 13.5% (+ 109) respectively. In 2004, twenty- five counties increased their number of providers, twenty- seven lost providers, and forty- eight experienced no change. Thirteen counties have no chiropractors, including ten counties which have remained without any chiropractors since 1993 and Washington county, which lost its only two providers in 2004. Granville and Jones had the largest percentage gains (+ 1, 100.0%) with each doubling its supply. Mecklenburg and Wake accounted for an increasingly high proportion of chiropractors in the state ( 28.5%, 343 out of 1,205), up from 26.7% in 2003. Respiratory Therapists Respiratory therapists are new to the Health Professions Data System in 2004. There are fifteen counties with no respiratory therapists and two counties with only one practitioner. More than 10% ( 11.4%, 372) of all respiratory therapists in North Carolina work in Mecklenburg county. CHANGES IN PRACTITIONER TO POPULATION RATIOS North Carolina’s population increased 0.9% between 2003 and 2004, less than the 1.7% growth rate experienced the previous year9. Any examination of the changes in the supply and distribution of the health 8 This fluctuation may be attributed to a change in processing of podiatry records between 2000 and 2001. 9 The population change reported here was calculated using the July 1, 2003 population estimate and the July 1, 2004 projection as reported by the NC State Data Center ( http:// www. linc. state. nc. us/). 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 12 care workforce must take into account North Carolina’s population growth rate, as well as the differences in population growth rates across counties of the state. To account for these factors, changes in health professional supply are illustrated in this section by examining the number of health care professionals per 10,000 people10. The practitioner per 10,000 population ratio provides a better mechanism to compare the supply and distribution of health professionals across varying geographic areas than the use of simple raw counts. Tables 3 through 13 ( except Table 5) include the ten highest and lowest ranked North Carolina counties based on active physicians, primary care physicians, registered nurses, dentists, and pharmacists per 10,000 population. Table 5 provides the physician and primary care physician ratios per 10,000 population for the United States, North Carolina, and selected states that border North Carolina based on American Medical Association ( AMA) data. Caution should be used in comparing these figures to the ratios shown elsewhere in the data book because of differences in the data collection efforts at the AMA; the AMA master file relies on survey data and is updated throughout the year while the North Carolina licensure data are collected in October of every year. Table 14 shows the practitioner- per- 10,000 population ratios for all North Carolina counties in alphabetical order. Similar to Table 2, those licensed professionals for whom activity status is “ unknown” are included in the “ active” category. Professionals are only counted once and are located in counties based on primary practice location. Physicians per 10,000 Population Ratio The 2004 ratio of N. C. physicians per 10,000 population increased very slightly to 20.3. This is the third consecutive year that the ratio has remained nearly constant at 20.0 in 2001 and 20.1 in both 2002 and 2003. The counties with the ten largest and ten smallest ratios in 2004 are included in Tables 3 and 4. Table 3: Counties with the Largest Physicians- per- 10,000- Population Ratios, 2004 vs. 2003 2004 Rank County 2004 Total Physicians 2004 Total Population 2004 Physicians per 10,000 Population 2003 Physicians per 10,000 Population 2003 Rank 1 Orange 1,130 123,196 90.0 90.1 1 2 Durham 1,596 239,662 68.9 68.0 2 3 Pitt 596 141,019 43.3 42.7 3 4 Forsyth 1,248 321,852 39.5 39.2 4 5 Buncombe 713 215,468 33.3 33.1 5 6 New Hanover 548 172,780 32.4 32.0 6 7 Moore 221 79,900 27.8 27.8 7 8 Pasquotank 97 36,681 26.2 27.2 8 9 Mecklenburg 1,850 769,843 24.9 24.5 10 10 Watauga 106 43,170 24.6 20.9 15 10 Publications of this document prior to the 1999 edition reported population per health professional ratios. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 13 Table 4: Counties with the Smallest Physicians- per- 10,000- Population Ratios, 2004 vs. 2003 2004 Rank County 2004 Total Physicians 2004 Total Population 2004 Physicians per 10,000 Population 2003 Physicians per 10,000 Population 2003 Rank 100 Perquimans 2 11,806 1.7 1.7 100 99 Hyde 1 5,792 1.7 1.7 93 98 Tyrrell 1 4,246 2.4 2.4 99 97 Greene 5 20,262 2.5 3.1 98 96 Gates 3 10,882 2.8 2.8 97 95 Currituck 6 21, 059 2.8 3.1 96 94 Stokes 15 46,356 3.2 3.7 94 93 Hoke 14 38,193 3.7 3.6 92 92 Graham 3 8,137 3.7 4.9 91 91 Alexander 13 35,165 3.7 4.0 95 According to the data from the AMA and the U. S. Census Bureau, as seen in Table 5, there were, on average, about 22.8 physicians per 10,000 population in the United States at the beginning of 2003. This is up slightly from 21.8 in 2002. According to the AMA data, North Carolina’s ratio was 20.6, slightly lower than the national average. Table 5: Physicians & Primary Care Physicians per 10,000 Population, US and Selected States, 2003 AMA Physician Data: US Physician/ 10,000 Pop NC Physician/ 10,000 Pop GA Physician/ 10,000 Pop SC Physician/ 10,000 Pop TN Physician/ 10,000 Pop VA Physician/ 10,000 Pop Total Physicians * 22.77 20.63 19.02 19.32 21.75 21.58 Primary Care Physicians** 9.43 8.61 8.26 8.21 9.13 9.29 Source: Area Resource File, Bureau of Health Professions, National Center for Health Workforce Information and Analysis, data from AMA Master file, effective 12/ 31/ 03; resident total population estimates by state and national resident total population estimates U. S. Census Bureau “ Table 1: Annual Estimates of the Population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1 ,2004” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2004- 01. xls > Release Date: December 22, 2004. * Active, nonfederal physicians, excluding residents/ fellows. ** Active, nonfederal physicians, excluding residents/ fellows with specialties of family practice, general practice, internal medicine, obstetrics/ gynecology, and pediatrics. Compared to adjacent states, North Carolina has fewer physicians per 10,000 population than Tennessee and Virginia, but more physicians per population than Georgia and South Carolina. As mentioned earlier, the county- and state- level ratios using the N. C. Medical Board data are difficult to compare with the AMA figures due to differences in methodology and timing of data collection and reporting. Primary Care Physicians per 10,000 Population Ratio On average, there were 8.6 primary care physicians per 10,000 population in North Carolina in 2004, the same as in 2003. Tables 6 and 7 illustrate the counties with the largest and the smallest primary care physician per 10,000 ratios. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 14 Table 6: Counties with the Largest Primary- Care- Physicians- per- 10,000- Population Ratios, 2004 vs. 2003 2004 Rank County 2004 Total Primary Care Physicians 2004 Total Population 2004 Primary Care Physicians per 10,000 Population 2003 Primary Care Physicians per 10,000 Population 2003 Rank 1 Orange 408 123,196 33.1 33.8 1 2 Durham 524 239,662 21.9 21.9 2 3 Pitt 233 141,019 16.5 16.8 3 4 Buncombe 295 215,468 13.7 13.7 5 5 Forsyth 424 321,852 13.2 12.7 7 6 Jones 13 10,257 12.7 14.3 4 7 New Hanover 207 172,780 12.0 12.3 8 8 Swain 16 13,573 11.8 13.3 6 9 Watauga 49 43,170 11.4 8.9 20 10 Mitchell 18 16,052 11.2 9.4 16 Table 7: Counties with the Smallest Primary- Care- Physicians- per- 10,000- Population Ratios, 2004 vs. 2003 2004 Rank County 2004 Total Primary Care Physicians 2004 Total Population 2004 Primary Care Physicians per 10,000 Population 2003 Primary Care Physicians per 10,000 Population 2003 Rank 100 Perquimans 2 11,806 1.7 1.7 100 99 Hyde 1 5,792 1.7 3.4 15 98 Currituck 4 21,059 1.9 2.5 96 97 Tyrrell 1 4,246 2.4 2.4 99 96 Pender 11 44,820 2.5 2.5 98 95 Greene 5 20,262 2.5 2.5 97 94 Camden 2 7,852 2.5 2.8 95 93 Stokes 12 46,356 2.6 2.8 94 92 Northampton 6 21,820 2.7 3.2 12 91 Gates 3 10,882 2.8 2.8 93 According to the national AMA data ( see Table 5 on page 13) which, as mentioned previously, has differences in data collection and timing of collection, there were 9.4 primary care physicians per 10,000 population on average in the United States at the beginning of 2003. This compares to a ratio in North Carolina of 8.6 primary care physicians per 10,000 population11. Tennessee and Virginia had larger numbers of primary care physicians per 10,000 population than North Carolina ( with ratios of 9.1 and 9.3 respectively), and Georgia and South Carolina had smaller ratios ( with ratios of 8.3 and 8.2 respectively). 11 Area Resource File, Federal Bureau of Health Professions, National Center for Health Workforce Information and Analysis, data from AMA Masterfile, effective 12/ 31/ 03; U. S. Census Bureau resident total population estimates by state and national resident total population estimates “ Table 1: Annual Estimates of the Population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1 ,2004” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2004- 01. xls > Release Date: December 22, 2004 ( accessed: 01 July 2005). 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 15 Dentists per 10,000 Population Ratio North Carolina had 4.2 dentists per 10,000 population in 2004, a very slight increase from 4.1 per 10,000 population in 2003. National statistics show a ratio of 5.7 dentists per 10,000 population in 200412. Caution should be used in comparing these national figures to the ratios shown elsewhere in the book because of differences in the data collection efforts of the Bureau of Labor Statistics. Tables 8 and 9 report the counties with the ten largest and ten smallest supply of dentists per 10,000 population ratios in 2004. The four counties tied for 100— Camden, Hyde, Jones and Tyrrell— have not had a dentist with a primary practice location in the county since 1995. Table 8: Counties with the Largest Dentists- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Dentists 2004 Total Population 2004 Dentists per 10,000 Population 2003 Dentists per 10,000 Population 2003 Rank 1 Orange 145 123,196 11.8 10.8 1 2 New Hanover 124 172,780 7.2 7.1 2 3 Wake 467 721,437 6.5 6.4 3 4 Mecklenburg 479 769,843 6.2 6.1 4 5 Carteret 38 61,122 6.2 5.6 9 6 Durham 148 239,662 6.2 6.1 5 7 Buncombe 131 215,468 6.1 5.9 6 8 Forsyth 191 321,852 5.9 5.9 7 9 Dare 19 33,906 5.6 5.9 8 10 Guilford 236 438,520 5.4 5.2 10 Table 9: Counties with the Smallest Dentists- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Dentists 2004 Total Population 2004 Dentists per 10,000 Population 2003 Dentists per 10,000 Population 2003 Rank 100 Camden 0 7,852 0.0 0.0 100 100 Hyde 0 5,792 0.0 0.0 100 100 Jones 0 10,257 0.0 0.0 100 100 Tyrrell 0 4,246 0.0 0.0 100 96 Northampton 1 21,820 0.5 0.5 96 95 Gates 1 10,882 0.9 0.9 93 94 Madison 2 20,196 1.0 1.5 88 93 Bertie 2 19,748 1.0 0.5 95 92 Franklin 6 52,855 1.1 0.8 94 91 Graham 1 8,137 1.2 2.4 54 12 Bureau of Labor Statistics; “ Employed persons by detailed occupation, sex, race, and Hispanic origin;” ftp:// ftp. bls. gov/ pub/ special. requests/ lf/ aat11. txt; ( accessed: 01 July 2005). National resident total population estimates “ Table 1: Annual Estimates of the Population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1 ,2004” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2004- 01. xls > Release Date: December 22, 2004 ( accessed: 01 July 2005). 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 16 Registered Nurses per 10,000 Population Ratio The average number of registered nurses ( RNs) per 10,000 population increased slightly from 90.0 in 2003 to 90.7 in 2004. North Carolina’s supply of RNs per 10,000 population is higher than the most current national statistic of 83.9 RNs per 10,000 population in 2004. Caution should be used in comparing these national figures to the ratios shown elsewhere in the book because of differences in the data collection efforts of the Bureau of Labor Statistics13. Tables 10 and 11 represent the counties with the largest and the smallest registered nurses per 10,000 population ratios in year 2004. Table 10: Counties with the Largest Registered Nurses- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Registered Nurses 2004 Total Population 2004 RNs per 10,000 Population 2003 RNs per 10,000 Population 2003 Rank 1 Orange 2,534 123,196 205.7 191.5 2 2 Durham 4,874 239,662 203.4 204.4 1 3 Pitt 2,536 141,019 179.8 179.1 3 4 Forsyth 5,180 321,852 160.9 156.4 5 5 Buncombe 3,459 215,468 160.5 158.1 4 6 New Hanover 2,490 172,780 144.1 140.4 6 7 Moore 1,026 79,900 128.4 128.1 8 8 Pasquotank 466 36,681 127.0 128.9 7 9 Mecklenburg 8,951 769,843 116.3 115.9 9 10 Hertford 266 23,794 111.8 114.9 10 Table 11: Counties with the Smallest Registered Nurses- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Registered Nurses 2004 Total Population 2004 RNs per 10,000 Population 2003 RNs per 10,000 Population 2003 Rank 100 Caswell 49 23,965 20.4 22.2 98 99 Gates 24 10,882 22.1 22.8 100 98 Currituck 48 21,059 22.8 20.5 97 97 Camden 18 7,852 22.9 34.4 85 96 Warren 48 20,286 23.7 24.8 96 95 Alexander 87 35,165 24.7 21.8 99 94 Tyrrell 11 4,246 25.9 30.8 90 93 Hoke 101 38,193 26.4 24.8 95 92 Northampton 62 21,820 28.4 28.8 92 91 Perquimans 34 11,806 28.8 31.7 88 13 Bureau of Labor Statistics; “ Employed persons by detailed occupation, sex, race, and Hispanic origin;” ftp:// ftp. bls. gov/ pub/ special. requests/ lf/ aat11. txt; ( accessed: 01 July 2005). National resident total population estimates “ Table 1: Annual Estimates of the Population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1 ,2004” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2004- 01. xls > Release Date: December 22, 2004 ( accessed: 01 July 2005). 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 17 Pharmacists per 10,000 Population Ratio On average, the state had 8.5 licensed pharmacists per 10,000 population in 2004, the same as in 2003. The national ratio in 2004 was 7.9 pharmacists per 10,000 population14. Again, the reader is cautioned to use care in comparing these national figures to the ratios shown elsewhere in the book because of differences in the data collection efforts of the Bureau of Labor Statistics. See Tables 12 and 13 for the North Carolina counties ranking the highest and lowest pharmacists to population ratios. Table 12: Counties with the Largest Pharmacists- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Pharmacists 2004 Total Population 2004 Pharmacists per 10,000 Population 2003 Pharmacists per 10,000 Population 2003 Rank 1 Durham 622 239,662 26.0 26.2 1 2 Orange 217 123,196 17.6 18.5 2 3 Lenoir 75 59,091 12.7 13.9 3 4 Forsyth 402 321,852 12.5 12.4 5 5 Pitt 176 141,019 12.5 13.0 4 6 Buncombe 255 215,468 11.8 11.7 6 7 Wake 766 721,437 10.6 10.5 8 8 New Hanover 177 172,780 10.2 10.7 7 9 Cabarrus 145 146,852 9.9 8.9 12 10 Dare 33 33,906 9.7 9.6 17 Table 13: Counties with the Smallest Pharmacists- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Pharmacists 2004 Total Population 2004 Pharmacists per 10,000 Population 2003 Pharmacists per 10,000 Population 2003 Rank 100 Camden 0 7,852 0.0 0.0 100 100 Hyde 0 5,792 0.0 0.0 100 98 Northampton 4 21,820 1.8 1.8 97 97 Currituck 4 21,059 1.9 1.5 98 96 Jones 2 10,257 1.9 1.9 95 95 Tyrrell 1 4,246 2.4 2.4 93 94 Caswell 6 23,965 2.5 2.9 90 93 Gates 3 10,882 2.8 1.9 96 92 Greene 6 20,262 3.0 2.0 94 91 Pamlico 4 13,071 3.1 3.8 84 14 Bureau of Labor Statistics; “ Employed persons by detailed occupation, sex, race, and Hispanic origin;” ftp:// ftp. bls. gov/ pub/ special. requests/ lf/ aat11. txt; ( accessed: 01 July 2005). National resident total population estimates “ Table 1: Annual Estimates of the Population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1 ,2004” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2004- 01. xls > Release Date: December 22, 2004 ( accessed: 01 July 2005). 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 18 Active Health Professionals per 10,000 Population Ratios for All Counties Table 14 reports year 2004 data for selected active health professionals per 10,000 population ratios for physicians, primary care physicians, 15 dentists, registered nurses, and pharmacists for all counties listed in alphabetical order. Table 14: Active Health- Professionals- per- 10,000- Population Ratios, 2004 County 2004 Total Population Physicians per 10,000 Population Primary Care Physicians per 10,000 Population Dentists per 10,000 Population Registered Nurses per 10,000 Population Pharmacists per 10,000 Population Alamance 138,754 13.3 5.9 4.2 57.5 7.2 Alexander 35,165 3.7 3.1 2.0 24.7 4.0 Alleghany 10,912 11.9 10.1 1.8 69.6 4.6 Anson 25,384 7.5 4.7 2.0 50.8 4.3 Ashe 25,320 8.7 6.3 2.0 47.8 7.5 Avery 18,221 11.0 6.0 3.3 73.0 9.3 Beaufort 45,816 13.3 6.1 2.8 84.3 6.5 Bertie 19,748 6.1 5.1 1.0 51.1 4.1 Bladen 33,119 6.9 5.7 1.5 47.7 4.2 Brunswick 83,787 10.1 4.5 2.9 48.8 7.4 Buncombe 215,468 33.3 13.7 6.1 160.5 11.8 Burke 89,943 18.9 7.9 3.6 102.0 7.9 Cabarrus 146,852 21.0 9.4 3.1 96.6 9.9 Caldwell 78,606 9.5 5.5 2.7 48.0 4.6 Camden 7,852 3.8 2.5 0.0 22.9 0.0 Carteret 61,122 14.9 7.2 6.2 71.0 8.7 Caswell 23,965 5.8 5.0 1.7 20.4 2.5 Catawba 148,797 22.5 8.9 4.2 110.8 8.7 Chatham 54,645 7.5 5.9 1.8 41.4 4.6 Cherokee 25,694 14.4 9.0 3.5 76.3 9.0 Chowan 14,453 18.7 10.4 2.1 96.9 7.6 Clay 9,499 7.4 5.3 3.2 45.3 6.3 Cleveland 98,497 15.2 7.6 3.4 81.4 6.3 Columbus 54,917 9.5 4.9 1.8 81.6 8.9 Craven 93,454 22.5 8.6 3.9 97.2 7.1 Cumberland 311,526 15.0 6.8 3.6 70.0 6.0 Currituck 21,059 2.8 1.9 1.9 22.8 1.9 Dare 33,906 13.9 7.7 5.6 67.2 9.7 Davidson 153,897 7.7 4.5 1.9 44.4 5.7 Davie 37,871 5.5 3.7 2.6 31.4 6.6 Duplin 51,821 5.4 4.2 2.1 49.4 5.4 Durham 239,662 68.9 21.9 6.2 203.4 26.0 Edgecombe 53,777 7.1 4.3 1.3 50.8 4.1 Forsyth 321,852 39.5 13.2 5.9 160.9 12.5 Franklin 52,855 5.9 2.8 1.1 37.3 3.4 Gaston 192,650 17.8 8.1 3.8 71.4 7.9 Gates 10,882 2.8 2.8 0.9 22.1 2.8 Graham 8,137 3.7 3.7 1.2 38.1 6.1 15 Primary care physicians are those who report their primary specialty as family practice, general practice, internal medicine, pediatrics, or obstetrics/ gynecology. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 19 County 2004 Total Population Physicians per 10,000 Population Primary Care Physicians per 10,000 Population Dentists per 10,000 Population Registered Nurses per 10,000 Population Pharmacists per 10,000 Population Granville 53,346 13.3 5.4 2.6 97.1 7.9 Greene 20,262 2.5 2.5 2.5 31.6 3.0 Guilford 438,520 22.9 9.4 5.4 108.4 9.6 Halifax 56,947 13.5 7.2 1.9 73.6 6.3 Harnett 100,271 6.4 4.7 2.1 36.3 5.6 Haywood 56,418 17.4 7.6 4.1 71.8 7.3 Henderson 96,370 23.5 10.7 4.7 96.5 7.3 Hertford 23,794 16.8 8.4 4.6 111.8 7.1 Hoke 38,193 3.7 2.9 1.6 26.4 3.4 Hyde 5,792 1.7 1.7 0.0 38.0 0.0 Iredell 136,387 18.6 7.4 4.8 108.0 8.8 Jackson 35,627 21.9 10.7 3.1 84.5 5.6 Johnston 140,719 7.5 4.7 2.2 36.9 6.5 Jones 10,257 20.5 12.7 0.0 33.1 1.9 Lee 50,561 17.0 8.7 4.2 67.0 6.9 Lenoir 59,091 20.0 8.0 4.4 93.2 12.7 Lincoln 68,630 8.3 5.2 2.5 39.5 6.8 McDowell 43,647 7.6 4.8 2.1 58.2 4.6 Macon 31,968 20.3 9.7 3.8 66.0 6.9 Madison 20,196 6.9 6.4 1.0 31.2 4.0 Martin 24,930 7.6 5.6 2.0 48.5 8.4 Mecklenburg 769,843 24.9 9.8 6.2 116.3 9.7 Mitchell 16,052 15.0 11.2 3.1 90.3 9.3 Montgomery 27,680 4.7 3.6 1.8 35.8 5.4 Moore 79,900 27.8 9.0 5.4 128.4 8.9 Nash 90,546 19.4 9.2 5.0 98.0 6.8 New Hanover 172,780 32.4 12.0 7.2 144.1 10.2 Northampton 21,820 4.1 2.7 0.5 28.4 1.8 Onslow 159,817 7.5 3.6 3.4 46.6 3.7 Orange 123,196 90.0 33.1 11.8 205.7 17.6 Pamlico 13,071 6.1 5.4 3.1 35.2 3.1 Pasquotank 36,681 26.2 9.8 3.5 127.0 8.7 Pender 44,820 4.0 2.5 2.2 37.3 6.2 Perquimans 11,806 1.7 1.7 1.7 28.8 3.4 Person 37,594 9.3 5.3 2.4 49.7 6.6 Pitt 141,019 43.3 16.5 3.9 179.8 12.5 Polk 19,194 12.0 6.3 3.6 82.3 6.3 Randolph 137,385 9.6 5.4 2.7 35.7 3.8 Richmond 46,594 9.7 6.7 3.2 74.0 6.2 Robeson 127,253 10.9 5.9 1.7 59.3 5.6 Rockingham 92,893 11.6 6.0 2.9 57.6 7.6 Rowan 135,147 10.8 5.5 3.6 72.2 7.3 Rutherford 63,861 13.3 7.0 2.8 66.9 6.7 Sampson 63,597 8.0 5.2 1.6 52.8 5.2 Scotland 35,690 15.1 8.4 2.5 88.0 7.8 Stanly 59,533 14.1 7.9 2.5 66.9 6.9 Stokes 46,356 3.2 2.6 1.5 29.8 4.1 Surry 72,810 14.8 8.4 3.2 75.5 6.9 Swain 13,573 13.3 11.8 3.7 70.0 3.7 Transylvania 29,799 14.4 9.1 3.4 71.5 6.7 Tyrrell 4,246 2.4 2.4 0.0 25.9 2.4 Union 149,045 8.6 4.3 2.0 44.6 4.5 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 20 County 2004 Total Population Physicians per 10,000 Population Primary Care Physicians per 10,000 Population Dentists per 10,000 Population Registered Nurses per 10,000 Population Pharmacists per 10,000 Population Vance 44,216 14.5 7.7 2.3 55.4 8.4 Wake 721,437 20.8 9.1 6.5 97.2 10.6 Warren 20,286 4.4 3.9 2.5 23.7 3.5 Washington 13,435 7.4 4.5 2.2 49.9 4.5 Watauga 43,170 24.6 11.4 5.1 86.2 6.9 Wayne 114,778 15.9 7.3 3.7 85.3 8.0 Wilkes 67,509 10.2 5.6 3.1 61.3 4.4 Wilson 76,312 13.9 5.6 2.8 81.1 8.1 Yadkin 37,524 4.5 4.3 1.6 29.8 4.3 Yancey 18,131 8.3 8.3 2.2 39.7 3.3 State Total 8,562,210 20.3 8.6 4.2 90.7 8.5 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 21 NORTH CAROLINA COUNTY AND REGIONAL HEALTH PROFESSIONS AND RELATED HEALTH STATISTICS Alamance MSA county designation: Metropolitan AHEC Region: Greensboro HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 9.5 Teen Pregnancies 306 Teen Pregnancy Rate 61.1 Total Pregnancies 2,277 Total Pregnancy Rate 77.3 Total 8.7 White 6.1 Unemployed 2004 4,299 Employed 2004 65,383 Labor Force 2004 69,682 Unemployment Rate 2004 (%) 6.2 Per Capita Income 2003 $ 26,030 Medicaid Eligibles 2003 21,726 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 15,379 General Hospital Beds 2004 182 Nursing Facility Beds 2004 872 Total Ages 0- 19 Ages 20- 64 Ages 65+ 138,754 109,651 29,103 38,232 29,063 9,169 81,895 64,776 17,119 18,627 15,812 2,815 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 184 Primary Care Physicians 82 Nurse Practitioners 26 Family Practice 27 General Practice 0 Internal Medicine 29 Obstetrics/ Gynecology 8 Pediatrics 18 Physician Assistants 23 Licensed Practical Nurse 193 Registered Nurses 798 Federal Physicians 1 Other Specialties 101 Physicians per 10,000 Population 13.3 Primary Care Physicians per 10,000 Population 5.9 Nurses Chiropractors 18 Optometrists 15 Pharmacists 100 Physical Therapists 65 Physical Therapist Assistants 11 Podiatrists 4 Practicing Psychologists 9 Psychological Associates 4 ** 100.0% 27.6% 59.0% 13.4% Resident Births 1,838 Resident Deaths 1,368 Nonwhite 19.9 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 5 Dentists and Dental Hygienists Dentists 58 Dental Hygienists 66 Other Health Professionals Respiratory Therapists 22 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 22 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Alexander MSA county designation: Metropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 10.4 Teen Pregnancies 49 Teen Pregnancy Rate 44.8 Total Pregnancies 465 Total Pregnancy Rate 65.8 Total 7.3 White 5.1 Unemployed 2004 1,116 Employed 2004 17,511 Labor Force 2004 18,627 Unemployment Rate 2004 (%) 6.0 Per Capita Income 2003 $ 24,486 Medicaid Eligibles 2003 5,935 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 3,658 General Hospital Beds 2004 25 Nursing Facility Beds 2004 183 Total Ages 0- 19 Ages 20- 64 Ages 65+ 35,165 32,994 2,171 9,345 8,615 730 21,519 20,317 1,202 4,301 4,062 239 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 13 Primary Care Physicians 11 Nurse Practitioners 0 Family Practice 9 General Practice 0 Internal Medicine 2 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 5 Licensed Practical Nurse 29 Registered Nurses 87 Federal Physicians 0 Other Specialties 2 Physicians per 10,000 Population 3.7 Primary Care Physicians per 10,000 Population 3.1 Nurses Chiropractors 3 Optometrists 1 Pharmacists 14 Physical Therapists 3 Physical Therapist Assistants 2 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 4 ** 100.0% 26.6% 61.2% 12.2% Resident Births 413 Resident Deaths 284 Nonwhite 47.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 7 Dental Hygienists 12 Other Health Professionals Respiratory Therapists 1 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 23 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Alleghany MSA county designation: Nonmetropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 6.3 Teen Pregnancies 6 Teen Pregnancy Rate 22.8 Total Pregnancies 90 Total Pregnancy Rate 50.1 Total 0.0 White 0.0 Unemployed 2004 302 Employed 2004 4,519 Labor Force 2004 4,821 Unemployment Rate 2004 (%) 6.3 Per Capita Income 2003 $ 24,023 Medicaid Eligibles 2003 2,176 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 1,699 General Hospital Beds 2004 46 Nursing Facility Beds 2004 90 Total Ages 0- 19 Ages 20- 64 Ages 65+ 10,912 10,712 200 2,293 2,262 31 6,522 6,365 157 2,097 2,085 12 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 13 Primary Care Physicians 11 Nurse Practitioners 2 Family Practice 9 General Practice 0 Internal Medicine 2 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 4 Licensed Practical Nurse 29 Registered Nurses 76 Federal Physicians 0 Other Specialties 2 Physicians per 10,000 Population 11.9 Primary Care Physicians per 10,000 Population 10.1 Nurses Chiropractors 1 Optometrists 2 Pharmacists 5 Physical Therapists 3 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 0 ** 100.0% 21.0% 59.8% 19.2% Resident Births 80 Resident Deaths 129 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 2 Dental Hygienists 4 Other Health Professionals Respiratory Therapists 5 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 24 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Anson MSA county designation: Nonmetropolitan AHEC Region: Charlotte HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 11.4 Teen Pregnancies 64 Teen Pregnancy Rate 79.6 Total Pregnancies 419 Total Pregnancy Rate 87.5 Total 16.6 White 11.2 Unemployed 2004 960 Employed 2004 10,040 Labor Force 2004 11,000 Unemployment Rate 2004 (%) 8.7 Per Capita Income 2003 $ 21,274 Medicaid Eligibles 2003 6,948 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 4,227 General Hospital Beds 2004 52 Nursing Facility Beds 2004 161 Total Ages 0- 19 Ages 20- 64 Ages 65+ 25,384 12,565 12,819 6,777 2,849 3,928 15,098 7,424 7,674 3,509 2,292 1,217 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 19 Primary Care Physicians 12 Nurse Practitioners 2 Family Practice 4 General Practice 1 Internal Medicine 5 Obstetrics/ Gynecology 0 Pediatrics 2 Physician Assistants 6 Licensed Practical Nurse 75 Registered Nurses 129 Federal Physicians 0 Other Specialties 7 Physicians per 10,000 Population 7.5 Primary Care Physicians per 10,000 Population 4.7 Nurses Chiropractors 1 Optometrists 1 Pharmacists 11 Physical Therapists 3 Physical Therapist Assistants 4 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 5 ** 100.0% 26.7% 59.5% 13.8% Resident Births 361 Resident Deaths 293 Nonwhite 21.9 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 5 Dental Hygienists 3 Other Health Professionals Respiratory Therapists 9 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 25 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Ashe MSA county designation: Nonmetropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 9.9 Teen Pregnancies 40 Teen Pregnancy Rate 63.4 Total Pregnancies 299 Total Pregnancy Rate 67.6 Total 11.0 White 11.1 Unemployed 2004 684 Employed 2004 11,821 Labor Force 2004 12,505 Unemployment Rate 2004 (%) 5.5 Per Capita Income 2003 $ 23,702 Medicaid Eligibles 2003 5,100 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 3,330 General Hospital Beds 2004 76 Nursing Facility Beds 2004 210 Total Ages 0- 19 Ages 20- 64 Ages 65+ 25,320 24,938 382 5,366 5,248 118 15,285 15,055 230 4,669 4,635 34 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 22 Primary Care Physicians 16 Nurse Practitioners 5 Family Practice 12 General Practice 1 Internal Medicine 2 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 5 Licensed Practical Nurse 48 Registered Nurses 121 Federal Physicians 0 Other Specialties 6 Physicians per 10,000 Population 8.7 Primary Care Physicians per 10,000 Population 6.3 Nurses Chiropractors 5 Optometrists 3 Pharmacists 19 Physical Therapists 5 Physical Therapist Assistants 8 Podiatrists 0 Practicing Psychologists 3 Psychological Associates 3 ** 100.0% 21.2% 60.4% 18.4% Resident Births 273 Resident Deaths 308 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 5 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 7 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 26 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Avery MSA county designation: Nonmetropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.1 Teen Pregnancies 20 Teen Pregnancy Rate 39.3 Total Pregnancies 209 Total Pregnancy Rate 66.5 Total 0.0 White 0.0 Unemployed 2004 401 Employed 2004 7,757 Labor Force 2004 8,158 Unemployment Rate 2004 (%) 4.9 Per Capita Income 2003 $ 23,431 Medicaid Eligibles 2003 3,195 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 2,325 General Hospital Beds 2004 40 Nursing Facility Beds 2004 128 Total Ages 0- 19 Ages 20- 64 Ages 65+ 18,221 17,290 931 3,882 3,790 92 11,440 10,625 815 2,899 2,875 24 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 20 Primary Care Physicians 11 Nurse Practitioners 5 Family Practice 7 General Practice 0 Internal Medicine 2 Obstetrics/ Gynecology 2 Pediatrics 0 Physician Assistants 0 Licensed Practical Nurse 50 Registered Nurses 133 Federal Physicians 0 Other Specialties 9 Physicians per 10,000 Population 11.0 Primary Care Physicians per 10,000 Population 6.0 Nurses Chiropractors 1 Optometrists 1 Pharmacists 17 Physical Therapists 7 Physical Therapist Assistants 5 Podiatrists 0 Practicing Psychologists 2 Psychological Associates 1 ** 100.0% 21.3% 62.8% 15.9% Resident Births 186 Resident Deaths 208 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 6 Dental Hygienists 4 Other Health Professionals Respiratory Therapists 6 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 27 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Beaufort MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.9 Teen Pregnancies 103 Teen Pregnancy Rate 75.4 Total Pregnancies 642 Total Pregnancy Rate 75.9 Total 8.9 White 5.2 Unemployed 2004 1,398 Employed 2004 18,242 Labor Force 2004 19,640 Unemployment Rate 2004 (%) 7.1 Per Capita Income 2003 $ 23,324 Medicaid Eligibles 2003 10,936 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 6,285 General Hospital Beds 2004 159 Nursing Facility Beds 2004 300 Total Ages 0- 19 Ages 20- 64 Ages 65+ 45,816 32,410 13,406 11,336 7,261 4,075 27,099 19,534 7,565 7,381 5,615 1,766 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 61 Primary Care Physicians 28 Nurse Practitioners 9 Family Practice 10 General Practice 1 Internal Medicine 10 Obstetrics/ Gynecology 1 Pediatrics 6 Physician Assistants 10 Licensed Practical Nurse 100 Registered Nurses 386 Federal Physicians 0 Other Specialties 33 Physicians per 10,000 Population 13.3 Primary Care Physicians per 10,000 Population 6.1 Nurses Chiropractors 5 Optometrists 7 Pharmacists 30 Physical Therapists 12 Physical Therapist Assistants 13 Podiatrists 4 Practicing Psychologists 0 Psychological Associates 6 ** 100.0% 24.7% 59.1% 16.1% Resident Births 561 Resident Deaths 522 Nonwhite 16.9 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 13 Dental Hygienists 14 Other Health Professionals Respiratory Therapists 18 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 28 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Bertie MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.0 Teen Pregnancies 47 Teen Pregnancy Rate 68.8 Total Pregnancies 280 Total Pregnancy Rate 71.8 Total 12.6 White 0.0 Unemployed 2004 661 Employed 2004 7,482 Labor Force 2004 8,143 Unemployment Rate 2004 (%) 8.1 Per Capita Income 2003 $ 20,845 Medicaid Eligibles 2003 6,567 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 2,690 General Hospital Beds 2004 6 Nursing Facility Beds 2004 142 Total Ages 0- 19 Ages 20- 64 Ages 65+ 19,748 7,182 12,566 5,229 1,470 3,759 11,300 4,206 7,094 3,219 1,506 1,713 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 12 Primary Care Physicians 10 Nurse Practitioners 1 Family Practice 7 General Practice 0 Internal Medicine 2 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 6 Licensed Practical Nurse 44 Registered Nurses 101 Federal Physicians 0 Other Specialties 2 Physicians per 10,000 Population 6.1 Primary Care Physicians per 10,000 Population 5.1 Nurses Chiropractors 0 Optometrists 1 Pharmacists 8 Physical Therapists 1 Physical Therapist Assistants 2 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 1 ** 100.0% 26.5% 57.2% 16.3% Resident Births 238 Resident Deaths 219 Nonwhite 18.3 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 2 Dental Hygienists 0 Other Health Professionals Respiratory Therapists 4 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 29 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Bladen MSA county designation: Nonmetropolitan AHEC Region: Southern Regional HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 12.9 Teen Pregnancies 83 Teen Pregnancy Rate 79.0 Total Pregnancies 518 Total Pregnancy Rate 79.9 Total 4.5 White 7.0 Unemployed 2004 1,126 Employed 2004 14,345 Labor Force 2004 15,471 Unemployment Rate 2004 (%) 7.3 Per Capita Income 2003 $ 21,244 Medicaid Eligibles 2003 10,053 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 4,188 General Hospital Beds 2004 48 Nursing Facility Beds 2004 194 Total Ages 0- 19 Ages 20- 64 Ages 65+ 33,119 19,795 13,324 8,742 4,708 4,034 19,666 12,023 7,643 4,711 3,064 1,647 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 23 Primary Care Physicians 19 Nurse Practitioners 5 Family Practice 11 General Practice 2 Internal Medicine 5 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 7 Licensed Practical Nurse 83 Registered Nurses 158 Federal Physicians 0 Other Specialties 4 Physicians per 10,000 Population 6.9 Primary Care Physicians per 10,000 Population 5.7 Nurses Chiropractors 2 Optometrists 2 Pharmacists 14 Physical Therapists 3 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 1 Psychological Associates 1 ** 100.0% 26.4% 59.4% 14.2% Resident Births 443 Resident Deaths 400 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 5 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 14 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 30 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Brunswick MSA county designation: Metropolitan AHEC Region: Coastal HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 11.3 Teen Pregnancies 162 Teen Pregnancy Rate 71.7 Total Pregnancies 1,044 Total Pregnancy Rate 72.4 Total 5.7 White 4.3 Unemployed 2004 2,074 Employed 2004 37,961 Labor Force 2004 40,035 Unemployment Rate 2004 (%) 5.2 Per Capita Income 2003 $ 24,095 Medicaid Eligibles 2003 16,138 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 10,797 General Hospital Beds 2004 96 Nursing Facility Beds 2004 419 Total Ages 0- 19 Ages 20- 64 Ages 65+ 83,787 71,040 12,747 18,780 14,747 4,033 50,272 42,855 7,417 14,735 13,438 1,297 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 85 Primary Care Physicians 38 Nurse Practitioners 8 Family Practice 19 General Practice 1 Internal Medicine 11 Obstetrics/ Gynecology 3 Pediatrics 4 Physician Assistants 23 Licensed Practical Nurse 208 Registered Nurses 409 Federal Physicians 1 Other Specialties 47 Physicians per 10,000 Population 10.1 Primary Care Physicians per 10,000 Population 4.5 Nurses Chiropractors 17 Optometrists 7 Pharmacists 62 Physical Therapists 30 Physical Therapist Assistants 11 Podiatrists 2 Practicing Psychologists 3 Psychological Associates 3 ** 100.0% 22.4% 60.0% 17.6% Resident Births 877 Resident Deaths 778 Nonwhite 11.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 24 Dental Hygienists 24 Other Health Professionals Respiratory Therapists 19 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 31 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Buncombe MSA county designation: Metropolitan AHEC Region: Mountain HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.3 Teen Pregnancies 347 Teen Pregnancy Rate 52.7 Total Pregnancies 3,149 Total Pregnancy Rate 73.0 Total 7.6 White 6.6 Unemployed 2004 4,805 Employed 2004 108,732 Labor Force 2004 113,537 Unemployment Rate 2004 (%) 4.2 Per Capita Income 2003 $ 27,681 Medicaid Eligibles 2003 36,624 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 22,046 General Hospital Beds 2004 716 Nursing Facility Beds 2004 1,668 Total Ages 0- 19 Ages 20- 64 Ages 65+ 215,468 195,463 20,005 51,906 45,566 6,340 131,305 119,571 11,734 32,257 30,326 1,931 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 718 Primary Care Physicians 295 Nurse Practitioners 92 Family Practice 118 General Practice 8 Internal Medicine 92 Obstetrics/ Gynecology 39 Pediatrics 38 Physician Assistants 101 Licensed Practical Nurse 710 Registered Nurses 3,459 Federal Physicians 55 Other Specialties 422 Physicians per 10,000 Population 33.3 Primary Care Physicians per 10,000 Population 13.7 Nurses Chiropractors 68 Optometrists 29 Pharmacists 255 Physical Therapists 194 Physical Therapist Assistants 69 Podiatrists 8 Practicing Psychologists 98 Psychological Associates 63 ** 100.0% 24.1% 60.9% 15.0% Resident Births 2,505 Resident Deaths 2,164 Nonwhite 17.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 9 Dentists and Dental Hygienists Dentists 131 Dental Hygienists 150 Other Health Professionals Respiratory Therapists 162 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 32 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Burke MSA county designation: Metropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.7 Teen Pregnancies 167 Teen Pregnancy Rate 59.0 Total Pregnancies 1,114 Total Pregnancy Rate 63.8 Total 8.3 White 7.3 Unemployed 2004 2,877 Employed 2004 40,327 Labor Force 2004 43,204 Unemployment Rate 2004 (%) 6.7 Per Capita Income 2003 $ 23,401 Medicaid Eligibles 2003 16,454 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 11,050 General Hospital Beds 2004 354 Nursing Facility Beds 2004 556 Total Ages 0- 19 Ages 20- 64 Ages 65+ 89,943 78,827 11,116 23,946 19,358 4,588 53,755 47,999 5,756 12,242 11,470 772 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 170 Primary Care Physicians 71 Nurse Practitioners 16 Family Practice 36 General Practice 4 Internal Medicine 13 Obstetrics/ Gynecology 9 Pediatrics 9 Physician Assistants 21 Licensed Practical Nurse 156 Registered Nurses 917 Federal Physicians 0 Other Specialties 99 Physicians per 10,000 Population 18.9 Primary Care Physicians per 10,000 Population 7.9 Nurses Chiropractors 10 Optometrists 4 Pharmacists 71 Physical Therapists 34 Physical Therapist Assistants 30 Podiatrists 1 Practicing Psychologists 33 Psychological Associates 41 ** 100.0% 26.6% 59.8% 13.6% Resident Births 964 Resident Deaths 880 Nonwhite 14.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 3 Dentists and Dental Hygienists Dentists 32 Dental Hygienists 33 Other Health Professionals Respiratory Therapists 21 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 33 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Cabarrus MSA county designation: Metropolitan AHEC Region: Charlotte HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 9.0 Teen Pregnancies 278 Teen Pregnancy Rate 57.7 Total Pregnancies 2,659 Total Pregnancy Rate 85.5 Total 10.7 White 6.9 Unemployed 2004 4,728 Employed 2004 72,750 Labor Force 2004 77,478 Unemployment Rate 2004 (%) 6.1 Per Capita Income 2003 $ 29,842 Medicaid Eligibles 2003 21,385 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 17,092 General Hospital Beds 2004 447 Nursing Facility Beds 2004 691 Total Ages 0- 19 Ages 20- 64 Ages 65+ 146,852 125,962 20,890 42,444 35,045 7,399 88,354 76,439 11,915 16,054 14,478 1,576 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 309 Primary Care Physicians 138 Nurse Practitioners 38 Family Practice 50 General Practice 1 Internal Medicine 47 Obstetrics/ Gynecology 13 Pediatrics 27 Physician Assistants 25 Licensed Practical Nurse 195 Registered Nurses 1,419 Federal Physicians 1 Other Specialties 171 Physicians per 10,000 Population 21.0 Primary Care Physicians per 10,000 Population 9.4 Nurses Chiropractors 32 Optometrists 14 Pharmacists 145 Physical Therapists 43 Physical Therapist Assistants 39 Podiatrists 3 Practicing Psychologists 16 Psychological Associates 19 ** 100.0% 28.9% 60.2% 10.9% Resident Births 2,237 Resident Deaths 1,252 Nonwhite 30.1 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 6 Dentists and Dental Hygienists Dentists 46 Dental Hygienists 75 Other Health Professionals Respiratory Therapists 51 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 34 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Caldwell MSA county designation: Metropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.3 Teen Pregnancies 139 Teen Pregnancy Rate 58.6 Total Pregnancies 1,005 Total Pregnancy Rate 64.7 Total 10.0 White 9.6 Unemployed 2004 3,008 Employed 2004 37,579 Labor Force 2004 40,587 Unemployment Rate 2004 (%) 7.4 Per Capita Income 2003 $ 25,247 Medicaid Eligibles 2003 14,873 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 9,798 General Hospital Beds 2004 110 Nursing Facility Beds 2004 400 Total Ages 0- 19 Ages 20- 64 Ages 65+ 78,606 73,360 5,246 20,054 18,288 1,766 47,697 44,735 2,962 10,855 10,337 518 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 75 Primary Care Physicians 43 Nurse Practitioners 14 Family Practice 24 General Practice 2 Internal Medicine 7 Obstetrics/ Gynecology 5 Pediatrics 5 Physician Assistants 13 Licensed Practical Nurse 89 Registered Nurses 377 Federal Physicians 0 Other Specialties 32 Physicians per 10,000 Population 9.5 Primary Care Physicians per 10,000 Population 5.5 Nurses Chiropractors 4 Optometrists 4 Pharmacists 36 Physical Therapists 12 Physical Therapist Assistants 20 Podiatrists 1 Practicing Psychologists 3 Psychological Associates 3 ** 100.0% 25.5% 60.7% 13.8% Resident Births 901 Resident Deaths 776 Nonwhite 15.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 4 Dentists and Dental Hygienists Dentists 21 Dental Hygienists 32 Other Health Professionals Respiratory Therapists 17 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 35 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Camden MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 10.9 Teen Pregnancies 16 Teen Pregnancy Rate 57.6 Total Pregnancies 122 Total Pregnancy Rate 76.5 Total 0.0 White 0.0 Unemployed 2004 144 Employed 2004 3,706 Labor Force 2004 3,850 Unemployment Rate 2004 (%) 3.7 Per Capita Income 2003 $ 25,886 Medicaid Eligibles 2003 1,057 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 597 General Hospital Beds 2004 0 Nursing Facility Beds 2004 0 Total Ages 0- 19 Ages 20- 64 Ages 65+ 7,852 6,546 1,306 1,986 1,677 309 4,815 4,038 777 1,051 831 220 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 3 Primary Care Physicians 2 Nurse Practitioners 0 Family Practice 2 General Practice 0 Internal Medicine 0 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 0 Licensed Practical Nurse 3 Registered Nurses 18 Federal Physicians 0 Other Specialties 1 Physicians per 10,000 Population 3.8 Primary Care Physicians per 10,000 Population 2.5 Nurses Chiropractors 0 Optometrists 0 Pharmacists 0 Physical Therapists 0 Physical Therapist Assistants 0 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 0 ** 100.0% 25.3% 61.3% 13.4% Resident Births 110 Resident Deaths 60 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 0 Dental Hygienists 2 Other Health Professionals Respiratory Therapists 0 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 36 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Carteret MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 7.5 Teen Pregnancies 115 Teen Pregnancy Rate 63.8 Total Pregnancies 733 Total Pregnancy Rate 67.6 Total 8.5 White 7.4 Unemployed 2004 1,470 Employed 2004 29,718 Labor Force 2004 31,188 Unemployment Rate 2004 (%) 4.7 Per Capita Income 2003 $ 28,239 Medicaid Eligibles 2003 9,398 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 8,402 General Hospital Beds 2004 117 Nursing Facility Beds 2004 424 Total Ages 0- 19 Ages 20- 64 Ages 65+ 61,122 55,951 5,171 12,808 11,307 1,501 37,239 34,108 3,131 11,075 10,536 539 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 91 Primary Care Physicians 44 Nurse Practitioners 19 Family Practice 18 General Practice 3 Internal Medicine 10 Obstetrics/ Gynecology 9 Pediatrics 4 Physician Assistants 17 Licensed Practical Nurse 183 Registered Nurses 434 Federal Physicians 1 Other Specialties 47 Physicians per 10,000 Population 14.9 Primary Care Physicians per 10,000 Population 7.2 Nurses Chiropractors 10 Optometrists 9 Pharmacists 53 Physical Therapists 20 Physical Therapist Assistants 10 Podiatrists 3 Practicing Psychologists 6 Psychological Associates 0 ** 100.0% 21.0% 60.9% 18.1% Resident Births 590 Resident Deaths 757 Nonwhite 19.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 38 Dental Hygienists 40 Other Health Professionals Respiratory Therapists 30 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 37 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Caswell MSA county designation: Nonmetropolitan AHEC Region: Greensboro HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 11.8 Teen Pregnancies 47 Teen Pregnancy Rate 65.8 Total Pregnancies 296 Total Pregnancy Rate 66.7 Total 4.1 White 5.7 Unemployed 2004 859 Employed 2004 9,707 Labor Force 2004 10,566 Unemployment Rate 2004 (%) 8.1 Per Capita Income 2003 $ 21,200 Medicaid Eligibles 2003 4,902 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 1,169 General Hospital Beds 2004 0 Nursing Facility Beds 2004 157 Total Ages 0- 19 Ages 20- 64 Ages 65+ 23,965 15,338 8,627 5,931 3,814 2,117 14,885 9,471 5,414 3,149 2,053 1,096 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 14 Primary Care Physicians 12 Nurse Practitioners 5 Family Practice 9 General Practice 0 Internal Medicine 3 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 3 Licensed Practical Nurse 41 Registered Nurses 49 Federal Physicians 0 Other Specialties 2 Physicians per 10,000 Population 5.8 Primary Care Physicians per 10,000 Population 5.0 Nurses Chiropractors 0 Optometrists 1 Pharmacists 6 Physical Therapists 3 Physical Therapist Assistants 3 Podiatrists 1 Practicing Psychologists 1 Psychological Associates 1 ** 100.0% 24.7% 62.1% 13.1% Resident Births 246 Resident Deaths 243 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 4 Dental Hygienists 3 Other Health Professionals Respiratory Therapists 0 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 38 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Catawba MSA county designation: Metropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.3 Teen Pregnancies 275 Teen Pregnancy Rate 59.5 Total Pregnancies 2,362 Total Pregnancy Rate 78.1 Total 7.9 White 6.3 Unemployed 2004 5,077 Employed 2004 72,406 Labor Force 2004 77,483 Unemployment Rate 2004 (%) 6.6 Per Capita Income 2003 $ 26,483 Medicaid Eligibles 2003 24,220 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 15,285 General Hospital Beds 2004 409 Nursing Facility Beds 2004 759 Total Ages 0- 19 Ages 20- 64 Ages 65+ 148,797 129,387 19,410 40,434 32,758 7,676 90,137 79,628 10,509 18,226 17,001 1,225 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 335 Primary Care Physicians 133 Nurse Practitioners 55 Family Practice 64 General Practice 1 Internal Medicine 37 Obstetrics/ Gynecology 21 Pediatrics 10 Physician Assistants 46 Licensed Practical Nurse 281 Registered Nurses 1,648 Federal Physicians 0 Other Specialties 200 Physicians per 10,000 Population 22.5 Primary Care Physicians per 10,000 Population 8.9 Nurses Chiropractors 20 Optometrists 17 Pharmacists 129 Physical Therapists 67 Physical Therapist Assistants 63 Podiatrists 8 Practicing Psychologists 11 Psychological Associates 23 ** 100.0% 27.2% 60.6% 12.2% Resident Births 2,033 Resident Deaths 1,333 Nonwhite 17.4 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 11 Dentists and Dental Hygienists Dentists 63 Dental Hygienists 66 Other Health Professionals Respiratory Therapists 68 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 39 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Chatham MSA county designation: Metropolitan AHEC Region: Greensboro HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 7.0 Teen Pregnancies 90 Teen Pregnancy Rate 56.4 Total Pregnancies 806 Total Pregnancy Rate 76.5 Total 5.8 White 5.1 Unemployed 2004 1,130 Employed 2004 28,354 Labor Force 2004 29,484 Unemployment Rate 2004 (%) 3.8 Per Capita Income 2003 $ 32,236 Medicaid Eligibles 2003 7,227 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 3,995 General Hospital Beds 2004 68 Nursing Facility Beds 2004 340 Total Ages 0- 19 Ages 20- 64 Ages 65+ 54,645 45,206 9,439 13,471 11,018 2,453 33,053 27,340 5,713 8,121 6,848 1,273 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 41 Primary Care Physicians 32 Nurse Practitioners 18 Family Practice 21 General Practice 0 Internal Medicine 7 Obstetrics/ Gynecology 0 Pediatrics 4 Physician Assistants 4 Licensed Practical Nurse 85 Registered Nurses 226 Federal Physicians 0 Other Specialties 9 Physicians per 10,000 Population 7.5 Primary Care Physicians per 10,000 Population 5.9 Nurses Chiropractors 6 Optometrists 4 Pharmacists 25 Physical Therapists 4 Physical Therapist Assistants 5 Podiatrists 0 Practicing Psychologists 3 Psychological Associates 6 ** 100.0% 24.7% 60.5% 14.9% Resident Births 686 Resident Deaths 495 Nonwhite 9.8 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 10 Dental Hygienists 30 Other Health Professionals Respiratory Therapists 4 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 40 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Cherokee MSA county designation: Nonmetropolitan AHEC Region: Mountain HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 11.1 Teen Pregnancies 48 Teen Pregnancy Rate 71.7 Total Pregnancies 282 Total Pregnancy Rate 66.4 Total 26.7 White 27.5 Unemployed 2004 579 Employed 2004 9,201 Labor Force 2004 9,780 Unemployment Rate 2004 (%) 5.9 Per Capita Income 2003 $ 19,290 Medicaid Eligibles 2003 5,722 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 2,656 General Hospital Beds 2004 110 Nursing Facility Beds 2004 210 Total Ages 0- 19 Ages 20- 64 Ages 65+ 25,694 24,636 1,058 5,513 5,218 295 14,979 14,347 632 5,202 5,071 131 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 37 Primary Care Physicians 23 Nurse Practitioners 6 Family Practice 7 General Practice 0 Internal Medicine 10 Obstetrics/ Gynecology 2 Pediatrics 4 Physician Assistants 7 Licensed Practical Nurse 80 Registered Nurses 196 Federal Physicians 0 Other Specialties 14 Physicians per 10,000 Population 14.4 Primary Care Physicians per 10,000 Population 9.0 Nurses Chiropractors 4 Optometrists 5 Pharmacists 23 Physical Therapists 8 Physical Therapist Assistants 10 Podiatrists 0 Practicing Psychologists 2 Psychological Associates 4 ** 100.0% 21.5% 58.3% 20.2% Resident Births 262 Resident Deaths 324 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 9 Dental Hygienists 14 Other Health Professionals Respiratory Therapists 15 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 41 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Chowan MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.3 Teen Pregnancies 27 Teen Pregnancy Rate 56.3 Total Pregnancies 165 Total Pregnancy Rate 61.6 Total 6.9 White 0.0 Unemployed 2004 325 Employed 2004 6,377 Labor Force 2004 6,702 Unemployment Rate 2004 (%) 4.8 Per Capita Income 2003 $ 24,682 Medicaid Eligibles 2003 3,666 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 1,731 General Hospital Beds 2004 71 Nursing Facility Beds 2004 170 Total Ages 0- 19 Ages 20- 64 Ages 65+ 14,453 8,905 5,548 3,668 1,875 1,793 8,130 5,091 3,039 2,655 1,939 716 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 27 Primary Care Physicians 15 Nurse Practitioners 4 Family Practice 5 General Practice 1 Internal Medicine 4 Obstetrics/ Gynecology 3 Pediatrics 2 Physician Assistants 2 Licensed Practical Nurse 49 Registered Nurses 140 Federal Physicians 1 Other Specialties 12 Physicians per 10,000 Population 18.7 Primary Care Physicians per 10,000 Population 10.4 Nurses Chiropractors 3 Optometrists 1 Pharmacists 11 Physical Therapists 0 Physical Therapist Assistants 6 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 1 ** 100.0% 25.4% 56.3% 18.4% Resident Births 145 Resident Deaths 169 Nonwhite 13.9 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 2 Dentists and Dental Hygienists Dentists 3 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 3 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 42 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Clay MSA county designation: Nonmetropolitan AHEC Region: Mountain HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 7.6 Teen Pregnancies 6 Teen Pregnancy Rate 26.2 Total Pregnancies 103 Total Pregnancy Rate 70.9 Total 10.9 White 10.9 Unemployed 2004 170 Employed 2004 4,248 Labor Force 2004 4,418 Unemployment Rate 2004 (%) 3.8 Per Capita Income 2003 $ 21,580 Medicaid Eligibles 2003 1,833 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 731 General Hospital Beds 2004 0 Nursing Facility Beds 2004 90 Total Ages 0- 19 Ages 20- 64 Ages 65+ 9,499 9,367 132 1,771 1,727 44 5,563 5,489 74 2,165 2,151 14 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 7 Primary Care Physicians 5 Nurse Practitioners 1 Family Practice 4 General Practice 0 Internal Medicine 0 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 2 Licensed Practical Nurse 31 Registered Nurses 43 Federal Physicians 0 Other Specialties 2 Physicians per 10,000 Population 7.4 Primary Care Physicians per 10,000 Population 5.3 Nurses Chiropractors 0 Optometrists 1 Pharmacists 6 Physical Therapists 2 Physical Therapist Assistants 0 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 1 ** 100.0% 18.6% 58.6% 22.8% Resident Births 92 Resident Deaths 116 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 3 Dental Hygienists 8 Other Health Professionals Respiratory Therapists 0 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 43 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Cleveland MSA county designation: Nonmetropolitan AHEC Region: Charlotte HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 9.7 Teen Pregnancies 217 Teen Pregnancy Rate 66.5 Total Pregnancies 1,459 Total Pregnancy Rate 72.6 Total 9.1 White 7.8 Unemployed 2004 3,555 Employed 2004 43,222 Labor Force 2004 46,777 Unemployment Rate 2004 (%) 7.6 Per Capita Income 2003 $ 23,505 Medicaid Eligibles 2003 22,241 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 13,617 General Hospital Beds 2004 373 Nursing Facility Beds 2004 544 Total Ages 0- 19 Ages 20- 64 Ages 65+ 98,497 76,438 22,059 27,209 19,684 7,525 58,110 45,494 12,616 13,178 11,260 1,918 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 150 Primary Care Physicians 75 Nurse Practitioners 23 Family Practice 27 General Practice 3 Internal Medicine 24 Obstetrics/ Gynecology 8 Pediatrics 13 Physician Assistants 15 Licensed Practical Nurse 259 Registered Nurses 802 Federal Physicians 0 Other Specialties 75 Physicians per 10,000 Population 15.2 Primary Care Physicians per 10,000 Population 7.6 Nurses Chiropractors 11 Optometrists 10 Pharmacists 62 Physical Therapists 29 Physical Therapist Assistants 16 Podiatrists 3 Practicing Psychologists 2 Psychological Associates 8 ** 100.0% 27.6% 59.0% 13.4% Resident Births 1,214 Resident Deaths 1,013 Nonwhite 12.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 3 Dentists and Dental Hygienists Dentists 33 Dental Hygienists 56 Other Health Professionals Respiratory Therapists 31 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 44 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Columbus MSA county designation: Nonmetropolitan AHEC Region: Coastal HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 12.6 Teen Pregnancies 148 Teen Pregnancy Rate 81.9 Total Pregnancies 897 Total Pregnancy Rate 82.8 Total 14.6 White 10.6 Unemployed 2004 1,539 Employed 2004 21,955 Labor Force 2004 23,494 Unemployment Rate 2004 (%) 6.6 Per Capita Income 2003 $ 22,746 Medicaid Eligibles 2003 17,440 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 8,534 General Hospital Beds 2004 154 Nursing Facility Beds 2004 323 Total Ages 0- 19 Ages 20- 64 Ages 65+ 54,917 35,668 19,249 14,777 8,652 6,125 32,496 21,500 10,996 7,644 5,516 2,128 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 52 Primary Care Physicians 27 Nurse Practitioners 16 Family Practice 7 General Practice 0 Internal Medicine 14 Obstetrics/ Gynecology 3 Pediatrics 3 Physician Assistants 19 Licensed Practical Nurse 135 Registered Nurses 448 Federal Physicians 0 Other Specialties 25 Physicians per 10,000 Population 9.5 Primary Care Physicians per 10,000 Population 4.9 Nurses Chiropractors 6 Optometrists 4 Pharmacists 49 Physical Therapists 15 Physical Therapist Assistants 12 Podiatrists 1 Practicing Psychologists 1 Psychological Associates 0 ** 100.0% 26.9% 59.2% 13.9% Resident Births 756 Resident Deaths 608 Nonwhite 21.1 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 10 Dental Hygienists 10 Other Health Professionals Respiratory Therapists 25 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 45 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Craven MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 7.9 Teen Pregnancies 247 Teen Pregnancy Rate 84.3 Total Pregnancies 1,798 Total Pregnancy Rate 99.8 Total 5.2 White 2.7 Unemployed 2004 2,006 Employed 2004 37,708 Labor Force 2004 39,714 Unemployment Rate 2004 (%) 5.1 Per Capita Income 2003 $ 28,097 Medicaid Eligibles 2003 16,388 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 12,833 General Hospital Beds 2004 270 Nursing Facility Beds 2004 461 Total Ages 0- 19 Ages 20- 64 Ages 65+ 93,454 67,388 26,066 24,927 16,563 8,364 55,640 40,281 15,359 12,887 10,544 2,343 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 210 Primary Care Physicians 80 Nurse Practitioners 28 Family Practice 15 General Practice 4 Internal Medicine 34 Obstetrics/ Gynecology 8 Pediatrics 19 Physician Assistants 18 Licensed Practical Nurse 245 Registered Nurses 908 Federal Physicians 8 Other Specialties 130 Physicians per 10,000 Population 22.5 Primary Care Physicians per 10,000 Population 8.6 Nurses Chiropractors 13 Optometrists 13 Pharmacists 66 Physical Therapists 45 Physical Therapist Assistants 20 Podiatrists 4 Practicing Psychologists 12 Psychological Associates 15 ** 100.0% 26.7% 59.5% 13.8% Resident Births 1,537 Resident Deaths 900 Nonwhite 12.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 36 Dental Hygienists 48 Other Health Professionals Respiratory Therapists 51 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 46 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Cumberland MSA county designation: Metropolitan AHEC Region: Southern Regional HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 10.2 Teen Pregnancies 840 Teen Pregnancy Rate 75.2 Total Pregnancies 6,866 Total Pregnancy Rate 96.4 Total 11.8 White 7.0 Unemployed 2004 6,875 Employed 2004 116,367 Labor Force 2004 123,242 Unemployment Rate 2004 (%) 5.6 Per Capita Income 2003 $ 27,257 Medicaid Eligibles 2003 55,731 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 25,476 General Hospital Beds 2004 471 Nursing Facility Beds 2004 939 Total Ages 0- 19 Ages 20- 64 Ages 65+ 311,526 179,457 132,069 95,542 49,701 45,841 190,721 112,732 77,989 25,263 17,024 8,239 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 467 Primary Care Physicians 213 Nurse Practitioners 69 Family Practice 67 General Practice 6 Internal Medicine 63 Obstetrics/ Gynecology 34 Pediatrics 43 Physician Assistants 138 Licensed Practical Nurse 857 Registered Nurses 2,181 Federal Physicians 132 Other Specialties 254 Physicians per 10,000 Population 15.0 Primary Care Physicians per 10,000 Population 6.8 Nurses Chiropractors 27 Optometrists 29 Pharmacists 187 Physical Therapists 94 Physical Therapist Assistants 89 Podiatrists 11 Practicing Psychologists 33 Psychological Associates 27 ** 100.0% 30.7% 61.2% 8.1% Resident Births 5,274 Resident Deaths 2,115 Nonwhite 19.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 6 Dentists and Dental Hygienists Dentists 112 Dental Hygienists 154 Other Health Professionals Respiratory Therapists 122 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Se
Object Description
Description
Title | North Carolina health professions data book |
Other Title | Special report on health care resources in North Carolina; NC health professions data book |
Date | 2005 |
Description | 2004 (Effective October 2004) |
Rights | State Document see http://digital.ncdcr.gov/u?/p249901coll22,63754 |
Digital Characteristics-A | 2.2 MB; 209 p. |
Digital Format | application/pdf |
Pres Local File Path-M | \Preservation_content\StatePubs\pubs_borndigital\images_master\ |
Full Text | North Carolina Health Professions 2004 DATA BOOK Effective: October 2004 An annual report prepared by: The N. C. Health Professions Data System Claire de la Varre, Research Associate Katie Gaul, Research Associate Erin P. Fraher, Director Hazel L. Hadley, Applications Analyst Programmer Jane D. Darter, Applications Analyst Programmer Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Campus Box # 7590, 725 Martin Luther King, Jr. Boulevard Chapel Hill, NC 27599- 7590 nchp@ unc. edu http:// www. shepscenter. unc. edu/ hp ( 919) 966- 7112 North Carolina Health Professions Data System Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Copyright © 2005 by the University of North Carolina at Chapel Hill 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k i Table of Contents List of Figures and Tables......................................................................................................................... ............. ii Acknowledgments................................................................................................................ .................................. iii Introduction................................................................................................................... ............................................ 1 Sources and Limitations of the Data ...................................................................................................................... 2 Source of Health Professions Data ............................................................................................................... 2 Definitions and Limitations.................................................................................................................... ...... 3 Population Data ............................................................................................................................... .............. 4 Demographic and Economic Data................................................................................................................ 4 Summary of Trends in North Carolina Health Professional Supply............................................................... 6 Changes in Supply......................................................................................................................... ............................... 7 Physicians ............................................................................................................................... ........................ 7 Nurse Practitioners, Certified Nurse Midwives and Physician Assistants............................................. 8 Licensed Practical and Registered Nurses................................................................................................... 9 Dentists and Dental Hygienists .................................................................................................................... 9 Pharmacists.................................................................................................................... ............................... 10 Physical Therapists and Physical Therapist Assistants ........................................................................... 10 Psychologists and Psychological Associates ............................................................................................. 10 Podiatrists, Optometrists and Chiropractors ............................................................................................ 11 Respiratory Therapists ............................................................................................................................... . 11 Changes in Practitioner to Population Ratios............................................................................................................. 11 Physicians per 10,000 Population Ratio ..................................................................................................... 12 Primary Care Physicians per 10,000 Population Ratio ............................................................................ 13 Dentists per 10,000 Population Ratio ......................................................................................................... 15 Registered Nurses per 10,000 Population Ratio ....................................................................................... 16 Pharmacists per 10,000 Population Ratio .................................................................................................. 17 Active Health Professionals per 10,000 Population Ratios for All Counties ........................................ 18 Inventory of Health Professions Including Selected Demographic, Economic and Health- Related Statistics..................................................................................................................... ............................................... 21 County Totals in Alphabetic Order by County ........................................................................................ 22 State Totals......................................................................................................................... ......................... 122 Nonmetropolitan County Totals .............................................................................................................. 123 Metropolitan County Totals...................................................................................................................... 124 Area Health Education Centers ( AHEC) Regional Totals..................................................................... 125 Health Service Area ( HSA) Regional Totals............................................................................................ 134 Department of Environment, Health and Natural Resources ( DEHNR) Regional Totals ............... 140 Perinatal Care Regional ( PCR) Totals ...................................................................................................... 147 Appendix I: Technical Notes on Methods ........................................................................................................ 153 Appendix II: Definition of Terms ...................................................................................................................... 154 Health Professions Related........................................................................................................................ 154 Demographics ............................................................................................................................... ............. 155 Location....................................................................................................................... ................................ 160 Appendix III: Procedures for Requesting Additional Information ............................................................. 164 Procedures for Requesting Additional Information .............................................................................. 164 Addresses of Health Professions Licensing Boards ............................................................................... 165 Data Listing for Each Profession............................................................................................................... 167 2 0 0 4 N . 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H e a l t h P r o f e s s i o n s D a t a B o o k ii L i s t o f F i g u r e s a n d T a b l e s Figure 1: Yearly Increases in the Number of Licensed Physicians, 1980- 2004............................................................. 7 Table 1: Number of Residents- In- Training by Sponsor Location, 2004....................................................................... 2 Table 2: North Carolina Health Professions Statistics: 2003 and 2004 ...................................................................... 6 Table 3: Counties with the Largest Physicians per 10,000 Population Ratios, 2004 vs. 2003................................... 12 Table 4: Counties with the Smallest Physicians per 10,000 Population Ratios, 2004 vs. 2003................................. 13 Table 5: Physicians & Primary Care Physicians per 10,000 Population, US and Selected States, 2004 .................. 13 Table 6: Counties with the Largest Primary Care Physicians per 10,000 Population Ratios, 2004 vs. 2003............ 14 Table 7: Counties with the Smallest Primary Care Physicians per 10,000 Population Ratios, 2004 vs. 2003.......... 14 Table 8: Counties with the Largest Dentists per 10,000 Population Ratios, 2004 vs. 2003 ...................................... 15 Table 9: Counties with the Smallest Dentists per 10,000 Population Ratios, 2004 vs. 2003 .................................... 15 Table 10: Counties with the Largest RNs per 10,000 Population Ratios, 2004 vs. 2003........................................... 16 Table 11: Counties with the Smallest RNs per 10,000 Population Ratios, 2004 vs. 2003......................................... 16 Table 12: Counties with the Largest Pharmacists per 10,000 Population Ratios, 2004 vs. 2003 .............................. 17 Table 13: Counties with the Smallest Pharmacists per 10,000 Population Ratios, 2004 vs. 2003 ............................ 17 Table 14: Active Health Professionals per 10,000 Population Ratios, 2004............................................................... 18 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k iii A c k n o w l e d g m e n t s Information included in this report has been made available by the following organizations: • North Carolina Board of Chiropractic Examiners • North Carolina Board of Nursing • North Carolina Board of Pharmacy • North Carolina Board of Physical Therapy Examiners • North Carolina Board of Podiatry Examiners • North Carolina Medical Board • North Carolina Medical Society • North Carolina Midwifery Joint Committee • North Carolina Psychology Board • North Carolina Respiratory Care Board • North Carolina State Board of Dental Examiners • North Carolina State Board of Examiners in Optometry • American Medical Association • Government and Business Services Branch, North Carolina State Library • North Carolina Department of Commerce, Employment Security Commission • North Carolina Department of Health and Human Services, Division of Facility Services • North Carolina Department of Health and Human Services, Division of Medical Assistance • North Carolina State Center for Health Statistics • North Carolina State Data Center, Office of State Budget and Management This report was developed by the N. C. Health Professions Data System, Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill. Funds for the publication of this document were provided by the North Carolina Area Health Education Centers ( NC AHEC) Program, UNC- CH School of Medicine, and the Office of the Provost ( Health Affairs), University of North Carolina at Chapel Hill. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 1 I n t r o d u c t i o n This is the twenty- seventh annual report prepared from data collected by the N. C. Health Professions Data System ( HPDS), formerly the Health Manpower Component of the North Carolina Cooperative Health Information System. The N. C. Health Professions Data System was developed to collect and disseminate timely and reliable data on licensed health professionals in North Carolina. The System was initiated in 1975 with federal funding from the National Center for Health Statistics and was assisted in the early 1980s by a grant from the Duke Endowment through the N. C. Hospital Association. Although selected data are available beginning in 1976, continuous and equivalent data files have been maintained since 1979. For most professions these data include name, mailing address, birth year, gender, race, information on basic professional education, specialty of practice, activity status, form of employment, and practice setting. Special analyses and reports from all data files may be requested ( see Appendix III). This report draws on data from the HPDS and describes the supply and distribution in 2004 of licensed individuals in seventeen health professions by county and selected regions. The HPDS is maintained by the Cecil G. Sheps Center for Health Services Research of the University of North Carolina at Chapel Hill. Support for the HPDS is provided by the N. C. Area Health Education Centers ( NC AHEC) Program and the University of North Carolina Office of the Provost ( Health Affairs). This report would not be possible without the cooperation of the independent health professions licensing boards that provide data to the Cecil G. Sheps Center for Health Services Research. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 2 S o u r c e s a n d L i m i t a t i o n s o f t h e D a t a Source of Health Professions Data Health professions data for this report are provided annually by the regulatory boards for each of the following professions: certified nurse midwives, chiropractors, dental hygienists, dentists, licensed practical nurses, nurse practitioners, optometrists, pharmacists, physical therapists, physical therapist assistants, physicians, physician assistants, podiatrists, practicing psychologists, psychological associates and registered nurses. New to the system in 2004 are respiratory therapists. The Boards provide demographic, practice, and location information on every professional licensed to practice in the state of North Carolina. This year, and for the past twenty- six years, this annual report has been prepared using data files current up to October for the respective year; this makes it possible for users to perform longitudinal analyses and to examine yearly changes in health professionals over time. Physician data are derived from the N. C. Medical Board’s licensure files. These data contain physicians who are currently in postgraduate medical training programs but who have permanent licenses. In an effort to accurately separate physicians in residency training from those that are not in residency training, listings of physicians in postgraduate medical education programs as of July 2004 were obtained from all North Carolina residency program institutions. These lists were compared with the N. C. Medical Board’s licensing file. Physicians in residency training are not included in the number of counts by county in this publication. All resident physicians enrolled in postgraduate medical education programs were identified and are reported in Table 1. Table 1: Number of Residents- In- Training by Sponsor Location, 2004 Residency Program County Residents Percent Duke University Medical Center Durham 855 32.28 University of North Carolina at Chapel Hill— UNC Hospitals Orange 648 24.47 Wake Forest University Baptist Medical Center Forsyth 485 18.31 East Carolina University— Pitt County Memorial Hospital Pitt 283 10.69 Charlotte AHEC— Carolinas Medical Center Mecklenburg 186 7.08 Coastal AHEC— New Hanover Regional Medical Center New Hanover 61 2.16 Greensboro AHEC— Moses H. Cone Memorial Hospital Guilford 44 1.66 Mountain AHEC— Mission Hospital Buncombe 46 1.63 Cabarrus Memorial Hospital Cabarrus 23 0.81 Southern Regional AHEC— Fayetteville Cumberland 17 0.60 State Totals 2,648 100.00 Source: Residency data are received annually from the respective residency programs and are based on the institutions’ lists of house staff, residents and fellows as of July 2004. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 3 The N. C. Midwifery Joint Committee provided data on certified nurse midwives ( CNMs). Data for nurse practitioners ( NPs) and physician assistants ( PAs) were obtained from the N. C. Medical Board. Certified nurse midwives and nurse practitioners are included in the registered nurse ( RN) counts because CNMs and NPs maintain their RN licensure with the N. C. Board of Nursing. Definitions and Limitations Because state law requires a license to practice for each of the professions profiled, the data reported reflect an accurate enumeration of the supply and distribution of licensed practitioners. However, because the actual activity status of a given professional may change over time ( i. e. the person may retire, move out of the state but maintain a license, or maintain a license while working in another profession), having a license does not always indicate that the individual is actively practicing. To adjust for this, the data presented in this report include only those individuals who indicated on their license registration renewal form that they were working in North Carolina and were actively engaged in the profession. Active status may include administrators, researchers and educators who are active in the profession but not engaged in direct patient care. Active status is assigned to individuals who are newly licensed and have not reported their status. Those with unknown activity status often include newly licensed professionals who at the time of licensure had not yet secured employment in their profession. Those individuals who report a business address or hours but who do not report their status are also assigned an active status1. Health care professionals are assigned to their self- designated primary practice location county if they are active and to their mailing address county if they are active and their primary practice location is unknown. For physicians, this is based on ZIP code information; for all other professions, counties are identified by the professional on their licensure form. The nursing professions ( registered nurses, certified nurse midwives, nurse practitioners, and licensed practical nurses) and the dental professions ( dentists and dental hygienists) are grouped together in the region and county pages. Physicians are broken down separately. The remaining professions are listed in alphabetical order. For the purpose of this report, doctors of medicine ( MDs) and doctors of osteopathy ( DOs), both of whom register with the N. C. Medical Board, are grouped together. Physicians are classified by specialty according to the self- reported primary specialty indicated on their Application for Registration with the N. C. Medical Board. Physicians whose primary and/ or secondary specialty has changed since 2003 were checked against specialty data provided by the N. C. Medical Society. Physician data in this report are classified by residency- training status in 2004 and federal or non- federal employment status. The physician data reported in this publication are for non- resident licensed physicians who are not currently participating in one of the postgraduate medical education programs listed in Table 1. 1 For physical therapists and physical therapist assistants, individuals who report that they are not actively employed in physical therapy but are seeking employment in physical therapy are also considered active. These are the only professions that have data available on whether individuals are seeking employment. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 4 Within the category of non- resident physicians are federal and non- federal physicians. Physicians included in the federal category have reported that their principal employer is the federal government. These individuals may have primary practice settings in a health facility in a military installation, Department of Veterans Affairs, U. S. Public Health Service, Indian Health Service, or other federal health facility. Because their practices are in community settings, all National Health Service Corps physicians are included in the non- federal category, except for uniformed Public Health Service physicians who may be in a Health Service Corps placement. The N. C. Medical Board supplied federal physician data reported in this document. Federal physicians practicing in government facilities are not required to be licensed by the N. C. Medical Board to practice medicine in North Carolina, so the numbers for federal physicians reported in this publication may fall short of the actual numbers of federal physicians in the state. Federal providers are not asked to specify their employment setting on the annual registration renewal form; therefore, military providers cannot be subcategorized within the federal providers category. Beginning in 2003, physicians indicating non- federal status were checked against primary practice setting. Physicians who indicated non- federal status but whose primary practice address was in a military setting were reclassified as federal physicians. The N. C. Board of Nursing requires biennial registration ( on the birth month) for the state’s registered nurses ( RNs) and licensed practical nurses ( LPNs) with half of the state’s RNs and LPNs registering with the Board each year. Therefore, the report includes data on the 50% of RNs and LPNs who renewed their registration in 2004, and data for the remaining 50% who renewed their registration in their birth month. Additionally, the N. C. Psychology Board requires biennial registration. Both the Board of Nursing and the Psychology Board update their data in non- renewal years to reflect address changes and deceased practitioners. Population Data The 2004 projected population data reported in this publication were downloaded from Log Into North Carolina ( LINC), the State Data Center’s online data system ( http:// www. linc. state. nc. us) administered through the Office of State Budget and Management. The 2004 population data are projected numbers as the 2004 estimates were not available at the time of publication. The 2003 population figures are based on the April 1, 2000 Census. Ratios of health professionals reported are per 10,000 population. Demographic and Economic Data This publication includes additional health, vital statistics and socio- demographic data. The majority of these data are available on- line via the websites of the specific source agencies or through LINC. A list of the variable names, numbers, definitions, and the source of data by variable number can be found in Appendix II: Definition of Terms. All county and substate regional level health professions data provided in this publication will also be available online at http:// www. shepscenter. unc. edu/ hp. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 5 The infant mortality rates reported in the 2004 State Totals, Non- Metropolitan/ Metropolitan counties, Area Health Education Centers, Health Service Areas, the Department of Environment, Health and Natural Resources, and the Perinatal Care regions are computed as a one year rate. Prior to 2003 the Data Book reported regional infant mortality based on a five year rate. This publication reports the number of general hospital discharges in 2003 from acute care, short-stay hospitals by county of patient residence. The year 2004 general hospital discharges were not available at the time this report was compiled. The data exclude normal newborn discharges ( DRG 391). These data are made available through the LINC Data Base. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 6 S u m m a r y o f T r e n d s i n N o r t h C a r o l i n a H e a l t h P r o f e s s i o n a l S u p p l y The overall number of health professionals in North Carolina grew from November 2003 to October 2004. Table 2 below summarizes the number of health professionals licensed in the past two years and the percent change in those numbers between 2003 and 2004. Table 2: North Carolina Health Professions Statistics: 2003 and 2004 Active in Profession ( October) 2 2003 2004 Percent Change Physicians Non- federal, not in training 17,090 17,349 1.5% Primary Care Specialties 7,265 7,401 1.9% Family Practice 2,347 2,376 1.2% General Practice 151 142 - 6.0% Internal Medicine 2,481 2,542 2.5% Obstetrics/ Gynecology 960 981 2.2% Pediatrics 1,326 1,360 2.6% Other Specialties 9,825 9,927 1.0% Federal3 473 510 7.8% Residency Training 2,541 2,648 4.2% Nurses Registered Nurses 76,334 77,655 1.7% Certified Nurse Midwives 196 195 - 0.5% Nurse Practitioners4 2,122 2,256 6.3% Licensed Practical Nurses 16,946 16,918 - 0.2% Other Health Professionals Chiropractors 1,160 1,205 3.9% Optometrists 885 899 1.6% Pharmacists 7,218 7,295 1.1% Physician Assistants 2,390 2,498 4.5% Physical Therapists 3,347 3,594 7.4% Physical Therapy Assistants 1,671 1,761 5.4% Podiatrists 234 249 6.4% Practicing Psychologists 1,626 1,584 - 2.6% Psychological Associates 927 899 - 3.0% Respiratory Therapists N/ A 3,278 N/ A Dentists and Dental Hygienists Dentists 3,462 3,628 4.8% Dental Hygienists 4,095 4,324 5.6% 2 Data are for in- state professionals; includes unknown activity status. 3 Includes federal physicians in the armed services, U. S. Public Health Service, Indian Health Service, and the Department of Veterans Affairs. Federal physicians practicing in government facilities are not required to be licensed in the state and therefore these data may underestimate actual supply. 4 Data on Nurse Practitioners are from the NC Medical Board. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 7 The majority of health professions saw moderate growth in 2004. The number of primary care physicians increased 1.9% (+ 136) from 2003 to 2004. Internal medicine (+ 61, 2.5%) and family practice (+ 29, 1.2%) physicians continued to expand but with less of an increase than in 2003. There were no primary care specialties with less than 1% growth this year; both pediatricians (+ 34, 2.6%) and obstetrician- gynecologists (+ 21, 2.2%) showed a greater increase than in 2003. There was another decrease in the number of general practitioners from 151 to 142 (- 6.0%). The largest percentage increases in other health professions were seen by physical therapists (+ 247, 7.4%), nurse practitioners (+ 134, 6.3%), podiatrists (+ 15, 6.4%) and dental hygienists (+ 229, 5.6%). In 2004 there were moderate increases in the supply of dentists (+ 166, 4.8%) and physician assistants (+ 108, 4.5%) and small increases in registered nurses (+ 1,321, 1.7%), optometrists (+ 14, 1.6%) and pharmacists (+ 77, 1.1%). Psychological associates (- 28, - 3.0%) continued on a downward trend for the fourth year in a row. CHANGES IN SUPPLY Physicians Figure 1 depicts the annual growth, over the past 24 years, of the total number of active licensed physicians practicing in North Carolina, excluding those in residency training or employed by the federal government. The 1.5% (+ 259) growth of physicians licensed by the N. C. Medical Board between 2003 and 2004 is less than seen in the previous year, continuing the slowing trend in growth of physician supply. This is the sixth consecutive year that the growth in physicians has been equal to, or less than, 2.9%. Figure 1: Yearly Increases in the N umber of Licensed Physicians 1980- 2004 3.4% 5.7% 2.3% 5.5% 6.3% 6.5% 0.3% 4.0% 1.4% 5.9% 3.2% 9.2% 1.3% 0.6% 6.4% 4.2% 5.4% 2.2% 2.9% 2.9% 1.9% 1.5% 2.3% 5.3% 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0% 9.0% 10.0% 80- 81 81- 82 82- 83 83- 84 84- 85 85- 86 86- 87 87- 88 88- 89 89- 90 90- 91 91- 92 92- 93 93- 94 94- 95 95- 96 96- 97 97- 98 98- 99 99- 00 00- 01 01- 02 02- 03 03- 04 Year Percent 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 8 Prior to 1997, physician licensure renewal was a biennial process that, through 1994, was held in even- numbered years. In 1995, a switch was made to odd- numbered years. However, in 1997, licensure renewal became an annual process. Figure 1 shows a greater increase in non- renewal years, e. g., 95- 96, 92- 93, 90- 91, and 88- 89. This is because a non- renewal year reflects the migration of doctors into the state or into active practice ( i. e., newly licensed physicians or those who notified the Board of their change in status) but not the corresponding out- migration or inactivity because the license remains in effect throughout the entire two- year period. In 2004, every county in North Carolina had at least one physician reporting a primary practice location; the fewest were found in the following counties: Tyrrell ( 1), Hyde ( 1), Camden ( 2) and Perquimans ( 2). Forty- seven counties experienced an increase in the number of physicians; eighteen had no change in supply, and thirty- five counties lost physicians. Counties with the largest percentage growth in the supply of physicians between 2003 and 2004 include Washington (+ 2, 25.0%), Caswell (+ 2, 16.7%) and Chatham (+ 6, 17.1%). Watauga’s increase (+ 15, 16.5%) was due in part to the Banner Elk ZIP code ( 28604) being moved from Avery to Watauga. The largest reduction in numbers was in Orange County (- 21, 1.9%) while the largest percentage decrease was in Hyde County (- 1, - 50.0%). The supply of primary care physicians5 in North Carolina increased at a slightly greater rate ( 1.9%) than the physician supply( 1.5%) in 2004. When compared with the growth rate for primary care physicians in 2003 ( 2.0%) the growth rate in 2004 is slightly lower ( 1.9%). For the past six years the growth of primary care physicians has slowed, from a rate of 5.2% (+ 332) in 1999. Forty- three counties increased the numbers of primary care physicians, with Sampson (+ 8, 32.0%), Watauga (+ 10, 25.6%), Washington (+ 1, 20.0%), Mitchell (+ 3, 20.0%), and Caswell (+ 2, 20.0%) experiencing the largest percentage gains. Mecklenburg (+ 31, 4.3%) and Forsyth (+ 20, 5.0%) counties gained the most primary care physicians. The number of primary care physicians remained stable in twenty- four counties, and thirty- three counties had a reduction in supply. The largest decrease was in Orange County (- 16, - 3.8%). Nurse Practitioners, Certified Nurse Midwives and Physician Assistants The 6.3% (+ 134) expansion in the nurse practitioner ( NP) numbers in 2004 completes a decade of substantial annual growth. Perquimans regained a sole NP, for the first time since 1999. Five counties had no nurse practitioners ( Alexander, Camden, Hyde, Jones and Martin) 6 with Hyde and Jones losing their sole nurse practitioners and Alexander and Camden having had no NPs since 1998 and 1997 respectively. Nine counties only had one NP ( Bertie, Clay, Gates, Graham, Lincoln, Perquimans, Tyrrell, Transylvania and Washington) in 2004. In total, forty- three counties increased their supply of nurse practitioners, while twenty- four lost providers and thirty- three experienced no change. 5 Primary care physicians are those who report their primary specialty as family practice, general practice, internal medicine, pediatrics, or obstetrics/ gynecology. 6 Data are based on primary practice location; there may be NPs with secondary or other practice locations in these counties. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 9 The state’s certified nurse midwives ( CNMs) data show a very slight - 0.5% (- 1) percentage decrease in supply between 2003 and 2004. This is the first decrease in numbers since data started to be collected in 1995. Granville, Iredell and Union counties experienced large percentage expansions in CNM supply ( 150.0%, 50.0% and 100.0% respectively). Overall, eleven counties saw their CNM supply rise, seventy- five experienced no change, and fourteen counties lost providers7. Duplin, Greene, Moore and Wilson lost their sole CNM in 2004. However, two counties that previously had no CNMs ( Lincoln and Sampson) gained one midwife and two midwives respectively. The net result was that fifty counties in North Carolina had no CNMs in 2004, up from 47 in 2003. This year’s 4.5% (+ 108) increase in physician assistants ( PAs) continues a pattern of growth but is less of an increase than in recent years. In 2004, forty- three counties expanded their PA supply with Chatham County doubling its numbers (+ 2). Yancey, having lost its 2 providers in 2003, regained one in 2004. Forty- one counties experienced no change in their PA supply, including five counties that had no PAs in 2003 ( Avery, Camden, Currituck, Hyde and Mitchell). Sixteen counties decreased their PA supply. Registered Nurses and Licensed PracticalNurses The reader is reminded that prior to the year 2000, RN and LPN licensure renewals occurred in December of each year. The registered nurses ( RN) data show a 1.7% (+ 1,321) rise in counts of RNs in the state between 2003 and 2004. In 2004, fifty- eight counties expanded their RN supply. Three counties ( Currituck, Swain and Rockingham) had no change in their RN supply. RN numbers declined in thirty-nine counties with the largest percentage decrease in Camden county (- 7, - 28.0%). The largest numeric loss was in Richmond county (- 28, - 7.5%). The supply of licensed practical nurses ( LPNs) decreased slightly by - 0.2% (- 28) between 2003 and 2004. Forty- five counties increased their numbers of LPNs, forty- eight counties lost LPNs and seven counties stayed the same. The largest percentage losses were in Hyde (- 3, - 50.0%) and Pamlico (- 5, - 29.4%). The largest reductions in number were in Cumberland (- 20, - 2.3%) and Forsyth (- 19, - 1.7%). Dentists and Dental Hygienists Between 2003 and 2004, North Carolina experienced a 4.8% (+ 167) increase in its supply of dentists. Twelve counties showed reduced numbers of dentists between 2003 and 2004, thirty- seven counties had no change in their supply of dentists, and fifty- one counties saw their supply of dentists rise. The counties of Camden, Hyde, Jones and Tyrell have not had a dentist indicating a primary practice location since 1995. Gates, Graham and Northampton each have only one dentist. In 2004, there was a 5.6% (+ 229) rise in the number of dental hygienists registered with the Board of Dental Examiners. Sixty counties showed growth in 2003 while nineteen counties decreased their supply of hygienists. There were twenty- one counties with no change in their number of hygienists. In 2004, the 7 Data are based on primary practice location only; there may be CNMs with secondary or other practice locations in these counties. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 10 largest percentage expansions were seen in Pamlico (+ 3, 150.0%), Perquimans (+ 1, 100.0%) and Washington (+ 1, 100.0%). In 2004 the largest absolute gains occurred in Mecklenburg (+ 32, 6.8%) and Guilford (+ 18, 7.3%). Three counties had only one hygienist with a primary practice location ( Currituck, Jones, Northampton) and four counties did not possess any ( Bertie, Gates, Hyde and Tyrrell) in 2004. Pharmacists The number of licensed pharmacists showed a slight increase ( 1.1%, + 77) from 2003 to 2004. Between 2003 and 2004, the supply of pharmacists grew in forty- five counties. Wake experienced the largest raw number increase (+ 28, 3.8%) in pharmacists while Alleghany had the largest positive percentage change ( 66.7%) with the addition of two pharmacists. In 2004, Camden and Hyde were the only counties without a pharmacist indicating a practice in those jurisdictions. Thirty- eight counties lost pharmacists; the largest reduction in numbers occurred in Orange (- 15, - 6.5%) and Wilson (- 10, - 13.9%). Pamlico lost one of its five pharmacists for the largest percentage decrease (- 20.0%), while seventeen counties had no change. Physical Therapists and Physical Therapist Assistants Between 2003 and 2004, the supply of licensed physical therapists ( PTs) grew 7.4% (+ 134) in comparison to the previous year’s growth of 1.4% (+ 44). Forty- four counties expanded their supply of PTs, thirty- two lost PTs, and twenty- four counties had no change in numbers. Northampton, which lost both of its PTs in 2003, regained two providers in 2004. Gates lost its sole provider and Chowan lost its only two providers in 2004, resulting in five counties having no PTs. The number of physical therapist assistants ( PTAs) increased 5.4% (+ 90) in 2004. Forty- six counties expanded their supply of PTAs, thirty lost PTAs, and twenty- four counties had no change in numbers. Alexander (+ 1, + 100.0%), Caswell (+ 3, + 300.0%), Currituck (+ 1, + 100.0%), Jones (+ 1, + 100.0%), Dare (+ 3, + 300.0%) and Northampton (+ 4, + 400.0%) all gained PTAs each having had only 1 in 2004. Warren lost its sole provider in 2004 and Camden, Clay and Tyrrell have no PTAs, the same as in 2003. Psychologists and Psychological Associates The number of psychologists in North Carolina decreased by 2.6% (- 42) between 2003 and 2004. This is the first decrease in numbers since 2000. There were twenty- eight counties without a practicing psychologist in 2003 and twelve counties had only one psychologist. During 2004, thirty- one counties lost psychologists, sixty- one counties had no change in numbers and fourteen counties gained practicing psychologists. During 2004, the supply of psychological associates also decreased (- 28, - 3.0%), to its lowest number for a decade. Overall, thirty- seven counties lost psychological associates and fourteen counties had no psychological associates in 2004. Four counties ( Carteret, Davie, Martin and Northampton) lost their sole provider while Macon lost its only two providers. Thirty- three counties experienced no change, and thirty gained psychological associates. Nineteen counties had only one provider. Two counties, Scotland and 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 11 Transylvania, experienced the highest percentage growth (+ 2, + 200.0% for each) while Wake had the highest numeric gain (+ 6, 7.7%). Podiatrists, Optometrists and Chiropractors In 2004, the podiatry workforce experienced an expansion ( 6.4%, + 15). This year’s growth continues a trend of workforce increases since 19988. Nineteen counties gained podiatrists, including Duplin (+ 2) which had no podiatrists in 2002 and 2003. Eight counties lost podiatrists, and seventy- three had no change in numbers. Forty- three counties have no podiatrists, the same as 2003. Alamance (+ 2), Davidson(+ 1), Lenoir(+ 1), Wayne (+ 1) and Wilson(+ 1) all doubled their numbers (+ 100.0%). Together, Forsyth, Mecklenburg, and Wake accounted for almost one- third ( 30.1%) of all podiatrists in the state ( 75 out of 249). North Carolina’s optometrist workforce grew by 1.6% (+ 14) in 2004, continuing a slow growth trend that extends back to 1993, except for 2000 when there was a slight decrease in numbers (- 1, - 0.1%). Nineteen counties gained providers, twenty- two lost providers, and fifty- nine counties experienced no change. Ten counties had no optometrists, including Tyrrell which lost its sole practitioner in 2004; eight of these have had none since 1993. Avery (+ 1) had no optometrists in 2003 and gained one in 2004. Wake (+ 6, + 6.3%), Guilford (+ 6, + 13.0%) and Mecklenburg (+ 9, + 9.9%) experienced the largest gains. Together, Wake and Mecklenburg accounted for more than one- fifth ( 22.5%) of all optometrists in the state ( 102 out of 899). Between 2003 and 2004, North Carolina’s count of chiropractors grew by 3.9% (+ 45). Since 1993, there have been no losses in supply and 1995 and 1997 showed peak increases of 9.1% (+ 65) and 13.5% (+ 109) respectively. In 2004, twenty- five counties increased their number of providers, twenty- seven lost providers, and forty- eight experienced no change. Thirteen counties have no chiropractors, including ten counties which have remained without any chiropractors since 1993 and Washington county, which lost its only two providers in 2004. Granville and Jones had the largest percentage gains (+ 1, 100.0%) with each doubling its supply. Mecklenburg and Wake accounted for an increasingly high proportion of chiropractors in the state ( 28.5%, 343 out of 1,205), up from 26.7% in 2003. Respiratory Therapists Respiratory therapists are new to the Health Professions Data System in 2004. There are fifteen counties with no respiratory therapists and two counties with only one practitioner. More than 10% ( 11.4%, 372) of all respiratory therapists in North Carolina work in Mecklenburg county. CHANGES IN PRACTITIONER TO POPULATION RATIOS North Carolina’s population increased 0.9% between 2003 and 2004, less than the 1.7% growth rate experienced the previous year9. Any examination of the changes in the supply and distribution of the health 8 This fluctuation may be attributed to a change in processing of podiatry records between 2000 and 2001. 9 The population change reported here was calculated using the July 1, 2003 population estimate and the July 1, 2004 projection as reported by the NC State Data Center ( http:// www. linc. state. nc. us/). 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 12 care workforce must take into account North Carolina’s population growth rate, as well as the differences in population growth rates across counties of the state. To account for these factors, changes in health professional supply are illustrated in this section by examining the number of health care professionals per 10,000 people10. The practitioner per 10,000 population ratio provides a better mechanism to compare the supply and distribution of health professionals across varying geographic areas than the use of simple raw counts. Tables 3 through 13 ( except Table 5) include the ten highest and lowest ranked North Carolina counties based on active physicians, primary care physicians, registered nurses, dentists, and pharmacists per 10,000 population. Table 5 provides the physician and primary care physician ratios per 10,000 population for the United States, North Carolina, and selected states that border North Carolina based on American Medical Association ( AMA) data. Caution should be used in comparing these figures to the ratios shown elsewhere in the data book because of differences in the data collection efforts at the AMA; the AMA master file relies on survey data and is updated throughout the year while the North Carolina licensure data are collected in October of every year. Table 14 shows the practitioner- per- 10,000 population ratios for all North Carolina counties in alphabetical order. Similar to Table 2, those licensed professionals for whom activity status is “ unknown” are included in the “ active” category. Professionals are only counted once and are located in counties based on primary practice location. Physicians per 10,000 Population Ratio The 2004 ratio of N. C. physicians per 10,000 population increased very slightly to 20.3. This is the third consecutive year that the ratio has remained nearly constant at 20.0 in 2001 and 20.1 in both 2002 and 2003. The counties with the ten largest and ten smallest ratios in 2004 are included in Tables 3 and 4. Table 3: Counties with the Largest Physicians- per- 10,000- Population Ratios, 2004 vs. 2003 2004 Rank County 2004 Total Physicians 2004 Total Population 2004 Physicians per 10,000 Population 2003 Physicians per 10,000 Population 2003 Rank 1 Orange 1,130 123,196 90.0 90.1 1 2 Durham 1,596 239,662 68.9 68.0 2 3 Pitt 596 141,019 43.3 42.7 3 4 Forsyth 1,248 321,852 39.5 39.2 4 5 Buncombe 713 215,468 33.3 33.1 5 6 New Hanover 548 172,780 32.4 32.0 6 7 Moore 221 79,900 27.8 27.8 7 8 Pasquotank 97 36,681 26.2 27.2 8 9 Mecklenburg 1,850 769,843 24.9 24.5 10 10 Watauga 106 43,170 24.6 20.9 15 10 Publications of this document prior to the 1999 edition reported population per health professional ratios. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 13 Table 4: Counties with the Smallest Physicians- per- 10,000- Population Ratios, 2004 vs. 2003 2004 Rank County 2004 Total Physicians 2004 Total Population 2004 Physicians per 10,000 Population 2003 Physicians per 10,000 Population 2003 Rank 100 Perquimans 2 11,806 1.7 1.7 100 99 Hyde 1 5,792 1.7 1.7 93 98 Tyrrell 1 4,246 2.4 2.4 99 97 Greene 5 20,262 2.5 3.1 98 96 Gates 3 10,882 2.8 2.8 97 95 Currituck 6 21, 059 2.8 3.1 96 94 Stokes 15 46,356 3.2 3.7 94 93 Hoke 14 38,193 3.7 3.6 92 92 Graham 3 8,137 3.7 4.9 91 91 Alexander 13 35,165 3.7 4.0 95 According to the data from the AMA and the U. S. Census Bureau, as seen in Table 5, there were, on average, about 22.8 physicians per 10,000 population in the United States at the beginning of 2003. This is up slightly from 21.8 in 2002. According to the AMA data, North Carolina’s ratio was 20.6, slightly lower than the national average. Table 5: Physicians & Primary Care Physicians per 10,000 Population, US and Selected States, 2003 AMA Physician Data: US Physician/ 10,000 Pop NC Physician/ 10,000 Pop GA Physician/ 10,000 Pop SC Physician/ 10,000 Pop TN Physician/ 10,000 Pop VA Physician/ 10,000 Pop Total Physicians * 22.77 20.63 19.02 19.32 21.75 21.58 Primary Care Physicians** 9.43 8.61 8.26 8.21 9.13 9.29 Source: Area Resource File, Bureau of Health Professions, National Center for Health Workforce Information and Analysis, data from AMA Master file, effective 12/ 31/ 03; resident total population estimates by state and national resident total population estimates U. S. Census Bureau “ Table 1: Annual Estimates of the Population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1 ,2004” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2004- 01. xls > Release Date: December 22, 2004. * Active, nonfederal physicians, excluding residents/ fellows. ** Active, nonfederal physicians, excluding residents/ fellows with specialties of family practice, general practice, internal medicine, obstetrics/ gynecology, and pediatrics. Compared to adjacent states, North Carolina has fewer physicians per 10,000 population than Tennessee and Virginia, but more physicians per population than Georgia and South Carolina. As mentioned earlier, the county- and state- level ratios using the N. C. Medical Board data are difficult to compare with the AMA figures due to differences in methodology and timing of data collection and reporting. Primary Care Physicians per 10,000 Population Ratio On average, there were 8.6 primary care physicians per 10,000 population in North Carolina in 2004, the same as in 2003. Tables 6 and 7 illustrate the counties with the largest and the smallest primary care physician per 10,000 ratios. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 14 Table 6: Counties with the Largest Primary- Care- Physicians- per- 10,000- Population Ratios, 2004 vs. 2003 2004 Rank County 2004 Total Primary Care Physicians 2004 Total Population 2004 Primary Care Physicians per 10,000 Population 2003 Primary Care Physicians per 10,000 Population 2003 Rank 1 Orange 408 123,196 33.1 33.8 1 2 Durham 524 239,662 21.9 21.9 2 3 Pitt 233 141,019 16.5 16.8 3 4 Buncombe 295 215,468 13.7 13.7 5 5 Forsyth 424 321,852 13.2 12.7 7 6 Jones 13 10,257 12.7 14.3 4 7 New Hanover 207 172,780 12.0 12.3 8 8 Swain 16 13,573 11.8 13.3 6 9 Watauga 49 43,170 11.4 8.9 20 10 Mitchell 18 16,052 11.2 9.4 16 Table 7: Counties with the Smallest Primary- Care- Physicians- per- 10,000- Population Ratios, 2004 vs. 2003 2004 Rank County 2004 Total Primary Care Physicians 2004 Total Population 2004 Primary Care Physicians per 10,000 Population 2003 Primary Care Physicians per 10,000 Population 2003 Rank 100 Perquimans 2 11,806 1.7 1.7 100 99 Hyde 1 5,792 1.7 3.4 15 98 Currituck 4 21,059 1.9 2.5 96 97 Tyrrell 1 4,246 2.4 2.4 99 96 Pender 11 44,820 2.5 2.5 98 95 Greene 5 20,262 2.5 2.5 97 94 Camden 2 7,852 2.5 2.8 95 93 Stokes 12 46,356 2.6 2.8 94 92 Northampton 6 21,820 2.7 3.2 12 91 Gates 3 10,882 2.8 2.8 93 According to the national AMA data ( see Table 5 on page 13) which, as mentioned previously, has differences in data collection and timing of collection, there were 9.4 primary care physicians per 10,000 population on average in the United States at the beginning of 2003. This compares to a ratio in North Carolina of 8.6 primary care physicians per 10,000 population11. Tennessee and Virginia had larger numbers of primary care physicians per 10,000 population than North Carolina ( with ratios of 9.1 and 9.3 respectively), and Georgia and South Carolina had smaller ratios ( with ratios of 8.3 and 8.2 respectively). 11 Area Resource File, Federal Bureau of Health Professions, National Center for Health Workforce Information and Analysis, data from AMA Masterfile, effective 12/ 31/ 03; U. S. Census Bureau resident total population estimates by state and national resident total population estimates “ Table 1: Annual Estimates of the Population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1 ,2004” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2004- 01. xls > Release Date: December 22, 2004 ( accessed: 01 July 2005). 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 15 Dentists per 10,000 Population Ratio North Carolina had 4.2 dentists per 10,000 population in 2004, a very slight increase from 4.1 per 10,000 population in 2003. National statistics show a ratio of 5.7 dentists per 10,000 population in 200412. Caution should be used in comparing these national figures to the ratios shown elsewhere in the book because of differences in the data collection efforts of the Bureau of Labor Statistics. Tables 8 and 9 report the counties with the ten largest and ten smallest supply of dentists per 10,000 population ratios in 2004. The four counties tied for 100— Camden, Hyde, Jones and Tyrrell— have not had a dentist with a primary practice location in the county since 1995. Table 8: Counties with the Largest Dentists- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Dentists 2004 Total Population 2004 Dentists per 10,000 Population 2003 Dentists per 10,000 Population 2003 Rank 1 Orange 145 123,196 11.8 10.8 1 2 New Hanover 124 172,780 7.2 7.1 2 3 Wake 467 721,437 6.5 6.4 3 4 Mecklenburg 479 769,843 6.2 6.1 4 5 Carteret 38 61,122 6.2 5.6 9 6 Durham 148 239,662 6.2 6.1 5 7 Buncombe 131 215,468 6.1 5.9 6 8 Forsyth 191 321,852 5.9 5.9 7 9 Dare 19 33,906 5.6 5.9 8 10 Guilford 236 438,520 5.4 5.2 10 Table 9: Counties with the Smallest Dentists- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Dentists 2004 Total Population 2004 Dentists per 10,000 Population 2003 Dentists per 10,000 Population 2003 Rank 100 Camden 0 7,852 0.0 0.0 100 100 Hyde 0 5,792 0.0 0.0 100 100 Jones 0 10,257 0.0 0.0 100 100 Tyrrell 0 4,246 0.0 0.0 100 96 Northampton 1 21,820 0.5 0.5 96 95 Gates 1 10,882 0.9 0.9 93 94 Madison 2 20,196 1.0 1.5 88 93 Bertie 2 19,748 1.0 0.5 95 92 Franklin 6 52,855 1.1 0.8 94 91 Graham 1 8,137 1.2 2.4 54 12 Bureau of Labor Statistics; “ Employed persons by detailed occupation, sex, race, and Hispanic origin;” ftp:// ftp. bls. gov/ pub/ special. requests/ lf/ aat11. txt; ( accessed: 01 July 2005). National resident total population estimates “ Table 1: Annual Estimates of the Population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1 ,2004” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2004- 01. xls > Release Date: December 22, 2004 ( accessed: 01 July 2005). 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 16 Registered Nurses per 10,000 Population Ratio The average number of registered nurses ( RNs) per 10,000 population increased slightly from 90.0 in 2003 to 90.7 in 2004. North Carolina’s supply of RNs per 10,000 population is higher than the most current national statistic of 83.9 RNs per 10,000 population in 2004. Caution should be used in comparing these national figures to the ratios shown elsewhere in the book because of differences in the data collection efforts of the Bureau of Labor Statistics13. Tables 10 and 11 represent the counties with the largest and the smallest registered nurses per 10,000 population ratios in year 2004. Table 10: Counties with the Largest Registered Nurses- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Registered Nurses 2004 Total Population 2004 RNs per 10,000 Population 2003 RNs per 10,000 Population 2003 Rank 1 Orange 2,534 123,196 205.7 191.5 2 2 Durham 4,874 239,662 203.4 204.4 1 3 Pitt 2,536 141,019 179.8 179.1 3 4 Forsyth 5,180 321,852 160.9 156.4 5 5 Buncombe 3,459 215,468 160.5 158.1 4 6 New Hanover 2,490 172,780 144.1 140.4 6 7 Moore 1,026 79,900 128.4 128.1 8 8 Pasquotank 466 36,681 127.0 128.9 7 9 Mecklenburg 8,951 769,843 116.3 115.9 9 10 Hertford 266 23,794 111.8 114.9 10 Table 11: Counties with the Smallest Registered Nurses- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Registered Nurses 2004 Total Population 2004 RNs per 10,000 Population 2003 RNs per 10,000 Population 2003 Rank 100 Caswell 49 23,965 20.4 22.2 98 99 Gates 24 10,882 22.1 22.8 100 98 Currituck 48 21,059 22.8 20.5 97 97 Camden 18 7,852 22.9 34.4 85 96 Warren 48 20,286 23.7 24.8 96 95 Alexander 87 35,165 24.7 21.8 99 94 Tyrrell 11 4,246 25.9 30.8 90 93 Hoke 101 38,193 26.4 24.8 95 92 Northampton 62 21,820 28.4 28.8 92 91 Perquimans 34 11,806 28.8 31.7 88 13 Bureau of Labor Statistics; “ Employed persons by detailed occupation, sex, race, and Hispanic origin;” ftp:// ftp. bls. gov/ pub/ special. requests/ lf/ aat11. txt; ( accessed: 01 July 2005). National resident total population estimates “ Table 1: Annual Estimates of the Population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1 ,2004” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2004- 01. xls > Release Date: December 22, 2004 ( accessed: 01 July 2005). 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 17 Pharmacists per 10,000 Population Ratio On average, the state had 8.5 licensed pharmacists per 10,000 population in 2004, the same as in 2003. The national ratio in 2004 was 7.9 pharmacists per 10,000 population14. Again, the reader is cautioned to use care in comparing these national figures to the ratios shown elsewhere in the book because of differences in the data collection efforts of the Bureau of Labor Statistics. See Tables 12 and 13 for the North Carolina counties ranking the highest and lowest pharmacists to population ratios. Table 12: Counties with the Largest Pharmacists- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Pharmacists 2004 Total Population 2004 Pharmacists per 10,000 Population 2003 Pharmacists per 10,000 Population 2003 Rank 1 Durham 622 239,662 26.0 26.2 1 2 Orange 217 123,196 17.6 18.5 2 3 Lenoir 75 59,091 12.7 13.9 3 4 Forsyth 402 321,852 12.5 12.4 5 5 Pitt 176 141,019 12.5 13.0 4 6 Buncombe 255 215,468 11.8 11.7 6 7 Wake 766 721,437 10.6 10.5 8 8 New Hanover 177 172,780 10.2 10.7 7 9 Cabarrus 145 146,852 9.9 8.9 12 10 Dare 33 33,906 9.7 9.6 17 Table 13: Counties with the Smallest Pharmacists- per- 10,000- Population Ratio, 2004 vs. 2003 2004 Rank County 2004 Total Pharmacists 2004 Total Population 2004 Pharmacists per 10,000 Population 2003 Pharmacists per 10,000 Population 2003 Rank 100 Camden 0 7,852 0.0 0.0 100 100 Hyde 0 5,792 0.0 0.0 100 98 Northampton 4 21,820 1.8 1.8 97 97 Currituck 4 21,059 1.9 1.5 98 96 Jones 2 10,257 1.9 1.9 95 95 Tyrrell 1 4,246 2.4 2.4 93 94 Caswell 6 23,965 2.5 2.9 90 93 Gates 3 10,882 2.8 1.9 96 92 Greene 6 20,262 3.0 2.0 94 91 Pamlico 4 13,071 3.1 3.8 84 14 Bureau of Labor Statistics; “ Employed persons by detailed occupation, sex, race, and Hispanic origin;” ftp:// ftp. bls. gov/ pub/ special. requests/ lf/ aat11. txt; ( accessed: 01 July 2005). National resident total population estimates “ Table 1: Annual Estimates of the Population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1 ,2004” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2004- 01. xls > Release Date: December 22, 2004 ( accessed: 01 July 2005). 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 18 Active Health Professionals per 10,000 Population Ratios for All Counties Table 14 reports year 2004 data for selected active health professionals per 10,000 population ratios for physicians, primary care physicians, 15 dentists, registered nurses, and pharmacists for all counties listed in alphabetical order. Table 14: Active Health- Professionals- per- 10,000- Population Ratios, 2004 County 2004 Total Population Physicians per 10,000 Population Primary Care Physicians per 10,000 Population Dentists per 10,000 Population Registered Nurses per 10,000 Population Pharmacists per 10,000 Population Alamance 138,754 13.3 5.9 4.2 57.5 7.2 Alexander 35,165 3.7 3.1 2.0 24.7 4.0 Alleghany 10,912 11.9 10.1 1.8 69.6 4.6 Anson 25,384 7.5 4.7 2.0 50.8 4.3 Ashe 25,320 8.7 6.3 2.0 47.8 7.5 Avery 18,221 11.0 6.0 3.3 73.0 9.3 Beaufort 45,816 13.3 6.1 2.8 84.3 6.5 Bertie 19,748 6.1 5.1 1.0 51.1 4.1 Bladen 33,119 6.9 5.7 1.5 47.7 4.2 Brunswick 83,787 10.1 4.5 2.9 48.8 7.4 Buncombe 215,468 33.3 13.7 6.1 160.5 11.8 Burke 89,943 18.9 7.9 3.6 102.0 7.9 Cabarrus 146,852 21.0 9.4 3.1 96.6 9.9 Caldwell 78,606 9.5 5.5 2.7 48.0 4.6 Camden 7,852 3.8 2.5 0.0 22.9 0.0 Carteret 61,122 14.9 7.2 6.2 71.0 8.7 Caswell 23,965 5.8 5.0 1.7 20.4 2.5 Catawba 148,797 22.5 8.9 4.2 110.8 8.7 Chatham 54,645 7.5 5.9 1.8 41.4 4.6 Cherokee 25,694 14.4 9.0 3.5 76.3 9.0 Chowan 14,453 18.7 10.4 2.1 96.9 7.6 Clay 9,499 7.4 5.3 3.2 45.3 6.3 Cleveland 98,497 15.2 7.6 3.4 81.4 6.3 Columbus 54,917 9.5 4.9 1.8 81.6 8.9 Craven 93,454 22.5 8.6 3.9 97.2 7.1 Cumberland 311,526 15.0 6.8 3.6 70.0 6.0 Currituck 21,059 2.8 1.9 1.9 22.8 1.9 Dare 33,906 13.9 7.7 5.6 67.2 9.7 Davidson 153,897 7.7 4.5 1.9 44.4 5.7 Davie 37,871 5.5 3.7 2.6 31.4 6.6 Duplin 51,821 5.4 4.2 2.1 49.4 5.4 Durham 239,662 68.9 21.9 6.2 203.4 26.0 Edgecombe 53,777 7.1 4.3 1.3 50.8 4.1 Forsyth 321,852 39.5 13.2 5.9 160.9 12.5 Franklin 52,855 5.9 2.8 1.1 37.3 3.4 Gaston 192,650 17.8 8.1 3.8 71.4 7.9 Gates 10,882 2.8 2.8 0.9 22.1 2.8 Graham 8,137 3.7 3.7 1.2 38.1 6.1 15 Primary care physicians are those who report their primary specialty as family practice, general practice, internal medicine, pediatrics, or obstetrics/ gynecology. 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 19 County 2004 Total Population Physicians per 10,000 Population Primary Care Physicians per 10,000 Population Dentists per 10,000 Population Registered Nurses per 10,000 Population Pharmacists per 10,000 Population Granville 53,346 13.3 5.4 2.6 97.1 7.9 Greene 20,262 2.5 2.5 2.5 31.6 3.0 Guilford 438,520 22.9 9.4 5.4 108.4 9.6 Halifax 56,947 13.5 7.2 1.9 73.6 6.3 Harnett 100,271 6.4 4.7 2.1 36.3 5.6 Haywood 56,418 17.4 7.6 4.1 71.8 7.3 Henderson 96,370 23.5 10.7 4.7 96.5 7.3 Hertford 23,794 16.8 8.4 4.6 111.8 7.1 Hoke 38,193 3.7 2.9 1.6 26.4 3.4 Hyde 5,792 1.7 1.7 0.0 38.0 0.0 Iredell 136,387 18.6 7.4 4.8 108.0 8.8 Jackson 35,627 21.9 10.7 3.1 84.5 5.6 Johnston 140,719 7.5 4.7 2.2 36.9 6.5 Jones 10,257 20.5 12.7 0.0 33.1 1.9 Lee 50,561 17.0 8.7 4.2 67.0 6.9 Lenoir 59,091 20.0 8.0 4.4 93.2 12.7 Lincoln 68,630 8.3 5.2 2.5 39.5 6.8 McDowell 43,647 7.6 4.8 2.1 58.2 4.6 Macon 31,968 20.3 9.7 3.8 66.0 6.9 Madison 20,196 6.9 6.4 1.0 31.2 4.0 Martin 24,930 7.6 5.6 2.0 48.5 8.4 Mecklenburg 769,843 24.9 9.8 6.2 116.3 9.7 Mitchell 16,052 15.0 11.2 3.1 90.3 9.3 Montgomery 27,680 4.7 3.6 1.8 35.8 5.4 Moore 79,900 27.8 9.0 5.4 128.4 8.9 Nash 90,546 19.4 9.2 5.0 98.0 6.8 New Hanover 172,780 32.4 12.0 7.2 144.1 10.2 Northampton 21,820 4.1 2.7 0.5 28.4 1.8 Onslow 159,817 7.5 3.6 3.4 46.6 3.7 Orange 123,196 90.0 33.1 11.8 205.7 17.6 Pamlico 13,071 6.1 5.4 3.1 35.2 3.1 Pasquotank 36,681 26.2 9.8 3.5 127.0 8.7 Pender 44,820 4.0 2.5 2.2 37.3 6.2 Perquimans 11,806 1.7 1.7 1.7 28.8 3.4 Person 37,594 9.3 5.3 2.4 49.7 6.6 Pitt 141,019 43.3 16.5 3.9 179.8 12.5 Polk 19,194 12.0 6.3 3.6 82.3 6.3 Randolph 137,385 9.6 5.4 2.7 35.7 3.8 Richmond 46,594 9.7 6.7 3.2 74.0 6.2 Robeson 127,253 10.9 5.9 1.7 59.3 5.6 Rockingham 92,893 11.6 6.0 2.9 57.6 7.6 Rowan 135,147 10.8 5.5 3.6 72.2 7.3 Rutherford 63,861 13.3 7.0 2.8 66.9 6.7 Sampson 63,597 8.0 5.2 1.6 52.8 5.2 Scotland 35,690 15.1 8.4 2.5 88.0 7.8 Stanly 59,533 14.1 7.9 2.5 66.9 6.9 Stokes 46,356 3.2 2.6 1.5 29.8 4.1 Surry 72,810 14.8 8.4 3.2 75.5 6.9 Swain 13,573 13.3 11.8 3.7 70.0 3.7 Transylvania 29,799 14.4 9.1 3.4 71.5 6.7 Tyrrell 4,246 2.4 2.4 0.0 25.9 2.4 Union 149,045 8.6 4.3 2.0 44.6 4.5 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 20 County 2004 Total Population Physicians per 10,000 Population Primary Care Physicians per 10,000 Population Dentists per 10,000 Population Registered Nurses per 10,000 Population Pharmacists per 10,000 Population Vance 44,216 14.5 7.7 2.3 55.4 8.4 Wake 721,437 20.8 9.1 6.5 97.2 10.6 Warren 20,286 4.4 3.9 2.5 23.7 3.5 Washington 13,435 7.4 4.5 2.2 49.9 4.5 Watauga 43,170 24.6 11.4 5.1 86.2 6.9 Wayne 114,778 15.9 7.3 3.7 85.3 8.0 Wilkes 67,509 10.2 5.6 3.1 61.3 4.4 Wilson 76,312 13.9 5.6 2.8 81.1 8.1 Yadkin 37,524 4.5 4.3 1.6 29.8 4.3 Yancey 18,131 8.3 8.3 2.2 39.7 3.3 State Total 8,562,210 20.3 8.6 4.2 90.7 8.5 2 0 0 4 N . C . H e a l t h P r o f e s s i o n s D a t a B o o k 21 NORTH CAROLINA COUNTY AND REGIONAL HEALTH PROFESSIONS AND RELATED HEALTH STATISTICS Alamance MSA county designation: Metropolitan AHEC Region: Greensboro HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 9.5 Teen Pregnancies 306 Teen Pregnancy Rate 61.1 Total Pregnancies 2,277 Total Pregnancy Rate 77.3 Total 8.7 White 6.1 Unemployed 2004 4,299 Employed 2004 65,383 Labor Force 2004 69,682 Unemployment Rate 2004 (%) 6.2 Per Capita Income 2003 $ 26,030 Medicaid Eligibles 2003 21,726 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 15,379 General Hospital Beds 2004 182 Nursing Facility Beds 2004 872 Total Ages 0- 19 Ages 20- 64 Ages 65+ 138,754 109,651 29,103 38,232 29,063 9,169 81,895 64,776 17,119 18,627 15,812 2,815 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 184 Primary Care Physicians 82 Nurse Practitioners 26 Family Practice 27 General Practice 0 Internal Medicine 29 Obstetrics/ Gynecology 8 Pediatrics 18 Physician Assistants 23 Licensed Practical Nurse 193 Registered Nurses 798 Federal Physicians 1 Other Specialties 101 Physicians per 10,000 Population 13.3 Primary Care Physicians per 10,000 Population 5.9 Nurses Chiropractors 18 Optometrists 15 Pharmacists 100 Physical Therapists 65 Physical Therapist Assistants 11 Podiatrists 4 Practicing Psychologists 9 Psychological Associates 4 ** 100.0% 27.6% 59.0% 13.4% Resident Births 1,838 Resident Deaths 1,368 Nonwhite 19.9 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 5 Dentists and Dental Hygienists Dentists 58 Dental Hygienists 66 Other Health Professionals Respiratory Therapists 22 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 22 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Alexander MSA county designation: Metropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 10.4 Teen Pregnancies 49 Teen Pregnancy Rate 44.8 Total Pregnancies 465 Total Pregnancy Rate 65.8 Total 7.3 White 5.1 Unemployed 2004 1,116 Employed 2004 17,511 Labor Force 2004 18,627 Unemployment Rate 2004 (%) 6.0 Per Capita Income 2003 $ 24,486 Medicaid Eligibles 2003 5,935 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 3,658 General Hospital Beds 2004 25 Nursing Facility Beds 2004 183 Total Ages 0- 19 Ages 20- 64 Ages 65+ 35,165 32,994 2,171 9,345 8,615 730 21,519 20,317 1,202 4,301 4,062 239 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 13 Primary Care Physicians 11 Nurse Practitioners 0 Family Practice 9 General Practice 0 Internal Medicine 2 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 5 Licensed Practical Nurse 29 Registered Nurses 87 Federal Physicians 0 Other Specialties 2 Physicians per 10,000 Population 3.7 Primary Care Physicians per 10,000 Population 3.1 Nurses Chiropractors 3 Optometrists 1 Pharmacists 14 Physical Therapists 3 Physical Therapist Assistants 2 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 4 ** 100.0% 26.6% 61.2% 12.2% Resident Births 413 Resident Deaths 284 Nonwhite 47.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 7 Dental Hygienists 12 Other Health Professionals Respiratory Therapists 1 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 23 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Alleghany MSA county designation: Nonmetropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 6.3 Teen Pregnancies 6 Teen Pregnancy Rate 22.8 Total Pregnancies 90 Total Pregnancy Rate 50.1 Total 0.0 White 0.0 Unemployed 2004 302 Employed 2004 4,519 Labor Force 2004 4,821 Unemployment Rate 2004 (%) 6.3 Per Capita Income 2003 $ 24,023 Medicaid Eligibles 2003 2,176 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 1,699 General Hospital Beds 2004 46 Nursing Facility Beds 2004 90 Total Ages 0- 19 Ages 20- 64 Ages 65+ 10,912 10,712 200 2,293 2,262 31 6,522 6,365 157 2,097 2,085 12 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 13 Primary Care Physicians 11 Nurse Practitioners 2 Family Practice 9 General Practice 0 Internal Medicine 2 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 4 Licensed Practical Nurse 29 Registered Nurses 76 Federal Physicians 0 Other Specialties 2 Physicians per 10,000 Population 11.9 Primary Care Physicians per 10,000 Population 10.1 Nurses Chiropractors 1 Optometrists 2 Pharmacists 5 Physical Therapists 3 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 0 ** 100.0% 21.0% 59.8% 19.2% Resident Births 80 Resident Deaths 129 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 2 Dental Hygienists 4 Other Health Professionals Respiratory Therapists 5 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 24 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Anson MSA county designation: Nonmetropolitan AHEC Region: Charlotte HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 11.4 Teen Pregnancies 64 Teen Pregnancy Rate 79.6 Total Pregnancies 419 Total Pregnancy Rate 87.5 Total 16.6 White 11.2 Unemployed 2004 960 Employed 2004 10,040 Labor Force 2004 11,000 Unemployment Rate 2004 (%) 8.7 Per Capita Income 2003 $ 21,274 Medicaid Eligibles 2003 6,948 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 4,227 General Hospital Beds 2004 52 Nursing Facility Beds 2004 161 Total Ages 0- 19 Ages 20- 64 Ages 65+ 25,384 12,565 12,819 6,777 2,849 3,928 15,098 7,424 7,674 3,509 2,292 1,217 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 19 Primary Care Physicians 12 Nurse Practitioners 2 Family Practice 4 General Practice 1 Internal Medicine 5 Obstetrics/ Gynecology 0 Pediatrics 2 Physician Assistants 6 Licensed Practical Nurse 75 Registered Nurses 129 Federal Physicians 0 Other Specialties 7 Physicians per 10,000 Population 7.5 Primary Care Physicians per 10,000 Population 4.7 Nurses Chiropractors 1 Optometrists 1 Pharmacists 11 Physical Therapists 3 Physical Therapist Assistants 4 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 5 ** 100.0% 26.7% 59.5% 13.8% Resident Births 361 Resident Deaths 293 Nonwhite 21.9 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 5 Dental Hygienists 3 Other Health Professionals Respiratory Therapists 9 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 25 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Ashe MSA county designation: Nonmetropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 9.9 Teen Pregnancies 40 Teen Pregnancy Rate 63.4 Total Pregnancies 299 Total Pregnancy Rate 67.6 Total 11.0 White 11.1 Unemployed 2004 684 Employed 2004 11,821 Labor Force 2004 12,505 Unemployment Rate 2004 (%) 5.5 Per Capita Income 2003 $ 23,702 Medicaid Eligibles 2003 5,100 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 3,330 General Hospital Beds 2004 76 Nursing Facility Beds 2004 210 Total Ages 0- 19 Ages 20- 64 Ages 65+ 25,320 24,938 382 5,366 5,248 118 15,285 15,055 230 4,669 4,635 34 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 22 Primary Care Physicians 16 Nurse Practitioners 5 Family Practice 12 General Practice 1 Internal Medicine 2 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 5 Licensed Practical Nurse 48 Registered Nurses 121 Federal Physicians 0 Other Specialties 6 Physicians per 10,000 Population 8.7 Primary Care Physicians per 10,000 Population 6.3 Nurses Chiropractors 5 Optometrists 3 Pharmacists 19 Physical Therapists 5 Physical Therapist Assistants 8 Podiatrists 0 Practicing Psychologists 3 Psychological Associates 3 ** 100.0% 21.2% 60.4% 18.4% Resident Births 273 Resident Deaths 308 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 5 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 7 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 26 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Avery MSA county designation: Nonmetropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.1 Teen Pregnancies 20 Teen Pregnancy Rate 39.3 Total Pregnancies 209 Total Pregnancy Rate 66.5 Total 0.0 White 0.0 Unemployed 2004 401 Employed 2004 7,757 Labor Force 2004 8,158 Unemployment Rate 2004 (%) 4.9 Per Capita Income 2003 $ 23,431 Medicaid Eligibles 2003 3,195 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 2,325 General Hospital Beds 2004 40 Nursing Facility Beds 2004 128 Total Ages 0- 19 Ages 20- 64 Ages 65+ 18,221 17,290 931 3,882 3,790 92 11,440 10,625 815 2,899 2,875 24 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 20 Primary Care Physicians 11 Nurse Practitioners 5 Family Practice 7 General Practice 0 Internal Medicine 2 Obstetrics/ Gynecology 2 Pediatrics 0 Physician Assistants 0 Licensed Practical Nurse 50 Registered Nurses 133 Federal Physicians 0 Other Specialties 9 Physicians per 10,000 Population 11.0 Primary Care Physicians per 10,000 Population 6.0 Nurses Chiropractors 1 Optometrists 1 Pharmacists 17 Physical Therapists 7 Physical Therapist Assistants 5 Podiatrists 0 Practicing Psychologists 2 Psychological Associates 1 ** 100.0% 21.3% 62.8% 15.9% Resident Births 186 Resident Deaths 208 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 6 Dental Hygienists 4 Other Health Professionals Respiratory Therapists 6 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 27 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Beaufort MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.9 Teen Pregnancies 103 Teen Pregnancy Rate 75.4 Total Pregnancies 642 Total Pregnancy Rate 75.9 Total 8.9 White 5.2 Unemployed 2004 1,398 Employed 2004 18,242 Labor Force 2004 19,640 Unemployment Rate 2004 (%) 7.1 Per Capita Income 2003 $ 23,324 Medicaid Eligibles 2003 10,936 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 6,285 General Hospital Beds 2004 159 Nursing Facility Beds 2004 300 Total Ages 0- 19 Ages 20- 64 Ages 65+ 45,816 32,410 13,406 11,336 7,261 4,075 27,099 19,534 7,565 7,381 5,615 1,766 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 61 Primary Care Physicians 28 Nurse Practitioners 9 Family Practice 10 General Practice 1 Internal Medicine 10 Obstetrics/ Gynecology 1 Pediatrics 6 Physician Assistants 10 Licensed Practical Nurse 100 Registered Nurses 386 Federal Physicians 0 Other Specialties 33 Physicians per 10,000 Population 13.3 Primary Care Physicians per 10,000 Population 6.1 Nurses Chiropractors 5 Optometrists 7 Pharmacists 30 Physical Therapists 12 Physical Therapist Assistants 13 Podiatrists 4 Practicing Psychologists 0 Psychological Associates 6 ** 100.0% 24.7% 59.1% 16.1% Resident Births 561 Resident Deaths 522 Nonwhite 16.9 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 13 Dental Hygienists 14 Other Health Professionals Respiratory Therapists 18 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 28 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Bertie MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.0 Teen Pregnancies 47 Teen Pregnancy Rate 68.8 Total Pregnancies 280 Total Pregnancy Rate 71.8 Total 12.6 White 0.0 Unemployed 2004 661 Employed 2004 7,482 Labor Force 2004 8,143 Unemployment Rate 2004 (%) 8.1 Per Capita Income 2003 $ 20,845 Medicaid Eligibles 2003 6,567 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 2,690 General Hospital Beds 2004 6 Nursing Facility Beds 2004 142 Total Ages 0- 19 Ages 20- 64 Ages 65+ 19,748 7,182 12,566 5,229 1,470 3,759 11,300 4,206 7,094 3,219 1,506 1,713 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 12 Primary Care Physicians 10 Nurse Practitioners 1 Family Practice 7 General Practice 0 Internal Medicine 2 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 6 Licensed Practical Nurse 44 Registered Nurses 101 Federal Physicians 0 Other Specialties 2 Physicians per 10,000 Population 6.1 Primary Care Physicians per 10,000 Population 5.1 Nurses Chiropractors 0 Optometrists 1 Pharmacists 8 Physical Therapists 1 Physical Therapist Assistants 2 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 1 ** 100.0% 26.5% 57.2% 16.3% Resident Births 238 Resident Deaths 219 Nonwhite 18.3 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 2 Dental Hygienists 0 Other Health Professionals Respiratory Therapists 4 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 29 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Bladen MSA county designation: Nonmetropolitan AHEC Region: Southern Regional HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 12.9 Teen Pregnancies 83 Teen Pregnancy Rate 79.0 Total Pregnancies 518 Total Pregnancy Rate 79.9 Total 4.5 White 7.0 Unemployed 2004 1,126 Employed 2004 14,345 Labor Force 2004 15,471 Unemployment Rate 2004 (%) 7.3 Per Capita Income 2003 $ 21,244 Medicaid Eligibles 2003 10,053 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 4,188 General Hospital Beds 2004 48 Nursing Facility Beds 2004 194 Total Ages 0- 19 Ages 20- 64 Ages 65+ 33,119 19,795 13,324 8,742 4,708 4,034 19,666 12,023 7,643 4,711 3,064 1,647 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 23 Primary Care Physicians 19 Nurse Practitioners 5 Family Practice 11 General Practice 2 Internal Medicine 5 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 7 Licensed Practical Nurse 83 Registered Nurses 158 Federal Physicians 0 Other Specialties 4 Physicians per 10,000 Population 6.9 Primary Care Physicians per 10,000 Population 5.7 Nurses Chiropractors 2 Optometrists 2 Pharmacists 14 Physical Therapists 3 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 1 Psychological Associates 1 ** 100.0% 26.4% 59.4% 14.2% Resident Births 443 Resident Deaths 400 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 5 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 14 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 30 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Brunswick MSA county designation: Metropolitan AHEC Region: Coastal HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 11.3 Teen Pregnancies 162 Teen Pregnancy Rate 71.7 Total Pregnancies 1,044 Total Pregnancy Rate 72.4 Total 5.7 White 4.3 Unemployed 2004 2,074 Employed 2004 37,961 Labor Force 2004 40,035 Unemployment Rate 2004 (%) 5.2 Per Capita Income 2003 $ 24,095 Medicaid Eligibles 2003 16,138 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 10,797 General Hospital Beds 2004 96 Nursing Facility Beds 2004 419 Total Ages 0- 19 Ages 20- 64 Ages 65+ 83,787 71,040 12,747 18,780 14,747 4,033 50,272 42,855 7,417 14,735 13,438 1,297 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 85 Primary Care Physicians 38 Nurse Practitioners 8 Family Practice 19 General Practice 1 Internal Medicine 11 Obstetrics/ Gynecology 3 Pediatrics 4 Physician Assistants 23 Licensed Practical Nurse 208 Registered Nurses 409 Federal Physicians 1 Other Specialties 47 Physicians per 10,000 Population 10.1 Primary Care Physicians per 10,000 Population 4.5 Nurses Chiropractors 17 Optometrists 7 Pharmacists 62 Physical Therapists 30 Physical Therapist Assistants 11 Podiatrists 2 Practicing Psychologists 3 Psychological Associates 3 ** 100.0% 22.4% 60.0% 17.6% Resident Births 877 Resident Deaths 778 Nonwhite 11.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 24 Dental Hygienists 24 Other Health Professionals Respiratory Therapists 19 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 31 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Buncombe MSA county designation: Metropolitan AHEC Region: Mountain HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.3 Teen Pregnancies 347 Teen Pregnancy Rate 52.7 Total Pregnancies 3,149 Total Pregnancy Rate 73.0 Total 7.6 White 6.6 Unemployed 2004 4,805 Employed 2004 108,732 Labor Force 2004 113,537 Unemployment Rate 2004 (%) 4.2 Per Capita Income 2003 $ 27,681 Medicaid Eligibles 2003 36,624 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 22,046 General Hospital Beds 2004 716 Nursing Facility Beds 2004 1,668 Total Ages 0- 19 Ages 20- 64 Ages 65+ 215,468 195,463 20,005 51,906 45,566 6,340 131,305 119,571 11,734 32,257 30,326 1,931 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 718 Primary Care Physicians 295 Nurse Practitioners 92 Family Practice 118 General Practice 8 Internal Medicine 92 Obstetrics/ Gynecology 39 Pediatrics 38 Physician Assistants 101 Licensed Practical Nurse 710 Registered Nurses 3,459 Federal Physicians 55 Other Specialties 422 Physicians per 10,000 Population 33.3 Primary Care Physicians per 10,000 Population 13.7 Nurses Chiropractors 68 Optometrists 29 Pharmacists 255 Physical Therapists 194 Physical Therapist Assistants 69 Podiatrists 8 Practicing Psychologists 98 Psychological Associates 63 ** 100.0% 24.1% 60.9% 15.0% Resident Births 2,505 Resident Deaths 2,164 Nonwhite 17.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 9 Dentists and Dental Hygienists Dentists 131 Dental Hygienists 150 Other Health Professionals Respiratory Therapists 162 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 32 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Burke MSA county designation: Metropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.7 Teen Pregnancies 167 Teen Pregnancy Rate 59.0 Total Pregnancies 1,114 Total Pregnancy Rate 63.8 Total 8.3 White 7.3 Unemployed 2004 2,877 Employed 2004 40,327 Labor Force 2004 43,204 Unemployment Rate 2004 (%) 6.7 Per Capita Income 2003 $ 23,401 Medicaid Eligibles 2003 16,454 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 11,050 General Hospital Beds 2004 354 Nursing Facility Beds 2004 556 Total Ages 0- 19 Ages 20- 64 Ages 65+ 89,943 78,827 11,116 23,946 19,358 4,588 53,755 47,999 5,756 12,242 11,470 772 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 170 Primary Care Physicians 71 Nurse Practitioners 16 Family Practice 36 General Practice 4 Internal Medicine 13 Obstetrics/ Gynecology 9 Pediatrics 9 Physician Assistants 21 Licensed Practical Nurse 156 Registered Nurses 917 Federal Physicians 0 Other Specialties 99 Physicians per 10,000 Population 18.9 Primary Care Physicians per 10,000 Population 7.9 Nurses Chiropractors 10 Optometrists 4 Pharmacists 71 Physical Therapists 34 Physical Therapist Assistants 30 Podiatrists 1 Practicing Psychologists 33 Psychological Associates 41 ** 100.0% 26.6% 59.8% 13.6% Resident Births 964 Resident Deaths 880 Nonwhite 14.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 3 Dentists and Dental Hygienists Dentists 32 Dental Hygienists 33 Other Health Professionals Respiratory Therapists 21 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 33 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Cabarrus MSA county designation: Metropolitan AHEC Region: Charlotte HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 9.0 Teen Pregnancies 278 Teen Pregnancy Rate 57.7 Total Pregnancies 2,659 Total Pregnancy Rate 85.5 Total 10.7 White 6.9 Unemployed 2004 4,728 Employed 2004 72,750 Labor Force 2004 77,478 Unemployment Rate 2004 (%) 6.1 Per Capita Income 2003 $ 29,842 Medicaid Eligibles 2003 21,385 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 17,092 General Hospital Beds 2004 447 Nursing Facility Beds 2004 691 Total Ages 0- 19 Ages 20- 64 Ages 65+ 146,852 125,962 20,890 42,444 35,045 7,399 88,354 76,439 11,915 16,054 14,478 1,576 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 309 Primary Care Physicians 138 Nurse Practitioners 38 Family Practice 50 General Practice 1 Internal Medicine 47 Obstetrics/ Gynecology 13 Pediatrics 27 Physician Assistants 25 Licensed Practical Nurse 195 Registered Nurses 1,419 Federal Physicians 1 Other Specialties 171 Physicians per 10,000 Population 21.0 Primary Care Physicians per 10,000 Population 9.4 Nurses Chiropractors 32 Optometrists 14 Pharmacists 145 Physical Therapists 43 Physical Therapist Assistants 39 Podiatrists 3 Practicing Psychologists 16 Psychological Associates 19 ** 100.0% 28.9% 60.2% 10.9% Resident Births 2,237 Resident Deaths 1,252 Nonwhite 30.1 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 6 Dentists and Dental Hygienists Dentists 46 Dental Hygienists 75 Other Health Professionals Respiratory Therapists 51 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 34 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Caldwell MSA county designation: Metropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.3 Teen Pregnancies 139 Teen Pregnancy Rate 58.6 Total Pregnancies 1,005 Total Pregnancy Rate 64.7 Total 10.0 White 9.6 Unemployed 2004 3,008 Employed 2004 37,579 Labor Force 2004 40,587 Unemployment Rate 2004 (%) 7.4 Per Capita Income 2003 $ 25,247 Medicaid Eligibles 2003 14,873 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 9,798 General Hospital Beds 2004 110 Nursing Facility Beds 2004 400 Total Ages 0- 19 Ages 20- 64 Ages 65+ 78,606 73,360 5,246 20,054 18,288 1,766 47,697 44,735 2,962 10,855 10,337 518 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 75 Primary Care Physicians 43 Nurse Practitioners 14 Family Practice 24 General Practice 2 Internal Medicine 7 Obstetrics/ Gynecology 5 Pediatrics 5 Physician Assistants 13 Licensed Practical Nurse 89 Registered Nurses 377 Federal Physicians 0 Other Specialties 32 Physicians per 10,000 Population 9.5 Primary Care Physicians per 10,000 Population 5.5 Nurses Chiropractors 4 Optometrists 4 Pharmacists 36 Physical Therapists 12 Physical Therapist Assistants 20 Podiatrists 1 Practicing Psychologists 3 Psychological Associates 3 ** 100.0% 25.5% 60.7% 13.8% Resident Births 901 Resident Deaths 776 Nonwhite 15.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 4 Dentists and Dental Hygienists Dentists 21 Dental Hygienists 32 Other Health Professionals Respiratory Therapists 17 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 35 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Camden MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 10.9 Teen Pregnancies 16 Teen Pregnancy Rate 57.6 Total Pregnancies 122 Total Pregnancy Rate 76.5 Total 0.0 White 0.0 Unemployed 2004 144 Employed 2004 3,706 Labor Force 2004 3,850 Unemployment Rate 2004 (%) 3.7 Per Capita Income 2003 $ 25,886 Medicaid Eligibles 2003 1,057 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 597 General Hospital Beds 2004 0 Nursing Facility Beds 2004 0 Total Ages 0- 19 Ages 20- 64 Ages 65+ 7,852 6,546 1,306 1,986 1,677 309 4,815 4,038 777 1,051 831 220 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 3 Primary Care Physicians 2 Nurse Practitioners 0 Family Practice 2 General Practice 0 Internal Medicine 0 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 0 Licensed Practical Nurse 3 Registered Nurses 18 Federal Physicians 0 Other Specialties 1 Physicians per 10,000 Population 3.8 Primary Care Physicians per 10,000 Population 2.5 Nurses Chiropractors 0 Optometrists 0 Pharmacists 0 Physical Therapists 0 Physical Therapist Assistants 0 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 0 ** 100.0% 25.3% 61.3% 13.4% Resident Births 110 Resident Deaths 60 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 0 Dental Hygienists 2 Other Health Professionals Respiratory Therapists 0 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 36 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Carteret MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 7.5 Teen Pregnancies 115 Teen Pregnancy Rate 63.8 Total Pregnancies 733 Total Pregnancy Rate 67.6 Total 8.5 White 7.4 Unemployed 2004 1,470 Employed 2004 29,718 Labor Force 2004 31,188 Unemployment Rate 2004 (%) 4.7 Per Capita Income 2003 $ 28,239 Medicaid Eligibles 2003 9,398 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 8,402 General Hospital Beds 2004 117 Nursing Facility Beds 2004 424 Total Ages 0- 19 Ages 20- 64 Ages 65+ 61,122 55,951 5,171 12,808 11,307 1,501 37,239 34,108 3,131 11,075 10,536 539 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 91 Primary Care Physicians 44 Nurse Practitioners 19 Family Practice 18 General Practice 3 Internal Medicine 10 Obstetrics/ Gynecology 9 Pediatrics 4 Physician Assistants 17 Licensed Practical Nurse 183 Registered Nurses 434 Federal Physicians 1 Other Specialties 47 Physicians per 10,000 Population 14.9 Primary Care Physicians per 10,000 Population 7.2 Nurses Chiropractors 10 Optometrists 9 Pharmacists 53 Physical Therapists 20 Physical Therapist Assistants 10 Podiatrists 3 Practicing Psychologists 6 Psychological Associates 0 ** 100.0% 21.0% 60.9% 18.1% Resident Births 590 Resident Deaths 757 Nonwhite 19.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 38 Dental Hygienists 40 Other Health Professionals Respiratory Therapists 30 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 37 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Caswell MSA county designation: Nonmetropolitan AHEC Region: Greensboro HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 11.8 Teen Pregnancies 47 Teen Pregnancy Rate 65.8 Total Pregnancies 296 Total Pregnancy Rate 66.7 Total 4.1 White 5.7 Unemployed 2004 859 Employed 2004 9,707 Labor Force 2004 10,566 Unemployment Rate 2004 (%) 8.1 Per Capita Income 2003 $ 21,200 Medicaid Eligibles 2003 4,902 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 1,169 General Hospital Beds 2004 0 Nursing Facility Beds 2004 157 Total Ages 0- 19 Ages 20- 64 Ages 65+ 23,965 15,338 8,627 5,931 3,814 2,117 14,885 9,471 5,414 3,149 2,053 1,096 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 14 Primary Care Physicians 12 Nurse Practitioners 5 Family Practice 9 General Practice 0 Internal Medicine 3 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 3 Licensed Practical Nurse 41 Registered Nurses 49 Federal Physicians 0 Other Specialties 2 Physicians per 10,000 Population 5.8 Primary Care Physicians per 10,000 Population 5.0 Nurses Chiropractors 0 Optometrists 1 Pharmacists 6 Physical Therapists 3 Physical Therapist Assistants 3 Podiatrists 1 Practicing Psychologists 1 Psychological Associates 1 ** 100.0% 24.7% 62.1% 13.1% Resident Births 246 Resident Deaths 243 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 4 Dental Hygienists 3 Other Health Professionals Respiratory Therapists 0 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 38 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Catawba MSA county designation: Metropolitan AHEC Region: Northwest HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.3 Teen Pregnancies 275 Teen Pregnancy Rate 59.5 Total Pregnancies 2,362 Total Pregnancy Rate 78.1 Total 7.9 White 6.3 Unemployed 2004 5,077 Employed 2004 72,406 Labor Force 2004 77,483 Unemployment Rate 2004 (%) 6.6 Per Capita Income 2003 $ 26,483 Medicaid Eligibles 2003 24,220 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 15,285 General Hospital Beds 2004 409 Nursing Facility Beds 2004 759 Total Ages 0- 19 Ages 20- 64 Ages 65+ 148,797 129,387 19,410 40,434 32,758 7,676 90,137 79,628 10,509 18,226 17,001 1,225 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 335 Primary Care Physicians 133 Nurse Practitioners 55 Family Practice 64 General Practice 1 Internal Medicine 37 Obstetrics/ Gynecology 21 Pediatrics 10 Physician Assistants 46 Licensed Practical Nurse 281 Registered Nurses 1,648 Federal Physicians 0 Other Specialties 200 Physicians per 10,000 Population 22.5 Primary Care Physicians per 10,000 Population 8.9 Nurses Chiropractors 20 Optometrists 17 Pharmacists 129 Physical Therapists 67 Physical Therapist Assistants 63 Podiatrists 8 Practicing Psychologists 11 Psychological Associates 23 ** 100.0% 27.2% 60.6% 12.2% Resident Births 2,033 Resident Deaths 1,333 Nonwhite 17.4 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 11 Dentists and Dental Hygienists Dentists 63 Dental Hygienists 66 Other Health Professionals Respiratory Therapists 68 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 39 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Chatham MSA county designation: Metropolitan AHEC Region: Greensboro HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 7.0 Teen Pregnancies 90 Teen Pregnancy Rate 56.4 Total Pregnancies 806 Total Pregnancy Rate 76.5 Total 5.8 White 5.1 Unemployed 2004 1,130 Employed 2004 28,354 Labor Force 2004 29,484 Unemployment Rate 2004 (%) 3.8 Per Capita Income 2003 $ 32,236 Medicaid Eligibles 2003 7,227 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 3,995 General Hospital Beds 2004 68 Nursing Facility Beds 2004 340 Total Ages 0- 19 Ages 20- 64 Ages 65+ 54,645 45,206 9,439 13,471 11,018 2,453 33,053 27,340 5,713 8,121 6,848 1,273 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 41 Primary Care Physicians 32 Nurse Practitioners 18 Family Practice 21 General Practice 0 Internal Medicine 7 Obstetrics/ Gynecology 0 Pediatrics 4 Physician Assistants 4 Licensed Practical Nurse 85 Registered Nurses 226 Federal Physicians 0 Other Specialties 9 Physicians per 10,000 Population 7.5 Primary Care Physicians per 10,000 Population 5.9 Nurses Chiropractors 6 Optometrists 4 Pharmacists 25 Physical Therapists 4 Physical Therapist Assistants 5 Podiatrists 0 Practicing Psychologists 3 Psychological Associates 6 ** 100.0% 24.7% 60.5% 14.9% Resident Births 686 Resident Deaths 495 Nonwhite 9.8 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 10 Dental Hygienists 30 Other Health Professionals Respiratory Therapists 4 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 40 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Cherokee MSA county designation: Nonmetropolitan AHEC Region: Mountain HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 11.1 Teen Pregnancies 48 Teen Pregnancy Rate 71.7 Total Pregnancies 282 Total Pregnancy Rate 66.4 Total 26.7 White 27.5 Unemployed 2004 579 Employed 2004 9,201 Labor Force 2004 9,780 Unemployment Rate 2004 (%) 5.9 Per Capita Income 2003 $ 19,290 Medicaid Eligibles 2003 5,722 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 2,656 General Hospital Beds 2004 110 Nursing Facility Beds 2004 210 Total Ages 0- 19 Ages 20- 64 Ages 65+ 25,694 24,636 1,058 5,513 5,218 295 14,979 14,347 632 5,202 5,071 131 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 37 Primary Care Physicians 23 Nurse Practitioners 6 Family Practice 7 General Practice 0 Internal Medicine 10 Obstetrics/ Gynecology 2 Pediatrics 4 Physician Assistants 7 Licensed Practical Nurse 80 Registered Nurses 196 Federal Physicians 0 Other Specialties 14 Physicians per 10,000 Population 14.4 Primary Care Physicians per 10,000 Population 9.0 Nurses Chiropractors 4 Optometrists 5 Pharmacists 23 Physical Therapists 8 Physical Therapist Assistants 10 Podiatrists 0 Practicing Psychologists 2 Psychological Associates 4 ** 100.0% 21.5% 58.3% 20.2% Resident Births 262 Resident Deaths 324 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 9 Dental Hygienists 14 Other Health Professionals Respiratory Therapists 15 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 41 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Chowan MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 8.3 Teen Pregnancies 27 Teen Pregnancy Rate 56.3 Total Pregnancies 165 Total Pregnancy Rate 61.6 Total 6.9 White 0.0 Unemployed 2004 325 Employed 2004 6,377 Labor Force 2004 6,702 Unemployment Rate 2004 (%) 4.8 Per Capita Income 2003 $ 24,682 Medicaid Eligibles 2003 3,666 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 1,731 General Hospital Beds 2004 71 Nursing Facility Beds 2004 170 Total Ages 0- 19 Ages 20- 64 Ages 65+ 14,453 8,905 5,548 3,668 1,875 1,793 8,130 5,091 3,039 2,655 1,939 716 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 27 Primary Care Physicians 15 Nurse Practitioners 4 Family Practice 5 General Practice 1 Internal Medicine 4 Obstetrics/ Gynecology 3 Pediatrics 2 Physician Assistants 2 Licensed Practical Nurse 49 Registered Nurses 140 Federal Physicians 1 Other Specialties 12 Physicians per 10,000 Population 18.7 Primary Care Physicians per 10,000 Population 10.4 Nurses Chiropractors 3 Optometrists 1 Pharmacists 11 Physical Therapists 0 Physical Therapist Assistants 6 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 1 ** 100.0% 25.4% 56.3% 18.4% Resident Births 145 Resident Deaths 169 Nonwhite 13.9 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 2 Dentists and Dental Hygienists Dentists 3 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 3 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 42 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Clay MSA county designation: Nonmetropolitan AHEC Region: Mountain HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 7.6 Teen Pregnancies 6 Teen Pregnancy Rate 26.2 Total Pregnancies 103 Total Pregnancy Rate 70.9 Total 10.9 White 10.9 Unemployed 2004 170 Employed 2004 4,248 Labor Force 2004 4,418 Unemployment Rate 2004 (%) 3.8 Per Capita Income 2003 $ 21,580 Medicaid Eligibles 2003 1,833 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 731 General Hospital Beds 2004 0 Nursing Facility Beds 2004 90 Total Ages 0- 19 Ages 20- 64 Ages 65+ 9,499 9,367 132 1,771 1,727 44 5,563 5,489 74 2,165 2,151 14 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 7 Primary Care Physicians 5 Nurse Practitioners 1 Family Practice 4 General Practice 0 Internal Medicine 0 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 2 Licensed Practical Nurse 31 Registered Nurses 43 Federal Physicians 0 Other Specialties 2 Physicians per 10,000 Population 7.4 Primary Care Physicians per 10,000 Population 5.3 Nurses Chiropractors 0 Optometrists 1 Pharmacists 6 Physical Therapists 2 Physical Therapist Assistants 0 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 1 ** 100.0% 18.6% 58.6% 22.8% Resident Births 92 Resident Deaths 116 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 3 Dental Hygienists 8 Other Health Professionals Respiratory Therapists 0 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 43 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Cleveland MSA county designation: Nonmetropolitan AHEC Region: Charlotte HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 9.7 Teen Pregnancies 217 Teen Pregnancy Rate 66.5 Total Pregnancies 1,459 Total Pregnancy Rate 72.6 Total 9.1 White 7.8 Unemployed 2004 3,555 Employed 2004 43,222 Labor Force 2004 46,777 Unemployment Rate 2004 (%) 7.6 Per Capita Income 2003 $ 23,505 Medicaid Eligibles 2003 22,241 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 13,617 General Hospital Beds 2004 373 Nursing Facility Beds 2004 544 Total Ages 0- 19 Ages 20- 64 Ages 65+ 98,497 76,438 22,059 27,209 19,684 7,525 58,110 45,494 12,616 13,178 11,260 1,918 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 150 Primary Care Physicians 75 Nurse Practitioners 23 Family Practice 27 General Practice 3 Internal Medicine 24 Obstetrics/ Gynecology 8 Pediatrics 13 Physician Assistants 15 Licensed Practical Nurse 259 Registered Nurses 802 Federal Physicians 0 Other Specialties 75 Physicians per 10,000 Population 15.2 Primary Care Physicians per 10,000 Population 7.6 Nurses Chiropractors 11 Optometrists 10 Pharmacists 62 Physical Therapists 29 Physical Therapist Assistants 16 Podiatrists 3 Practicing Psychologists 2 Psychological Associates 8 ** 100.0% 27.6% 59.0% 13.4% Resident Births 1,214 Resident Deaths 1,013 Nonwhite 12.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 3 Dentists and Dental Hygienists Dentists 33 Dental Hygienists 56 Other Health Professionals Respiratory Therapists 31 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 44 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Columbus MSA county designation: Nonmetropolitan AHEC Region: Coastal HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 12.6 Teen Pregnancies 148 Teen Pregnancy Rate 81.9 Total Pregnancies 897 Total Pregnancy Rate 82.8 Total 14.6 White 10.6 Unemployed 2004 1,539 Employed 2004 21,955 Labor Force 2004 23,494 Unemployment Rate 2004 (%) 6.6 Per Capita Income 2003 $ 22,746 Medicaid Eligibles 2003 17,440 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 8,534 General Hospital Beds 2004 154 Nursing Facility Beds 2004 323 Total Ages 0- 19 Ages 20- 64 Ages 65+ 54,917 35,668 19,249 14,777 8,652 6,125 32,496 21,500 10,996 7,644 5,516 2,128 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 52 Primary Care Physicians 27 Nurse Practitioners 16 Family Practice 7 General Practice 0 Internal Medicine 14 Obstetrics/ Gynecology 3 Pediatrics 3 Physician Assistants 19 Licensed Practical Nurse 135 Registered Nurses 448 Federal Physicians 0 Other Specialties 25 Physicians per 10,000 Population 9.5 Primary Care Physicians per 10,000 Population 4.9 Nurses Chiropractors 6 Optometrists 4 Pharmacists 49 Physical Therapists 15 Physical Therapist Assistants 12 Podiatrists 1 Practicing Psychologists 1 Psychological Associates 0 ** 100.0% 26.9% 59.2% 13.9% Resident Births 756 Resident Deaths 608 Nonwhite 21.1 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 10 Dental Hygienists 10 Other Health Professionals Respiratory Therapists 25 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 45 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Craven MSA county designation: Nonmetropolitan AHEC Region: Eastern HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 7.9 Teen Pregnancies 247 Teen Pregnancy Rate 84.3 Total Pregnancies 1,798 Total Pregnancy Rate 99.8 Total 5.2 White 2.7 Unemployed 2004 2,006 Employed 2004 37,708 Labor Force 2004 39,714 Unemployment Rate 2004 (%) 5.1 Per Capita Income 2003 $ 28,097 Medicaid Eligibles 2003 16,388 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 12,833 General Hospital Beds 2004 270 Nursing Facility Beds 2004 461 Total Ages 0- 19 Ages 20- 64 Ages 65+ 93,454 67,388 26,066 24,927 16,563 8,364 55,640 40,281 15,359 12,887 10,544 2,343 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 210 Primary Care Physicians 80 Nurse Practitioners 28 Family Practice 15 General Practice 4 Internal Medicine 34 Obstetrics/ Gynecology 8 Pediatrics 19 Physician Assistants 18 Licensed Practical Nurse 245 Registered Nurses 908 Federal Physicians 8 Other Specialties 130 Physicians per 10,000 Population 22.5 Primary Care Physicians per 10,000 Population 8.6 Nurses Chiropractors 13 Optometrists 13 Pharmacists 66 Physical Therapists 45 Physical Therapist Assistants 20 Podiatrists 4 Practicing Psychologists 12 Psychological Associates 15 ** 100.0% 26.7% 59.5% 13.8% Resident Births 1,537 Resident Deaths 900 Nonwhite 12.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 36 Dental Hygienists 48 Other Health Professionals Respiratory Therapists 51 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 46 © 2005 UNC Sheps Center for Health Services Research + Counts are for discharges of county residents from acute- care, short- stay hospitals; numbers exclude normal newborns. ++ Counts of hospital beds in acute care short stay hospitals in county. Department of Veterans Affairs. * ** inactive are excluded. Cumberland MSA county designation: Metropolitan AHEC Region: Southern Regional HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2003 Employment and Income Data % Births < 2500 gms 10.2 Teen Pregnancies 840 Teen Pregnancy Rate 75.2 Total Pregnancies 6,866 Total Pregnancy Rate 96.4 Total 11.8 White 7.0 Unemployed 2004 6,875 Employed 2004 116,367 Labor Force 2004 123,242 Unemployment Rate 2004 (%) 5.6 Per Capita Income 2003 $ 27,257 Medicaid Eligibles 2003 55,731 Projected Population 2004 Hospital/ Facility Data ( unduplicated count) General Hospital Discharges 2003 25,476 General Hospital Beds 2004 471 Nursing Facility Beds 2004 939 Total Ages 0- 19 Ages 20- 64 Ages 65+ 311,526 179,457 132,069 95,542 49,701 45,841 190,721 112,732 77,989 25,263 17,024 8,239 2004 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 467 Primary Care Physicians 213 Nurse Practitioners 69 Family Practice 67 General Practice 6 Internal Medicine 63 Obstetrics/ Gynecology 34 Pediatrics 43 Physician Assistants 138 Licensed Practical Nurse 857 Registered Nurses 2,181 Federal Physicians 132 Other Specialties 254 Physicians per 10,000 Population 15.0 Primary Care Physicians per 10,000 Population 6.8 Nurses Chiropractors 27 Optometrists 29 Pharmacists 187 Physical Therapists 94 Physical Therapist Assistants 89 Podiatrists 11 Practicing Psychologists 33 Psychological Associates 27 ** 100.0% 30.7% 61.2% 8.1% Resident Births 5,274 Resident Deaths 2,115 Nonwhite 19.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2003 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 6 Dentists and Dental Hygienists Dentists 112 Dental Hygienists 154 Other Health Professionals Respiratory Therapists 122 Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2004; Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Se |
OCLC number | 30056349 |