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North Carolina Health Professions 2006 DATA BOOK Effective: October 2006 An annual report prepared by: The N. C. Health Professions Data System Wren Haaland, Research Assistant Hazel L. Hadley, Applications Analyst Programmer Jennifer S. Groves, Applications Analyst Programmer Katie Gaul, Research Associate Erin P. Fraher, Director Claire de la Varre, Research Associate 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 © 2007 by the University of North Carolina at Chapel Hill 2 0 0 6 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 Registered Nurses and Licensed Practical Nurses ..................................................................................... 9 Dentists and Dental Hygienists .................................................................................................................... 9 Pharmacists.................................................................................................................... ............................... 10 Physical Therapists and Physical Therapist Assistants ........................................................................... 10 Occupational Therapists and Occupational Therapy Assistants ........................................................... 10 Psychologists and Psychological Associates ............................................................................................. 10 Podiatrists, Optometrists and Chiropractors ............................................................................................ 11 Respiratory Therapists ............................................................................................................................... . 11 Changes in Practitioner to Population Ratios............................................................................................................. 12 Physicians per 10,000 Population Ratio ..................................................................................................... 12 Primary Care Physicians per 10,000 Population Ratio ............................................................................ 14 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 2 0 0 6 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- 2006............................................................. 7 Table 1: Number of Residents- In- Training by Sponsor Location, 2006....................................................................... 2 Table 2: North Carolina Health Professions Statistics: 2005 and 2006 ...................................................................... 6 Table 3: Counties with the Largest Physicians per 10,000 Population Ratios, 2006 vs. 2005................................... 13 Table 4: Counties with the Smallest Physicians per 10,000 Population Ratios, 2006 vs. 2005................................. 13 Table 5: Physicians & Primary Care Physicians per 10,000 Population, US and Selected States, 2006 .................. 13 Table 6: Counties with the Largest Primary Care Physicians per 10,000 Population Ratios, 2006 vs. 2005............ 14 Table 7: Counties with the Smallest Primary Care Physicians per 10,000 Population Ratios, 2006 vs. 2005.......... 14 Table 8: Counties with the Largest Dentists per 10,000 Population Ratios, 2006 vs. 2005 ...................................... 15 Table 9: Counties with the Smallest Dentists per 10,000 Population Ratios, 2006 vs. 2005 .................................... 16 Table 10: Counties with the Largest RNs per 10,000 Population Ratios, 2006 vs. 2005........................................... 16 Table 11: Counties with the Smallest RNs per 10,000 Population Ratios, 2006 vs. 2005......................................... 17 Table 12: Counties with the Largest Pharmacists per 10,000 Population Ratios, 2006 vs. 2005 .............................. 17 Table 13: Counties with the Smallest Pharmacists per 10,000 Population Ratios, 2006 vs. 2005 ............................ 18 Table 14: Active Health Professionals per 10,000 Population Ratios, 2006............................................................... 18 2 0 0 6 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 Occupational Therapy • 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 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 Health Service Regulation • 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 6 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- ninth annual report prepared from data collected by the N. C. Health Professions Data System ( HPDS). 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 HPDS 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 2006 of licensed individuals in nineteen 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 6 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, occupational therapists, occupational therapy assistants, optometrists, pharmacists, physical therapists, physical therapist assistants, physicians, physician assistants, podiatrists, practicing psychologists, psychological associates, registered nurses and 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- eight 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 who are not in residency training, listings of physicians in postgraduate medical education programs as of July 2006 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, 2006 Residency Program County Residents Percent Duke University Medical Center Durham 868 31.9 University of North Carolina at Chapel Hill— UNC Hospitals Orange 690 25.3 Wake Forest University Baptist Medical Center Forsyth 492 18.1 East Carolina University— Pitt County Memorial Hospital Pitt 287 10.5 Charlotte AHEC— Carolinas Medical Center Mecklenburg 193 7.1 Coastal AHEC— New Hanover Regional Medical Center New Hanover 60 2.2 Greensboro AHEC— Moses H. Cone Memorial Hospital Guilford 48 1.8 Mountain AHEC— Mission Hospital Buncombe 46 1.7 Cabarrus Memorial Hospital Cabarrus 21 0.8 Southern Regional AHEC— Fayetteville Cumberland 18 0.7 State Totals 2,723 100 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 2006. 2 0 0 6 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 2005 were checked against specialty data provided by the N. C. Medical Society. Physician data in this report are classified by residency- training status in 2006 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, physical therapist assistants, occupational therapists and occupational therapy assistants, individuals who report that they are not actively employed in physical therapy or occupational therapy but are seeking employment in physical or occupational therapy are also considered active. These are the only professions that have data available on whether individuals are seeking employment. 2 0 0 6 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 2006, and data for the remaining 50% who renewed their registration in their birth month of the previous year. 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 2006 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 2006 population data are projected numbers as the 2006 estimates were not available at the time of publication. The 2005 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 online 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 are also available online at http:// www. shepscenter. unc. edu/ hp. The infant 2 0 0 6 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 mortality rates reported in the 2006 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 2005 from acute care, short-stay hospitals by county of patient residence. The year 2006 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 6 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 2005 to October 2006. Table 2 below summarizes the number of health professionals licensed in the past two years and the percent change in those numbers between 2005 and 2006. Table 2: North Carolina Health Professions Statistics: 2005 and 2006 Active in Profession ( October) 2 2005 2006 Percent Change Physicians Non- federal, not in training 17,895 18,396 2.80% Primary Care Specialties 7,660 7,984 4.23% Family Practice 2,452 2,568 4.73% General Practice 141 132 - 6.38% Internal Medicine 2,652 2,805 5.77% Obstetrics/ Gynecology 988 995 0.71% Pediatrics 1,427 1,484 3.99% Other Specialties 10,235 10,412 1.73% Federal3 563 550 - 2.31% Residency Training 2,615 2,723 4.13% Nurses Registered Nurses 79,835 82,303 3.09% Certified Nurse Midwives 198 203 2.53% Nurse Practitioners4 2,440 2,641 8.24% Licensed Practical Nurses 16,960 17,295 1.98% Other Health Professionals Chiropractors 1,207 1,198 - 0.75% Occupational Therapists N/ A 2,041 N/ A Occupational Therapy Assistants N/ A 895 N/ A Optometrists 896 943 5.25% Pharmacists5 7,618 7,873 3.35% Physical Therapists 3,749 3,988 6.38% Physical Therapist Assistants 1,859 1,959 5.38% Physician Assistants 2,674 2,826 5.68% Podiatrists 245 252 2.86% Practicing Psychologists 1,674 1,745 4.24% Psychological Associates 905 903 - 0.22% Respiratory Therapists 3,413 3,554 4.13% Dentists and Dental Hygienists Dentists 3,772 3,858 2.28% Dental Hygienists 4,397 4,714 7.21% 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 N. C. Medical Board. 5 Data released in previous years underestimated the total number of pharmacists in the state. This table uses the revised data for 2005 and 2006. 2 0 0 6 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 2006. The number of primary care physicians increased 4.2% (+ 324) from 2005 to 2006. Internal medicine (+ 153, 5.8%) and family practice (+ 116, 4.7%) physicians also expanded. This year, obstetrician- gynecologists (+ 7, 0.71%) showed only a very slight increase over 2005 numbers while there was another decrease in the number of general practitioners from 141 to 132 (- 6.4%). The largest percentage increases in other health professions were seen by nurse practitioners (+ 201, 8.2%), dental hygienists (+ 317, 7.2%), physical therapists (+ 239, 6.4%), and physician assistants (+ 152, 5.7%). In 2006 there were moderate increases in the supply of physical therapist assistants (+ 100, + 5.4%), optometrists (+ 47, 5.3%), practicing psychologists (+ 71, + 4.2%), respiratory therapists (+ 141, 4.1%), pharmacists (+ 255, 3.3%), and registered nurses (+ 2,468, 3.1%) and small increases in podiatrists (+ 7, 2.9%), certified nurse midwives (+ 5, + 2.5%), dentists (+ 86, + 2.3%), and licensed practical nurses (+ 335, + 2.0%). Psychological associates experienced a slight decrease (- 2, - 0.22%), as did chiropractors (- 9, - 0.75). CHANGES IN SUPPLY Physicians Figure 1 depicts the annual growth, over the past 10 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 2.80% (+ 501) growth of physicians licensed by the N. C. Medical Board between 2005 and 2006 marks a second year of relatively large growth in supply after the slowing growth trend seen in previous years. Figure 1: Yearly Increase in the Number of Licensed Physicians 1996‐ 2006 4.2% 5.4% 2.2% 2.9% 2.9% 2.3% 1.9% 1.5% 3.1% 2.8% 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 96- 97 97- 98 98- 99 99- 00 00- 01 01- 02 02- 03 03- 04 04- 05 05- 06 2 0 0 6 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. In 2006, almost every county in North Carolina had at least one physician reporting a primary practice location; the fewest were found in the following counties: Camden ( 1), Tyrrell ( 1), Gates ( 1) and Perquimans ( 2). Hyde lost its sole practitioner in 2006, resulting in no physician reporting a primary practice location in the county. Fifty counties experienced an increase in the number of physicians, sixteen had no change in supply, and thirty- four counties lost physicians. Counties with the largest percentage growth in the supply of physicians between 2005 and 2006 include Caswell (+ 4, 44.4%), Currituck (+ 2, 33.3%), and Lincoln, (+ 11, 25.0%). The largest numeric growth was observed in Wake (+ 156, 9.59%) and Mecklenburg (+ 116, 5.70%) The largest reduction in numbers was in Orange County (- 60, - 5.29%). The supply of primary care physicians6 in North Carolina increased at a greater rate ( 4.23%) than the total physician supply ( 2.80%) in 2006. This subset of the physician profession experienced several years of highly variable growth rates from 1993 to 2000. Since 2000 the supply has shown greater stability. Forty- seven counties increased their numbers of primary care physicians, with Caswell (+ 4, 50.0%) and Currituck (+ 2, 50.0%) experiencing the largest percentage gains. Mecklenburg (+ 68, 8.5%) and Wake (+ 63, 9.1%) counties gained the most primary care physicians. The number of primary care physicians remained stable in seventeen counties, and thirty- six counties had a reduction in supply. The largest numeric decrease was in Orange County (- 21, - 5.1%). Of the ten counties with the largest percentage growth, seven were recovering after a loss of providers in the previous year and three had no change in supply in 2005. Nurse Practitioners, Certified Nurse Midwives and Physician Assistants The 8.2% (+ 201) expansion in the nurse practitioner ( NP) numbers in 2006 marks twelve years of substantial annual growth. Four counties had no nurse practitioners ( Alexander, Camden, Gates, and Washington) 7 with Alexander losing its sole practitioner after gaining one for the first time in 2005 and Washington losing both of its practitioners. Four counties had only one NP ( Alleghany, Currituck, Martin, and Tyrrell) in 2006. In total, forty- six counties increased their supply of nurse practitioners, while thirty- three lost providers and twenty- one experienced no change. The state’s certified nurse midwives ( CNMs) data show a 2.5% (+ 5) increase in supply between 2005 and 2006, improving on last year’s 1.5% (+ 3) growth rate. Edgecombe, Harnett, Moore, Nash, and Person counties each added one practitioner after having none in 2005. Overall, fifteen counties saw their CNM supply rise, sixty- eight experienced no change, and seventeen counties lost providers8. Hertford, Macon, Madison, Richmond, and Stanley counties each lost their sole CNM in 2006. However, Vance 6 Primary care physicians are those who report their primary specialty as family practice, general practice, internal medicine, pediatrics or obstetrics/ gynecology. 7 Data are based on primary practice location; there may be NPs with secondary or other practice locations in these counties. 8 Data are based on primary practice location only; there may be CNMs with secondary or other practice locations in these counties. 2 0 0 6 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 County gained two midwives after having none in 2005. The net result was that fifty- one counties in North Carolina had no CNMs in 2006, down one from fifty- two in 2005. This year’s 5.7% (+ 152) increase in physician assistants ( PAs) marks another year of fluctuating growth for the profession. In 2006, forty- four counties expanded their PA supply, with Chatham County (+ 3) quadrupling its numbers. Gates, Jones, and Pamlico counties each lost their sole provider, joining four other counties that had no PAs in 2006 ( Camden, Hyde, Tyrrell, and Warren). Twenty- six counties experienced no change in their PA supply while thirty counties decreased their PA supply. Registered Nurses and Licensed Practical Nurses The registered nurse ( RN) data showed a 3.1% (+ 2,468) rise in numbers of RNs in the state between 2005 and 2006, the largest growth rate reported since 2001. Seventy- five counties expanded their RN supply in 2006. Two counties ( Clay and Pamlico) had no change in their RN supply and RN numbers declined in twenty- three counties. Mecklenberg had the greatest number of RNs with 9,091 active in the county. Tyrrell had the fewest with thirteen RNs, followed by Camden with sixteen. The supply of licensed practical nurses ( LPNs) grew by 2.0% (+ 335) between 2005 and 2006. This year’s growth rate is the largest reported in the past decade. Fifty- six counties increased their numbers of LPNs, forty counties lost LPNs and four counties did not show any change. Yadkin experienced the greatest percentage gain (+ 10, 26.3%) and Alleghany had the greatest percentage loss (- 5, - 35.7%). Dentists and Dental Hygienists Between 2005 and 2006, North Carolina experienced a 2.3% (+ 86) increase in its supply of dentists. Twenty- four counties showed reduced numbers of dentists between 2005 and 2006, thirty- nine counties had no change in their supply of dentists, and thirty- seven counties saw their supply of dentists rise. The counties of Camden, Gates, Hyde, and Tyrell remained the only four in the state without a dentist indicating a primary practice location. Bertie, Graham, Jones, and Northampton each have only one dentist. The only three counties reporting supply changes greater than twenty- five percent were Alleghany (- 1, - 50.0%), Caswell (- 1, - 33.3%), and Yadkin ( - 2, - 33.3%). In 2006, there was a 7.2% (+ 317) rise in the number of dental hygienists registered with the Board of Dental Examiners. This increase marks the largest year to year growth in the profession in the past decade. Sixty counties showed growth in 2006 while seventeen counties experienced a decrease in their supply of hygienists. There were twenty- three counties with no change in their number of hygienists. Two counties had only one hygienist with a primary practice location ( Currituck and Jones) and Camden lost its sole hygienist, joining four other counties that did not possess any ( Bertie, Gates, Hyde and Tyrrell) in 2006. 2 0 0 6 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 Pharmacists Data released in previous years underestimated the total number of licensed pharmacists in the state. This publication uses the newly revised data to show changes in the true supply from 2005 to 2006. Revised data for 2004, 2005, and 2006 are available on the Health Professions Data System website ( http:// www. shepscenter. unc. edu/ hp/). The supply of pharmacists grew 3.3% (+ 255) from 2005 to 2006. This year’s growth is on par with the 2.3% (+ 172) change experienced from 2004 to 2005 and the 3.2% (+ 228) expansion from 2003 to 2004. From 2005 to 2006, the supply of pharmacists grew in 52 counties, with Wake county experiencing the largest raw number increase (+ 57, 6.8%). In 2006, Camden and Hyde were the only counties without a pharmacist indicating a practice location. Tyrrell retained its sole pharmacist and was the only county with just one provider. Twenty- nine counties lost pharmacists; the largest reduction in numbers occurred in Davidson (- 12, - 14.5%) and Durham (- 10, - 1.6%). Greene (- 2, - 33.3%) had the largest percentage decrease, followed by Clay (- 2, - 25.0%) and Perquimans (- 1, - 25.0%). Nineteen counties had no change in numbers. Physical Therapists and Physical Therapist Assistants Between 2005 and 2006, the supply of licensed physical therapists ( PTs) grew 6.4% (+ 239). Fifty-seven counties expanded their supply of PTs, nineteen lost PTs, and twenty- four counties had no change in numbers. Perquimans gained a sole provider, its first since 1998. Bertie lost two PTs and Hyde lost one to join three other counties ( Camden, Gates, and Tyrrell) without a provider in 2006. The number of physical therapist assistants ( PTAs) increased 5.4% (+ 100) in 2006, maintaining a three- year trend of stable growth in the profession. Fifty counties expanded their supply of PTAs, twenty- two lost PTAs, and twenty- eight counties had no change in numbers. Washington (+ 4, 133.3%) and Pamlico (+ 2, 200.0%) more than doubled their supply of PTAs. Camden and Clay have not had any PTAs since 2003. Occupational Therapists and Occupational Therapy Assistants Occupational therapists ( OTs) are new to the Health Professions Data System in 2006. There are seven counties with no occupational therapists and seven counties with only one practitioner. Mecklenberg offers the greatest number of OTs, with 251 registered in the county, followed by Wake with 249. Occupational therapy assistants ( OTAs) are also new this year. Eight counties in North Carolina do not have any OTAs and sixteen counties have one provider. Of the seven counties without an occupational therapist, four of these do not have an occupational therapy assistant ( Camden, Hyde, Perquimans, Tyrrell). Psychologists and Psychological Associates The number of practicing psychologists in North Carolina increased 4.2% (+ 71) between 2005 and 2006. This is the second year of growth in the profession after a 2.6% decrease in supply in 2004. There were twenty- six counties without a practicing psychologist in 2006 and fourteen counties had only 2 0 0 6 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 one psychologist. During 2006, eighteen counties lost psychologists, fifty- four counties had no change in numbers and twenty- eight counties gained practicing psychologists. During 2006, the supply of psychological associates decreased slightly (- 2, - 0.2%), returning to a trend of lessening supply after a small increase in 2005. Overall, thirty counties lost psychological associates and seventeen counties had none in 2006. Three counties, Caswell, Franklin, and Northampton, lost their lone provider while Brunswick and Davie each gained a sole provider. Forty- five counties experienced no change, and twenty- five gained psychological associates. Seventeen counties had only one provider. Podiatrists, Optometrists and Chiropractors In 2006, the podiatry workforce experienced a slight increase (+ 7, 2.9%). Eight counties gained podiatrists, including Chowan (+ 1) which reported a podiatrist for the first time since data collection began in 1979. Three counties lost podiatrists, and eighty- nine had no change in numbers. Forty- one counties had no podiatrists. Dare and Sampson each lost one provider, for a 50.0% decrease in supply. The largest numeric changes occurred in Mecklenburg (+ 2, 6.9%) and Pitt (+ 2, 25.0%). Together, Forsyth, Guilford, Mecklenburg, and Wake accounted for more than one- third ( 36.9%) of all podiatrists in the state ( 93 out of 252). North Carolina’s optometrist workforce expanded by 5.2% (+ 47) in 2006, the largest increase posted in the past ten years and a return to growth after a slight decrease in supply in 2005. Twenty-seven counties gained providers, fourteen lost providers, and fifty- nine counties experienced no change. Ten counties had no optometrists; eight of these ten have had none since 1993. Anson and Yadkin each doubled their supply with the addition of one more optometrist. Orange (- 2, - 12.5%) lost the greatest number of optometrists while Wake (+ 13, 12.3%) gained the most. Between 2005 and 2006, North Carolina’s count of chiropractors dropped by - 0.75% (- 9). This is the first loss in supply since 1993. In 2006, twenty- two counties increased their number of providers, twenty- one lost providers, and fifty- seven experienced no change. Martin and Mitchell each doubled their supply with the addition of one chiropractor. Warren lost the sole provider that it gained in 2005, joining twelve other counties that have no chiropractors. Of these thirteen, eight counties have remained without any chiropractors since 1979. Orange had the greatest numeric gain (+ 3, 13.6%) and Wake had the greatest numeric loss (- 5, - 3.3%). Mecklenburg and Wake again accounted for a large proportion of chiropractors in the state ( 28.4%, 340 out of 1,198). Respiratory Therapists The number of respiratory therapists ( RTs) in North Carolina showed a steady rate of increase with a 4.1% (+ 141) growth rate for the second year since the profession was added to the Health Professions Data System in 2004. From 2005 to 2006, forty- nine counties gained providers, twenty- three lost providers, and twenty- eight had no change. There are fifteen counties with no respiratory therapists 2 0 0 6 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 and two counties, Clay and Yadkin, with only one practitioner. Mecklenburg experienced the largest numeric change (+ 29, 7.3%). CHANGES IN PRACTITIONER TO POPULATION RATIOS North Carolina’s population increased 1.7% between 2005 and 2006, more than the 1.4% growth rate experienced the previous year9. Any examination of the changes in the supply and distribution of the health 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 2006 ratio of N. C. physicians per 10,000 population increased slightly to 20.8, up from 20.7 in 2005. The counties with the ten largest and ten smallest ratios in 2006 are included in Tables 3 and 4 on the following page. 9 The population change reported here was calculated using the July 1, 2005 population estimate and the July 1, 2006 projection as reported by the NC State Center for Health Statistics ( http:// www. schs. state. nc. us/ SCHS/). 10 Publications of this document prior to the 1999 edition reported population per health professional ratios. 2 0 0 6 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 3: Counties with the Largest Physicians per 10,000 Population Ratios, 2006 vs. 2005 2006 Rank County 2006 Total Physicians 2006 Total Population 2006 Physicians per 10,000 Population 2005 Physicians per 10,000 Population 2005 Rank 1 Orange 1,075 123,762 86.9 92.7 1 2 Durham 1,657 246,825 67.1 68.5 2 3 Pitt 655 146,398 44.7 45.1 3 4 Forsyth 1,350 331,851 40.7 40.8 4 5 Buncombe 786 221,327 35.5 35.0 5 6 New Hanover 606 184,116 32.9 33.3 6 7 Moore 244 82,288 29.7 29.4 7 8 Jones 29 10,318 28.1 23.5 12 9 Pasquotank 104 39,968 26.0 26.5 8 10 Mecklenburg 2151 826,897 26.0 25.9 9 Table 4: Counties with the Smallest Physicians per 10,000 Population Ratios, 2006 vs. 2005 2006 Rank County 2006 Total Physicians 2006 Total Population 2006 Physicians per 10,000 Population 2005 Physicians per 10,000 Population 2005 Rank 100 Hyde 0 5,511 0.0 1.8 96 99 Gates 1 11,563 0.9 0.9 100 98 Camden 1 9,298 1.1 1.1 99 97 Warren 3 19,969 1.5 1.5 98 96 Perquimans 2 12,464 1.6 1.7 97 95 Tyrrell 1 4,248 2.4 2.4 95 94 Greene 5 20,839 2.4 3.5 91 93 Montgomery 8 27,505 2.9 4.0 88 92 Northampton 7 21,522 3.3 4.2 87 91 Hoke 14 42,186 3.3 3.3 92 According to the data from the AMA and the U. S. Census Bureau, as seen in Table 5, there were, on average, about 24.8 physicians per 10,000 population in the United States at the beginning of 2004. This is up slightly from 22.8 in 2003. According to the AMA data, North Carolina’s ratio was 22.5, slightly lower than the national average. Table 5: Physicians & Primary Care Physicians per 10,000 Population, US and Selected States, 2004 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 * 24.77 22.45 20.10 21.08 23.68 23.81 Primary Care Physicians** 10.19 9.07 8.63 8.89 9.66 10.01 Sources: Area Resource File, Bureau of Health Professions; National Center for Health Workforce Analysis; Health Resources and Services Administration; Department of Health and Human Services; data from AMA Master file, effective 12/ 31/ 04; 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, 2005” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2005- 01. xls > Release Date: December 22, 2005. * 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. 2 0 0 6 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 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 9.0 primary care physicians per 10,000 population in North Carolina in 2006, a slight increase from 8.8 in 2005. Tables 6 and 7 illustrate the counties with the largest and the smallest primary care physician per 10,000 ratios. Table 6: Counties with the Largest Primary Care Physicians per 10,000 Population Ratios, 2006 vs. 2005 2006 Rank County 2006 Total Primary Care Physicians 2006 Total Population 2006 Primary Care Physicians per 10,000 Population 2005 Primary Care Physicians per 10,000 Population 2005 Rank 1 Orange 392 123,762 31.7 33.7 1 2 Durham 540 246,825 21.9 22.5 2 3 Jones 21 10,318 20.4 18.6 3 4 Pitt 262 146,398 17.9 18.1 4 5 Buncombe 331 221,327 15.0 14.3 5 6 Forsyth 464 331,851 14.0 13.2 6 7 Mitchell 22 15,894 13.8 9.9 18 8 Chowan 19 14,677 12.9 11.7 10 9 Swain 18 13,940 12.9 11.8 9 10 New Hanover 237 184,116 12.9 12.7 7 Table 7: Counties with the Smallest Primary Care Physicians per 10,000 Population Ratios, 2006 vs. 2005 2006 Rank County 2006 Total Primary Care Physicians 2006 Total Population 2006 Primary Care Physicians per 10,000 Population 2005 Primary Care Physicians per 10,000 Population 2005 Rank 100 Hyde 0 5,511 0.0 1.8 95 99 Gates 1 11,563 0.9 0.9 100 98 Camden 1 9,298 1.1 1.1 99 97 Warren 3 19,969 1.5 1.5 98 96 Perquimans 2 12,464 1.6 1.7 97 95 Northampton 4 21,522 1.9 2.8 91 94 Tyrrell 1 4,248 2.4 2.4 92 93 Greene 5 20,839 2.4 3.5 90 92 Currituck 6 23,580 2.5 1.8 96 91 Stokes 13 46,334 2.8 2.8 95 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 10.2 primary care physicians per 10,000 population on average in the United States at the beginning of 2004. This compares to a ratio in 2 0 0 6 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 North Carolina of 9.1 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 9.7 and 10.0 respectively), and Georgia and South Carolina had smaller ratios ( with ratios of 8.6 and 8.9 respectively). Dentists per 10,000 Population Ratio North Carolina had 4.4 dentists per 10,000 population in 2006, the same ratio that was found in 2005. National statistics show a ratio of 6.5 dentists per 10,000 population in 200612. 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 2006. Of the four counties tied for 100, three— Camden, Hyde and Tyrrell— have not had a dentist with a primary practice location in the county since 1995 while Gates lost its only dentist in 2005. Table 8: Counties with the Largest Dentists per 10,000 Population Ratio, 2006 vs. 2005 2006 Rank County 2006 Total Dentists 2006 Total Population 2006 Dentists per 10,000 Population 2005 Dentists per 10,000 Population 2005 Rank 1 Orange 136 123,762 11.0 11.8 1 2 New Hanover 134 184,116 7.3 6.9 2 3 Durham 167 246,825 6.8 6.3 6 4 Wake 533 789,969 6.7 6.7 3 5 Mecklenburg 530 826,897 6.4 6.3 7 6 Dare 22 34,730 6.3 5.7 8 7 Buncombe 140 221,327 6.3 6.5 4 8 Moore 52 82,288 6.3 6.5 5 9 Watauga 26 43,406 6.0 5.4 11 10 Forsyth 191 331,851 5.8 5.7 9 11 Source: Area Resource File, Bureau of Health Professions; National Center for Health Workforce Analysis; Health Resources and Services Administration; Department of Health and Human Services; data from AMA Master file, effective 12/ 31/ 04; 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, 2005” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2005- 01. xls > Release Date: December 22, 2005. 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: July 24, 2007). 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 ,2006” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2006- 01. xls > Release Date: December 22, 2006 ( accessed: July 24, 2007). 2 0 0 6 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 Table 9: Counties with the Smallest Dentists per 10,000 Population Ratio, 2006 vs. 2005 2006 Rank County 2006 Total Dentists 2006 Total Population 2006 Dentists per 10,000 Population 2005 Dentists per 10,000 Population 2005 Rank 100 Camden 0 9,298 0.0 0.0 100 100 Gates 0 11,563 0.0 0.0 100 100 Hyde 0 5,511 0.0 0.0 100 100 Tyrrell 0 4,248 0.0 0.0 100 96 Northampton 1 21,522 0.5 0.5 96 95 Bertie 1 19,352 0.5 0.5 96 94 Caswell 2 23,541 0.8 1.3 89 93 Alleghany 1 11,000 0.9 1.8 76 92 Jones 1 10,318 1.0 1.0 94 91 Madison 2 20,449 1.0 1.0 93 Registered Nurses per 10,000 Population Ratio The average number of registered nurses ( RNs) per 10,000 population increased slightly from 92.1 in 2005 to 92.9 in 2006. North Carolina’s supply of RNs per 10,000 population is higher than the most current national statistic of 84.5 RNs per 10,000 population in 2006. 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 2006. Table 10: Counties with the Largest Registered Nurses per 10,000 Population Ratio, 2006 vs. 2005 2006 Rank County 2006 Total Registered Nurses 2006 Total Population 2006 RNs per 10,000 Population 2005 RNs per 10,000 Population 2005 Rank 1 Orange 2,693 123,762 217.6 213.4 1 2 Durham 5,210 246,825 211.1 208.8 2 3 Pitt 2,832 146,398 193.4 184.1 3 4 Forsyth 5,586 331,851 168.3 166.3 4 5 Buncombe 3,685 221,327 166.5 164.8 5 6 New Hanover 2,646 184,116 143.7 144.2 6 7 Moore 1,097 82,288 133.3 131.2 7 8 Hertford 275 23,901 115.1 112.8 10 9 Guilford 5,075 449,071 113.0 111.5 12 10 Catawba 1,695 151,126 112.2 112.6 11 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: July 24, 2007). 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 ,2006” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2006- 01. xls > Release Date: December 22, 2006 ( accessed: July 24, 2007). 2 0 0 6 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 Table 11: Counties with the Smallest Registered Nurses per 10,000 Population Ratio, 2006 vs. 2005 2006 Rank County 2006 Total Registered Nurses 2006 Total Population 2006 RNs per 10,000 Population 2005 RNs per 10,000 Population 2005 Rank 100 Camden 16 9,298 17.2 19.1 100 99 Warren 35 19,969 17.5 19.9 99 98 Perquimans 22 12,464 17.7 21.8 97 97 Gates 22 11,563 19.0 20.8 98 96 Caswell 50 23,541 21.2 24.3 96 95 Currituck 60 23,580 25.4 28.7 93 94 Hoke 114 42,186 27.0 26.9 94 93 Stokes 126 46,334 27.2 26.6 95 92 Tyrrell 13 4,248 30.6 33.5 86 91 Yadkin 117 37,810 30.9 34.0 85 Pharmacists per 10,000 Population Ratio On average, the state had 8.9 licensed pharmacists per 10,000 population in 2006, up slightly from 8.4 in 2005. The national ratio is 8.2 licensed 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 Ratio15, 2006 vs. 2005 2006 Rank County 2006 Total Pharmacists 2006 Total Population 2006 Pharmacists per 10,000 Population 2005 Pharmacists per 10,000 Population 2005 Rank 1 Durham 637 246,825 25.8 26.7 1 2 Orange 231 123,762 18.7 17.8 2 3 Lenoir 85 58,170 14.6 14.2 3 4 Forsyth 452 331,851 13.6 13.3 4 5 Pitt 186 146,398 12.7 12.7 5 6 Buncombe 275 221,327 12.2 12.2 6 7 Wake 893 789,969 11.3 11.2 7 8 New Hanover 197 184,116 10.7 10.6 8 9 Mecklenburg 841 826,897 10.2 10.0 11 10 Guilford 444 449,071 9.9 9.3 13 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: July 24, 2007). 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 ,2006” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2006- 01. xls > Release Date: December 22, 2006 ( accessed: July 24, 2007). 15 Data released in previous years underestimated the total number of pharmacists in the state. This table uses the revised data for 2005 and 2006. 2 0 0 6 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 Table 13: Counties with the Smallest Pharmacists per 10,000 Population Ratio16, 2006 vs. 2005 2006 Rank County 2006 Total Pharmacists 2006 Total Population 2006 Pharmacists per 10,000 Population 2005 Pharmacists per 10,000 Population 2005 Rank 100 Camden 0 9,298 0.0 0.0 100 100 Hyde 0 5,511 0.0 0.0 100 98 Currituck 4 23,580 1.7 1.8 98 97 Greene 4 20,839 1.9 3.0 89 96 Tyrrell 1 4,248 2.4 2.4 95 95 Perquimans 3 12,464 2.4 3.4 87 94 Caswell 6 23,541 2.5 2.5 94 93 Gates 3 11,563 2.6 2.7 92 92 Yadkin 10 37,810 2.6 2.7 93 91 Northampton 6 21,522 2.8 1.9 97 Active Health Professionals per 10,000 Population Ratios for All Counties Table 14 reports year 2006 data for selected active health professionals per 10,000 population ratios for physicians, primary care physicians17, dentists, registered nurses, and pharmacists for all counties listed in alphabetical order. Table 14: Active Health Professionals per 10,000 Population Ratios, 2006 County 2006 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 139,786 14.9 6.9 4.6 61.2 7.8 Alexander 36,296 4.7 3.3 1.4 32.5 5.2 Alleghany 11,000 10.9 8.2 0.9 49.1 6.4 Anson 25,372 7.1 3.2 1.6 51.2 3.9 Ashe 25,778 7.4 5.4 1.9 48.1 6.2 Avery 18,174 12.1 6.6 3.3 72.6 9.4 Beaufort 46,344 13.4 6.5 3.7 88.9 6.7 Bertie 19,352 4.7 4.7 0.5 53.7 4.1 Bladen 32,872 7.3 6.1 1.8 47.8 4.6 Brunswick 94,964 9.8 5.3 2.6 46.6 7.0 Buncombe 221,327 35.5 15.0 6.3 166.5 12.2 Burke 88,664 20.9 8.9 3.8 106.1 8.6 Cabarrus 157,176 23.3 11.1 3.1 101.2 9.6 Caldwell 79,297 9.1 5.3 2.9 49.2 5.4 Camden 9,298 1.1 1.1 0.0 17.2 0.0 Carteret 63,557 15.3 6.9 5.5 73.6 8.7 Caswell 23,541 5.5 5.1 0.8 21.2 2.5 Catawba 151,126 23.5 9.1 4.4 112.2 9.3 Chatham 57,708 7.3 5.2 2.8 42.3 5.5 Cherokee 26,727 14.2 7.5 3.4 79.7 9.7 16 Data released in previous years underestimated the total number of pharmacists in the state. This table uses the revised data for 2005 and 2006. 17 Primary care physicians are those who report their primary specialty as family practice, general practice, internal medicine, pediatrics, or obstetrics/ gynecology. 2 0 0 6 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 2006 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 Chowan 14,677 21.8 12.9 2.7 98.1 5.5 Clay 10,116 5.9 4.9 4.0 40.5 5.9 Cleveland 96,720 17.8 8.5 3.1 87.0 6.3 Columbus 54,666 10.4 5.3 2.0 81.8 9.5 Craven 95,566 20.9 7.5 4.4 101.2 8.2 Cumberland 306,545 15.9 7.5 3.9 74.4 6.5 Currituck 23,580 3.4 2.5 1.7 25.4 1.7 Dare 34,730 13.5 7.2 6.3 63.3 7.8 Davidson 155,343 8.0 4.8 1.7 46.0 4.6 Davie 39,838 5.3 4.3 2.5 32.6 5.5 Duplin 52,708 6.5 5.5 1.9 52.2 5.7 Durham 246,825 67.1 21.9 6.8 211.1 25.8 Edgecombe 52,641 6.3 3.8 1.3 59.3 4.6 Forsyth 331,851 40.7 14.0 5.8 168.3 13.6 Franklin 55,316 4.3 2.9 1.1 41.2 3.6 Gaston 197,232 18.0 8.5 3.7 74.0 8.1 Gates 11,563 0.9 0.9 0.0 19.0 2.6 Graham 8,106 4.9 4.9 1.2 44.4 4.9 Granville 53,837 13.7 6.3 2.8 96.4 8.7 Greene 20,839 2.4 2.4 2.4 34.6 1.9 Guilford 449,071 24.7 10.5 5.4 113.0 9.9 Halifax 55,601 12.9 7.0 2.5 71.0 6.5 Harnett 103,717 5.0 3.3 1.7 34.2 5.8 Haywood 56,664 18.7 7.8 4.4 73.9 6.9 Henderson 100,106 22.2 10.7 4.6 93.8 8.1 Hertford 23,901 16.3 8.4 4.6 115.1 5.4 Hoke 42,186 3.3 3.1 1.4 27.0 3.1 Hyde 5,511 0.0 0.0 0.0 45.4 0.0 Iredell 145,232 19.2 8.9 4.3 110.0 9.5 Jackson 36,312 21.5 10.7 5.0 90.3 6.3 Johnston 151,589 7.3 4.6 2.0 40.0 6.2 Jones 10,318 28.1 20.4 1.0 47.5 2.9 Lee 55,282 15.4 8.3 3.6 64.6 6.9 Lenoir 58,170 16.8 6.7 4.8 102.1 14.6 Lincoln 71,298 7.7 5.9 2.8 45.0 6.6 McDowell 43,636 6.6 4.8 2.3 60.3 5.3 Macon 33,078 21.5 10.9 3.9 60.5 7.0 Madison 20,449 7.3 6.4 1.0 34.7 3.4 Martin 24,396 7.8 5.7 2.0 54.9 6.6 Mecklenburg 826,897 26.0 10.5 6.4 109.9 10.2 Mitchell 15,894 18.2 13.8 4.4 95.6 8.2 Montgomery 27,505 2.9 2.9 1.8 37.8 6.2 Moore 82,288 29.7 9.0 6.3 133.3 9.0 Nash 92,223 20.1 9.3 4.9 101.2 6.9 New Hanover 184,116 32.9 12.9 7.3 143.7 10.7 Northampton 21,522 3.3 1.9 0.5 31.6 2.8 Onslow 161,224 7.9 4.2 3.4 48.4 4.2 Orange 123,762 86.9 31.7 11.0 217.6 18.7 Pamlico 13,097 4.6 4.6 3.8 34.4 4.6 Pasquotank 39,968 26.0 9.5 3.0 112.1 8.8 Pender 48,726 3.9 2.9 2.1 33.2 4.9 Perquimans 12,464 1.6 1.6 1.6 17.7 2.4 Person 37,440 9.1 5.3 1.9 44.1 7.2 2 0 0 6 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 2006 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 Pitt 146,398 44.7 17.9 4.4 193.4 12.7 Polk 19,088 13.1 5.8 4.2 80.2 5.8 Randolph 138,582 8.6 4.8 2.5 39.0 4.5 Richmond 46,699 9.9 6.6 2.6 74.5 6.4 Robeson 129,054 10.5 5.4 1.8 62.8 5.6 Rockingham 91,840 11.5 6.3 2.8 51.8 8.8 Rowan 134,538 10.9 5.1 4.0 77.8 7.3 Rutherford 63,177 13.5 7.4 2.5 70.3 7.1 Sampson 64,048 9.1 6.2 1.7 52.5 5.5 Scotland 36,993 15.7 9.2 2.4 84.6 8.4 Stanly 59,126 12.5 7.3 2.9 63.8 6.3 Stokes 46,334 3.9 2.8 1.5 27.2 3.5 Surry 73,000 14.5 8.2 3.3 80.7 7.8 Swain 13,940 14.3 12.9 3.6 79.6 6.5 Transylvania 30,354 14.8 8.9 3.3 74.1 6.6 Tyrrell 4,248 2.4 2.4 0.0 30.6 2.4 Union 172,094 7.8 4.8 2.1 43.1 6.1 Vance 43,925 16.2 8.9 2.3 61.5 8.0 Wake 789,969 22.6 9.6 6.7 100.1 11.3 Warren 19,969 1.5 1.5 2.5 17.5 5.0 Washington 13,364 4.5 3.7 2.2 50.9 4.5 Watauga 43,406 24.4 10.4 6.0 89.6 7.8 Wayne 114,920 15.7 6.9 3.8 86.1 7.3 Wilkes 66,924 10.3 6.3 2.7 61.7 4.8 Wilson 77,472 14.3 6.5 2.7 82.2 9.2 Yadkin 37,810 4.2 4.0 1.1 30.9 2.6 Yancey 18,368 5.4 5.4 2.2 44.1 3.8 State Total 8,860,341 20.8 9.0 4.4 92.9 8.9 2 0 0 6 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 AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 10.7 Teen Pregnancies 337 Teen Pregnancy Rate 64.2 Total Pregnancies 2,277 Total Pregnancy Rate 76.5 Total 11.0 White 9.5 Unemployed 2006 3,866 Employed 2006 66,089 Labor Force 2006 69,955 Unemployment Rate 2006 (%) 5.5 Per Capita Income 2005 $ 27,551 Medicaid Eligibles 2006 24,606 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 16,070 General Hospital Beds 2006 182 Nursing Facility Beds 2006 872 Total Ages 0- 19 Ages 20- 64 Ages 65+ 139,786 110,461 29,325 38,614 29,516 9,098 82,670 65,326 17,344 18,502 15,619 2,883 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 208 Primary Care Physicians 97 Nurse Practitioners 25 Family Practice 32 General Practice 1 Internal Medicine 31 Obstetrics/ Gynecology 10 Pediatrics 23 Physician Assistants 21 Licensed Practical Nurses 183 Registered Nurses 855 Federal Physicians 0 Other Specialties 111 Physicians per 10,000 Population 14.9 Primary Care Physicians per 10,000 Population 6.9 Nurses Chiropractors 20 Optometrists 17 Pharmacists 109 Physical Therapists 70 Physical Therapist Assistants 12 Podiatrists 4 Practicing Psychologists 11 Psychological Associates 4 ** 100.0% 27.6% 59.1% 13.2% Resident Births 1,820 Resident Deaths 1,359 Nonwhite 17.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 6 Dentists and Dental Hygienists Dentists 64 Dental Hygienists 67 Other Health Professionals Respiratory Therapists 25 Occupational Therapists 30 Occupational Therapy Assistants 6 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 22 © 2007 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. * ** Alexander MSA county designation: Metropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.2 Teen Pregnancies 64 Teen Pregnancy Rate 61.8 Total Pregnancies 475 Total Pregnancy Rate 66.1 Total 14.1 White 15.0 Unemployed 2006 902 Employed 2006 17,597 Labor Force 2006 18,499 Unemployment Rate 2006 (%) 4.9 Per Capita Income 2005 $ 26,760 Medicaid Eligibles 2006 6,519 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 3,907 General Hospital Beds 2006 25 Nursing Facility Beds 2006 183 Total Ages 0- 19 Ages 20- 64 Ages 65+ 36,296 34,080 2,216 9,580 8,838 742 22,103 20,874 1,229 4,613 4,368 245 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 17 Primary Care Physicians 12 Nurse Practitioners 0 Family Practice 9 General Practice 0 Internal Medicine 2 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 9 Licensed Practical Nurses 32 Registered Nurses 118 Federal Physicians 0 Other Specialties 5 Physicians per 10,000 Population 4.7 Primary Care Physicians per 10,000 Population 3.3 Nurses Chiropractors 3 Optometrists 1 Pharmacists 19 Physical Therapists 3 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 2 Psychological Associates 4 ** 100.0% 26.4% 60.9% 12.7% Resident Births 426 Resident Deaths 305 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 5 Dental Hygienists 14 Other Health Professionals Respiratory Therapists 5 Occupational Therapists 2 Occupational Therapy Assistants 4 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 23 © 2007 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. * ** Alleghany MSA county designation: Nonmetropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 13.8 Teen Pregnancies 11 Teen Pregnancy Rate 44.2 Total Pregnancies 120 Total Pregnancy Rate 67.6 Total 18.3 White 18.5 Unemployed 2006 252 Employed 2006 4,747 Labor Force 2006 4,999 Unemployment Rate 2006 (%) 5.0 Per Capita Income 2005 $ 26,205 Medicaid Eligibles 2006 2,314 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 1,485 General Hospital Beds 2006 25 Nursing Facility Beds 2006 90 Total Ages 0- 19 Ages 20- 64 Ages 65+ 11,000 10,800 200 2,303 2,274 29 6,508 6,353 155 2,189 2,173 16 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 12 Primary Care Physicians 9 Nurse Practitioners 1 Family Practice 8 General Practice 0 Internal Medicine 1 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 2 Licensed Practical Nurses 9 Registered Nurses 54 Federal Physicians 0 Other Specialties 3 Physicians per 10,000 Population 10.9 Primary Care Physicians per 10,000 Population 8.2 Nurses Chiropractors 1 Optometrists 1 Pharmacists 7 Physical Therapists 2 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 0 ** 100.0% 20.9% 59.2% 19.9% Resident Births 109 Resident Deaths 143 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 1 Dental Hygienists 2 Other Health Professionals Respiratory Therapists 3 Occupational Therapists 4 Occupational Therapy Assistants 2 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 24 © 2007 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. * ** Anson MSA county designation: Nonmetropolitan AHEC Region: Charlotte AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 12.3 Teen Pregnancies 68 Teen Pregnancy Rate 84.4 Total Pregnancies 376 Total Pregnancy Rate 78.5 Total 16.6 White 0.0 Unemployed 2006 817 Employed 2006 10,302 Labor Force 2006 11,119 Unemployment Rate 2006 (%) 7.3 Per Capita Income 2005 $ 23,713 Medicaid Eligibles 2006 7,130 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 3,966 General Hospital Beds 2006 52 Nursing Facility Beds 2006 161 Total Ages 0- 19 Ages 20- 64 Ages 65+ 25,372 12,527 12,845 6,780 2,929 3,851 15,065 7,268 7,797 3,527 2,330 1,197 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 18 Primary Care Physicians 8 Nurse Practitioners 3 Family Practice 3 General Practice 0 Internal Medicine 4 Obstetrics/ Gynecology 0 Pediatrics 1 Physician Assistants 3 Licensed Practical Nurses 63 Registered Nurses 130 Federal Physicians 2 Other Specialties 10 Physicians per 10,000 Population 7.1 Primary Care Physicians per 10,000 Population 3.2 Nurses Chiropractors 1 Optometrists 2 Pharmacists 10 Physical Therapists 4 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 1 Psychological Associates 4 ** 100.0% 26.7% 59.4% 13.9% Resident Births 302 Resident Deaths 264 Nonwhite 30.3 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 4 Dental Hygienists 2 Other Health Professionals Respiratory Therapists 8 Occupational Therapists 2 Occupational Therapy Assistants 5 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 25 © 2007 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. * ** Ashe MSA county designation: Nonmetropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.1 Teen Pregnancies 34 Teen Pregnancy Rate 57.5 Total Pregnancies 292 Total Pregnancy Rate 67.6 Total 10.9 White 11.0 Unemployed 2006 736 Employed 2006 12,122 Labor Force 2006 12,858 Unemployment Rate 2006 (%) 5.7 Per Capita Income 2005 $ 25,899 Medicaid Eligibles 2006 5,349 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 3,217 General Hospital Beds 2006 76 Nursing Facility Beds 2006 210 Total Ages 0- 19 Ages 20- 64 Ages 65+ 25,778 25,382 396 5,508 5,393 115 15,377 15,132 245 4,893 4,857 36 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 19 Primary Care Physicians 14 Nurse Practitioners 7 Family Practice 10 General Practice 1 Internal Medicine 2 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 4 Licensed Practical Nurses 36 Registered Nurses 124 Federal Physicians 1 Other Specialties 5 Physicians per 10,000 Population 7.4 Primary Care Physicians per 10,000 Population 5.4 Nurses Chiropractors 5 Optometrists 3 Pharmacists 16 Physical Therapists 7 Physical Therapist Assistants 9 Podiatrists 0 Practicing Psychologists 3 Psychological Associates 5 ** 100.0% 21.4% 59.7% 19.0% Resident Births 274 Resident Deaths 327 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 5 Dental Hygienists 4 Other Health Professionals Respiratory Therapists 9 Occupational Therapists 3 Occupational Therapy Assistants 2 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 26 © 2007 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. * ** Avery MSA county designation: Nonmetropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 5.5 Teen Pregnancies 22 Teen Pregnancy Rate 47.5 Total Pregnancies 183 Total Pregnancy Rate 61.1 Total 18.2 White 18.3 Unemployed 2006 402 Employed 2006 7,603 Labor Force 2006 8,005 Unemployment Rate 2006 (%) 5.0 Per Capita Income 2005 $ 25,115 Medicaid Eligibles 2006 3,324 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 2,381 General Hospital Beds 2006 40 Nursing Facility Beds 2006 128 Total Ages 0- 19 Ages 20- 64 Ages 65+ 18,174 17,191 983 3,749 3,667 82 11,421 10,543 878 3,004 2,981 23 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 22 Primary Care Physicians 12 Nurse Practitioners 6 Family Practice 8 General Practice 1 Internal Medicine 2 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 1 Licensed Practical Nurses 49 Registered Nurses 132 Federal Physicians 0 Other Specialties 10 Physicians per 10,000 Population 12.1 Primary Care Physicians per 10,000 Population 6.6 Nurses Chiropractors 1 Optometrists 1 Pharmacists 17 Physical Therapists 8 Physical Therapist Assistants 5 Podiatrists 0 Practicing Psychologists 2 Psychological Associates 1 ** 100.0% 20.6% 62.8% 16.5% Resident Births 165 Resident Deaths 211 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 6 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 6 Occupational Therapists 2 Occupational Therapy Assistants 1 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 27 © 2007 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. * ** Beaufort MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 11.6 Teen Pregnancies 86 Teen Pregnancy Rate 68.9 Total Pregnancies 662 Total Pregnancy Rate 80.2 Total 7.1 White 2.7 Unemployed 2006 1,204 Employed 2006 19,264 Labor Force 2006 20,468 Unemployment Rate 2006 (%) 5.9 Per Capita Income 2005 $ 25,737 Medicaid Eligibles 2006 11,300 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 6,142 General Hospital Beds 2006 159 Nursing Facility Beds 2006 300 Total Ages 0- 19 Ages 20- 64 Ages 65+ 46,344 32,957 13,387 11,360 7,361 3,999 27,302 19,715 7,587 7,682 5,881 1,801 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 62 Primary Care Physicians 30 Nurse Practitioners 13 Family Practice 11 General Practice 1 Internal Medicine 10 Obstetrics/ Gynecology 2 Pediatrics 6 Physician Assistants 9 Licensed Practical Nurses 102 Registered Nurses 412 Federal Physicians 0 Other Specialties 32 Physicians per 10,000 Population 13.4 Primary Care Physicians per 10,000 Population 6.5 Nurses Chiropractors 6 Optometrists 7 Pharmacists 31 Physical Therapists 11 Physical Therapist Assistants 16 Podiatrists 4 Practicing Psychologists 0 Psychological Associates 4 ** 100.0% 24.5% 58.9% 16.6% Resident Births 567 Resident Deaths 569 Nonwhite 15.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 17 Dental Hygienists 22 Other Health Professionals Respiratory Therapists 16 Occupational Therapists 6 Occupational Therapy Assistants 11 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 28 © 2007 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. * ** Bertie MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 15.7 Teen Pregnancies 53 Teen Pregnancy Rate 86.3 Total Pregnancies 293 Total Pregnancy Rate 78.5 Total 17.4 White 0.0 Unemployed 2006 584 Employed 2006 8,230 Labor Force 2006 8,814 Unemployment Rate 2006 (%) 6.6 Per Capita Income 2005 $ 23,859 Medicaid Eligibles 2006 6,460 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 2,939 General Hospital Beds 2006 6 Nursing Facility Beds 2006 142 Total Ages 0- 19 Ages 20- 64 Ages 65+ 19,352 7,002 12,350 5,070 1,407 3,663 11,104 4,114 6,990 3,178 1,481 1,697 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 9 Primary Care Physicians 9 Nurse Practitioners 3 Family Practice 6 General Practice 0 Internal Medicine 1 Obstetrics/ Gynecology 1 Pediatrics 1 Physician Assistants 8 Licensed Practical Nurses 53 Registered Nurses 104 Federal Physicians 0 Other Specialties 0 Physicians per 10,000 Population 4.7 Primary Care Physicians per 10,000 Population 4.7 Nurses Chiropractors 0 Optometrists 1 Pharmacists 8 Physical Therapists 0 Physical Therapist Assistants 2 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 2 ** 100.0% 26.2% 57.4% 16.4% Resident Births 230 Resident Deaths 251 Nonwhite 23.5 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 1 Dental Hygienists 0 Other Health Professionals Respiratory Therapists 3 Occupational Therapists 3 Occupational Therapy Assistants 0 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 29 © 2007 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. * ** Bladen MSA county designation: Nonmetropolitan AHEC Region: Southern Regional HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 10.5 Teen Pregnancies 77 Teen Pregnancy Rate 78.8 Total Pregnancies 506 Total Pregnancy Rate 80.4 Total 25.1 White 17.9 Unemployed 2006 991 Employed 2006 14,399 Labor Force 2006 15,390 Unemployment Rate 2006 (%) 6.4 Per Capita Income 2005 $ 24,304 Medicaid Eligibles 2006 10,255 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 4,121 General Hospital Beds 2006 48 Nursing Facility Beds 2006 194 Total Ages 0- 19 Ages 20- 64 Ages 65+ 32,872 19,767 13,105 8,775 4,823 3,952 19,345 11,878 7,467 4,752 3,066 1,686 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 24 Primary Care Physicians 20 Nurse Practitioners 5 Family Practice 12 General Practice 2 Internal Medicine 4 Obstetrics/ Gynecology 2 Pediatrics 0 Physician Assistants 10 Licensed Practical Nurses 75 Registered Nurses 157 Federal Physicians 0 Other Specialties 4 Physicians per 10,000 Population 7.3 Primary Care Physicians per 10,000 Population 6.1 Nurses Chiropractors 2 Optometrists 2 Pharmacists 15 Physical Therapists 4 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 1 Psychological Associates 1 ** 100.0% 26.7% 58.8% 14.5% Resident Births 439 Resident Deaths 403 Nonwhite 37.7 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 6 Dental Hygienists 7 Other Health Professionals Respiratory Therapists 11 Occupational Therapists 2 Occupational Therapy Assistants 1 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 30 © 2007 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. * ** Brunswick MSA county designation: Metropolitan AHEC Region: Coastal AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.3 Teen Pregnancies 164 Teen Pregnancy Rate 69.0 Total Pregnancies 1,164 Total Pregnancy Rate 75.9 Total 10.3 White 11.0 Unemployed 2006 2,064 Employed 2006 43,356 Labor Force 2006 45,420 Unemployment Rate 2006 (%) 4.5 Per Capita Income 2005 $ 26,866 Medicaid Eligibles 2006 17,380 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 11,359 General Hospital Beds 2006 96 Nursing Facility Beds 2006 454 Total Ages 0- 19 Ages 20- 64 Ages 65+ 94,964 80,779 14,185 20,992 16,520 4,472 56,398 48,160 8,238 17,574 16,099 1,475 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 93 Primary Care Physicians 50 Nurse Practitioners 16 Family Practice 18 General Practice 2 Internal Medicine 16 Obstetrics/ Gynecology 7 Pediatrics 7 Physician Assistants 26 Licensed Practical Nurses 206 Registered Nurses 443 Federal Physicians 1 Other Specialties 43 Physicians per 10,000 Population 9.8 Primary Care Physicians per 10,000 Population 5.3 Nurses Chiropractors 18 Optometrists 10 Pharmacists 66 Physical Therapists 30 Physical Therapist Assistants 8 Podiatrists 2 Practicing Psychologists 7 Psychological Associates 1 ** 100.0% 22.1% 59.4% 18.5% Resident Births 967 Resident Deaths 869 Nonwhite 6.8 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 25 Dental Hygienists 29 Other Health Professionals Respiratory Therapists 26 Occupational Therapists 19 Occupational Therapy Assistants 16 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 31 © 2007 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. * ** Buncombe MSA county designation: Metropolitan AHEC Region: Mountain AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 8.9 Teen Pregnancies 395 Teen Pregnancy Rate 58.0 Total Pregnancies 3,266 Total Pregnancy Rate 75.0 Total 10.7 White 10.5 Unemployed 2006 4,525 Employed 2006 114,405 Labor Force 2006 118,930 Unemployment Rate 2006 (%) 3.8 Per Capita Income 2005 $ 30,158 Medicaid Eligibles 2006 40,951 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 21,164 General Hospital Beds 2006 673 Nursing Facility Beds 2006 1,668 Total Ages 0- 19 Ages 20- 64 Ages 65+ 221,327 200,725 20,602 52,801 46,333 6,468 135,234 123,072 12,162 33,292 31,320 1,972 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 786 Primary Care Physicians 331 Nurse Practitioners 107 Family Practice 123 General Practice 8 Internal Medicine 107 Obstetrics/ Gynecology 50 Pediatrics 43 Physician Assistants 124 Licensed Practical Nurses 742 Registered Nurses 3,685 Federal Physicians 56 Other Specialties 455 Physicians per 10,000 Population 35.5 Primary Care Physicians per 10,000 Population 15.0 Nurses Chiropractors 65 Optometrists 30 Pharmacists 271 Physical Therapists 214 Physical Therapist Assistants 82 Podiatrists 11 Practicing Psychologists 117 Psychological Associates 51 ** 100.0% 23.9% 61.1% 15.0% Resident Births 2,621 Resident Deaths 2,227 Nonwhite 12.3 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 12 Dentists and Dental Hygienists Dentists 140 Dental Hygienists 169 Other Health Professionals Respiratory Therapists 161 Occupational Therapists 106 Occupational Therapy Assistants 29 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 32 © 2007 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. * ** Burke MSA county designation: Metropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 8.5 Teen Pregnancies 181 Teen Pregnancy Rate 64.0 Total Pregnancies 1,122 Total Pregnancy Rate 65.6 Total 12.1 White 13.9 Unemployed 2006 2,434 Employed 2006 39,602 Labor Force 2006 42,036 Unemployment Rate 2006 (%) 5.8 Per Capita Income 2005 $ 25,945 Medicaid Eligibles 2006 17,845 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 10,735 General Hospital Beds 2006 354 Nursing Facility Beds 2006 556 Total Ages 0- 19 Ages 20- 64 Ages 65+ 88,664 77,276 11,388 23,534 18,899 4,635 52,807 46,843 5,964 12,323 11,534 789 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 185 Primary Care Physicians 79 Nurse Practitioners 18 Family Practice 40 General Practice 3 Internal Medicine 21 Obstetrics/ Gynecology 9 Pediatrics 6 Physician Assistants 20 Licensed Practical Nurses 159 Registered Nurses 941 Federal Physicians 0 Other Specialties 106 Physicians per 10,000 Population 20.9 Primary Care Physicians per 10,000 Population 8.9 Nurses Chiropractors 9 Optometrists 4 Pharmacists 76 Physical Therapists 31 Physical Therapist Assistants 33 Podiatrists 1 Practicing Psychologists 34 Psychological Associates 42 ** 100.0% 26.5% 59.6% 13.9% Resident Births 992 Resident Deaths 869 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 2 Dentists and Dental Hygienists Dentists 34 Dental Hygienists 33 Other Health Professionals Respiratory Therapists 21 Occupational Therapists 28 Occupational Therapy Assistants 29 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 33 © 2007 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. * ** Cabarrus MSA county designation: Metropolitan AHEC Region: Charlotte AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.3 Teen Pregnancies 273 Teen Pregnancy Rate 54.8 Total Pregnancies 2,790 Total Pregnancy Rate 86.9 Total 4.6 White 4.0 Unemployed 2006 3,354 Employed 2006 77,545 Labor Force 2006 80,899 Unemployment Rate 2006 (%) 4.1 Per Capita Income 2005 $ 32,111 Medicaid Eligibles 2006 24,866 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 18,219 General Hospital Beds 2006 447 Nursing Facility Beds 2006 691 Total Ages 0- 19 Ages 20- 64 Ages 65+ 157,176 134,677 22,499 45,717 37,744 7,973 94,640 81,772 12,868 16,819 15,161 1,658 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 366 Primary Care Physicians 174 Nurse Practitioners 43 Family Practice 67 General Practice 1 Internal Medicine 56 Obstetrics/ Gynecology 17 Pediatrics 33 Physician Assistants 33 Licensed Practical Nurses 221 Registered Nurses 1,591 Federal Physicians 1 Other Specialties 192 Physicians per 10,000 Population 23.3 Primary Care Physicians per 10,000 Population 11.1 Nurses Chiropractors 31 Optometrists 16 Pharmacists 151 Physical Therapists 48 Physical Therapist Assistants 40 Podiatrists 4 Practicing Psychologists 18 Psychological Associates 23 ** 100.0% 29.1% 60.2% 10.7% Resident Births 2,389 Resident Deaths 1,287 Nonwhite 7.7 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 4 Dentists and Dental Hygienists Dentists 48 Dental Hygienists 89 Other Health Professionals Respiratory Therapists 66 Occupational Therapists 29 Occupational Therapy Assistants 23 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 34 © 2007 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. * ** Caldwell MSA county designation: Metropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 10.1 Teen Pregnancies 175 Teen Pregnancy Rate 75.8 Total Pregnancies 1,027 Total Pregnancy Rate 67.1 Total 7.5 White 5.7 Unemployed 2006 3,031 Employed 2006 37,196 Labor Force 2006 40,227 Unemployment Rate 2006 (%) 7.5 Per Capita Income 2005 $ 26,814 Medicaid Eligibles 2006 16,268 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 10,048 General Hospital Beds 2006 110 Nursing Facility Beds 2006 400 Total Ages 0- 19 Ages 20- 64 Ages 65+ 79,297 73,914 5,383 20,065 18,253 1,812 47,926 44,899 3,027 11,306 10,762 544 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 72 Primary Care Physicians 42 Nurse Practitioners 15 Family Practice 22 General Practice 1 Internal Medicine 8 Obstetrics/ Gynecology 5 Pediatrics 6 Physician Assistants 11 Licensed Practical Nurses 86 Registered Nurses 390 Federal Physicians 0 Other Specialties 30 Physicians per 10,000 Population 9.1 Primary Care Physicians per 10,000 Population 5.3 Nurses Chiropractors 4 Optometrists 4 Pharmacists 43 Physical Therapists 11 Physical Therapist Assistants 20 Podiatrists 1 Practicing Psychologists 4 Psychological Associates 5 ** 100.0% 25.3% 60.4% 14.3% Resident Births 929 Resident Deaths 829 Nonwhite 39.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 2 Dentists and Dental Hygienists Dentists 23 Dental Hygienists 29 Other Health Professionals Respiratory Therapists 17 Occupational Therapists 3 Occupational Therapy Assistants 14 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 35 © 2007 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. * ** Camden MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 10.2 Teen Pregnancies 9 Teen Pregnancy Rate 31.5 Total Pregnancies 110 Total Pregnancy Rate 62.3 Total 0.0 White 0.0 Unemployed 2006 195 Employed 2006 4,333 Labor Force 2006 4,528 Unemployment Rate 2006 (%) 4.3 Per Capita Income 2005 $ 27,167 Medicaid Eligibles 2006 1,177 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 702 General Hospital Beds 2006 0 Nursing Facility Beds 2006 0 Total Ages 0- 19 Ages 20- 64 Ages 65+ 9,298 7,852 1,446 2,399 2,036 363 5,659 4,824 835 1,240 992 248 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 1 Primary Care Physicians 1 Nurse Practitioners 0 Family Practice 1 General Practice 0 Internal Medicine 0 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 0 Licensed Practical Nurses 10 Registered Nurses 16 Federal Physicians 0 Other Specialties 0 Physicians per 10,000 Population 1.1 Primary Care Physicians per 10,000 Population 1.1 Nurses Chiropractors 0 Optometrists 0 Pharmacists 0 Physical Therapists 0 Physical Therapist Assistants 0 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 0 ** 100.0% 25.8% 60.9% 13.3% Resident Births 98 Resident Deaths 57 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 0 Dental Hygienists 0 Other Health Professionals Respiratory Therapists 0 Occupational Therapists 0 Occupational Therapy Assistants 0 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 36 © 2007 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. * ** Carteret MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 7.1 Teen Pregnancies 106 Teen Pregnancy Rate 63.9 Total Pregnancies 823 Total Pregnancy Rate 76.6 Total 2.9 White 1.6 Unemployed 2006 1,385 Employed 2006 32,024 Labor Force 2006 33,409 Unemployment Rate 2006 (%) 4.1 Per Capita Income 2005 $ 30,961 Medicaid Eligibles 2006 9,789 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 7,545 General Hospital Beds 2006 117 Nursing Facility Beds 2006 424 Total Ages 0- 19 Ages 20- 64 Ages 65+ 63,557 58,214 5,343 13,019 11,454 1,565 38,533 35,316 3,217 12,005 11,444 561 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 97 Primary Care Physicians 44 Nurse Practitioners 22 Family Practice 19 General Practice 2 Internal Medicine 11 Obstetrics/ Gynecology 9 Pediatrics 3 Physician Assistants 15 Licensed Practical Nurses 182 Registered Nurses 468 Federal Physicians 1 Other Specialties 53 Physicians per 10,000 Population 15.3 Primary Care Physicians per 10,000 Population 6.9 Nurses Chiropractors 10 Optometrists 7 Pharmacists 55 Physical Therapists 28 Physical Therapist Assistants 12 Podiatrists 3 Practicing Psychologists 6 Psychological Associates 3 ** 100.0% 20.5% 60.6% 18.9% Resident Births 679 Resident Deaths 691 Nonwhite 13.9 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 35 Dental Hygienists 48 Other Health Professionals Respiratory Therapists 39 Occupational Therapists 8 Occupational Therapy Assistants 2 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 37 © 2007 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. * ** Caswell MSA county designation: Nonmetropolitan AHEC Region: Greensboro AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 8.8 Teen Pregnancies 40 Teen Pregnancy Rate 58.5 Total Pregnancies 312 Total Pregnancy Rate 71.6 Total 11.5 White 10.9 Unemployed 2006 778 Employed 2006 10,025 Labor Force 2006 10,803 Unemployment Rate 2006 (%) 7.2 Per Capita Income 2005 $ 23,564 Medicaid Eligibles 2006 5,393 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 1,276 General Hospital Beds 2006 0 Nursing Facility Beds 2006 157 Total Ages 0- 19 Ages 20- 64 Ages 65+ 23,541 15,202 8,339 5,830 3,797 2,033 14,579 9,374 5,205 3,132 2,031 1,101 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 13 Primary Care Physicians 12 Nurse Practitioners 3 Family Practice 9 General Practice 0 Internal Medicine 3 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 2 Licensed Practical Nurses 23 Registered Nurses 50 Federal Physicians 0 Other Specialties 1 Physicians per 10,000 Population 5.5 Primary Care Physicians per 10,000 Population 5.1 Nurses Chiropractors 0 Optometrists 1 Pharmacists 6 Physical Therapists 4 Physical Therapist Assistants 2 Podiatrists 1 Practicing Psychologists 1 Psychological Associates 0 ** 100.0% 24.8% 61.9% 13.3% Resident Births 260 Resident Deaths 246 Nonwhite 13.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 2 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 0 Occupational Therapists 0 Occupational Therapy Assistants 1 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 38 © 2007 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. * ** Catawba MSA county designation: Metropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.0 Teen Pregnancies 302 Teen Pregnancy Rate 62.7 Total Pregnancies 2,341 Total Pregnancy Rate 77.2 Total 9.0 White 8.8 Unemployed 2006 4,210 Employed 2006 73,575 Labor Force 2006 77,785 Unemployment Rate 2006 (%) 5.4 Per Capita Income 2005 $ 28,598 Medicaid Eligibles 2006 27,128 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 15,415 General Hospital Beds 2006 409 Nursing Facility Beds 2006 759 Total Ages 0- 19 Ages 20- 64 Ages 65+ 151,126 130,808 20,318 41,006 32,969 8,037 91,462 80,453 11,009 18,658 17,386 1,272 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 355 Primary Care Physicians 137 Nurse Practitioners 65 Family Practice 67 General Practice 1 Internal Medicine 37 Obstetrics/ Gynecology 20 Pediatrics 12 Physician Assistants 67 Licensed Practical Nurses 282 Registered Nurses 1,695 Federal Physicians 0 Other Specialties 218 Physicians per 10,000 Population 23.5 Primary Care Physicians per 10,000 Population 9.1 Nurses Chiropractors 22 Optometrists 14 Pharmacists 140 Physical Therapists 72 Physical Therapist Assistants 65 Podiatrists 9 Practicing Psychologists 11 Psychological Associates 23 ** 100.0% 27.1% 60.5% 12.3% Resident Births 2,006 Resident Deaths 1,326 Nonwhite 10.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 10 Dentists and Dental Hygienists Dentists 67 Dental Hygienists 82 Other Health Professionals Respiratory Therapists 67 Occupational Therapists 45 Occupational Therapy Assistants 29 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 39 © 2007 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. * ** Chatham MSA county designation: Metropolitan AHEC Region: Greensboro AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.5 Teen Pregnancies 96 Teen Pregnancy Rate 59.5 Total Pregnancies 872 Total Pregnancy Rate 80.8 Total 9.4 White 7.6 Unemployed 2006 1,260 Employed 2006 30,973 Labor Force 2006 32,233 Unemployment Rate 2006 (%) 3.9 Per Capita Income 2005 $ 38,426 Medicaid Eligibles 2006 7,847 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 4,582 General Hospital Beds 2006 68 Nursing Facility Beds 2006 376 Total Ages 0- 19 Ages 20- 64 Ages 65+ 57,708 48,175 9,533 14,078 11,650 2,428 34,945 29,190 5,755 8,685 7,335 1,350 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 42 Primary Care Physicians 30 Nurse Practitioners 13 Family Practice 21 General Practice 0 Internal Medicine 6 Obstetrics/ Gynecology 1 Pediatrics 2 Physician Assistants 4 Licensed Practical Nurses 100 Registered Nurses 244 Federal Physicians 0 Other Specialties 12 Physicians per 10,000 Population 7.3 Primary Care Physicians per 10,000 Population 5.2 Nurses Chiropractors 5 Optometrists 4 Pharmacists 32 Physical Therapists 9 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 5 Psychological Associates 6 ** 100.0% 24.4% 60.6% 15.0% Resident Births 746 Resident Deaths 510 Nonwhite 22.5 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 16 Dental Hygienists 30 Other Health Professionals Respiratory Therapists 3 Occupational Therapists 5 Occupational Therapy Assistants 2 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 40 © 2007 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. * ** Cherokee MSA county designation: Nonmetropolitan AHEC Region: Mountain AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.9 Teen Pregnancies 32 Teen Pregnancy Rate 54.4 Total Pregnancies 291 Total Pregnancy Rate 68.6 Total 0.0 White 0.0 Unemployed 2006 574 Employed 2006 10,043 Labor Force 2006 10,617 Unemployment Rate 2006 (%) 5.4 Per Capita Income 2005 $ 21,814 Medicaid Eligibles 2006 5,798 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 2,374 General Hospital Beds 2006 50 Nursing Facility Beds 2006 210 Total Ages 0- 19 Ages 20- 64 Ages 65+ 26,727 25,622 1,105 5,739 5,413 326 15,345 14,702 643 5,643 5,507 136 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 38 Primary Care Physicians 20 Nurse Practitioners 4 Family Practice 6 General Practice 0 Internal Medicine 9 Obstetrics/ Gynecology 2 Pediatrics 3 Physician Assistants 10 Licensed Practical Nurses 75 Registered Nurses 213 Federal Physicians 0 Other Specialties 18 Physicians per 10,000 Population 14.2 Primary Care Physicians per 10,000 Population 7.5 Nurses Chiropractors 4 Optometrists 5 Pharmacists 26 Physical Therapists 9 Physical Therapist Assistants 11 Podiatrists 0 Practicing Psychologists 7 Psychological Associates 4 ** 100.0% 21.5% 57.4% 21.1% Resident Births 273 Resident Deaths 311 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 9 Dental Hygienists 15 Other Health Professionals Respiratory Therapists 16 Occupational Therapists 4 Occupational Therapy Assistants 4 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 41 © 2007 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. * ** Chowan MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 14.9 Teen Pregnancies 42 Teen Pregnancy Rate 90.9 Total Pregnancies 210 Total Pregnancy Rate 80.5 Total 28.7 White 11.2 Unemployed 2006 357 Employed 2006 6,725 Labor Force 2006 7,082 Unemployment Rate 2006 (%) 5.0 Per Capita Income 2005 $ 28,456 Medicaid Eligibles 2006 3,630 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 1,769 General Hospital Beds 2006 49 Nursing Facility Beds 2006 170 Total Ages 0- 19 Ages 20- 64 Ages 65+ 14,677 9,032 5,645 3,621 1,846 1,775 8,265 5,146 3,119 2,791 2,040 751 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 32 Primary Care Physicians 19 Nurse Practitioners 2 Family Practice 8 General Practice 0 Internal Medicine 7 Obstetrics/ Gynecology 3 Pediatrics 1 Physician Assistants 1 Licensed Practical Nurses 61 Registered Nurses 144 Federal Physicians 0 Other Specialties 13 Physicians per 10,000 Population 21.8 Primary Care Physicians per 10,000 Population 12.9 Nurses Chiropractors 3 Optometrists 1 Pharmacists 8 Physical Therapists 1 Physical Therapist Assistants 6 Podiatrists 1 Practicing Psychologists 1 Psychological Associates 1 ** 100.0% 24.7% 56.3% 19.0% Resident Births 174 Resident Deaths 196 Nonwhite 47.1 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 2 Dentists and Dental Hygienists Dentists 4 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 3 Occupational Therapists 3 Occupational Therapy Assistants 1 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 42 © 2007 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. * ** Clay MSA county designation: Nonmetropolitan AHEC Region: Mountain AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 2.3 Teen Pregnancies 15 Teen Pregnancy Rate 72.8 Total Pregnancies 98 Total Pregnancy Rate 68.0 Total 11.4 White 11.5 Unemployed 2006 184 Employed 2006 4,512 Labor Force 2006 4,696 Unemployment Rate 2006 (%) 3.9 Per Capita Income 2005 $ 23,230 Medicaid Eligibles 2006 2,069 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 756 General Hospital Beds 2006 0 Nursing Facility Beds 2006 90 Total Ages 0- 19 Ages 20- 64 Ages 65+ 10,116 9,972 144 1,938 1,886 52 5,794 5,718 76 2,384 2,368 16 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 6 Primary Care Physicians 5 Nurse Practitioners 3 Family Practice 5 General Practice 0 Internal Medicine 0 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 2 Licensed Practical Nurses 20 Registered Nurses 41 Federal Physicians 0 Other Specialties 1 Physicians per 10,000 Population 5.9 Primary Care Physicians per 10,000 Population 4.9 Nurses Chiropractors 0 Optometrists 1 Pharmacists 6 Physical Therapists 3 Physical Therapist Assistants 0 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 1 ** 100.0% 19.2% 57.3% 23.6% Resident Births 88 Resident Deaths 128 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 4 Dental Hygienists 7 Other Health Professionals Respiratory Therapists 1 Occupational Therapists 1 Occupational Therapy Assistants 1 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 43 © 2007 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. * ** Cleveland MSA county designation: Nonmetropolitan AHEC Region: Charlotte AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.6 Teen Pregnancies 226 Teen Pregnancy Rate 65.7 Total Pregnancies 1,350 Total Pregnancy Rate 67.8 Total 13.1 White 9.4 Unemployed 2006 3,089 Employed 2006 44,963 Labor Force 2006 48,052 Unemployment Rate 2006 (%) 6.4 Per Capita Income 2005 $ 26,104 Medicaid Eligibles 2006 24,230 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 14,098 General Hospital Beds 2006 373 Nursing Facility Beds 2006 544 Total Ages 0- 19 Ages 20- 64 Ages 65+ 96,720 75,069 21,651 26,789 19,412 7,377 56,816 44,481 12,335 13,115 11,176 1,939 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 172 Primary Care Physicians 82 Nurse Practitioners 28 Family Practice 32 General Practice 1 Internal Medicine 27 Obstetrics/ Gynecology 6 Pediatrics 16 Physician Assistants 16 Licensed Practical Nurses 282 Registered Nurses 841 Federal Physicians 0 Other Specialties 90 Physicians per 10,000 Population 17.8 Primary Care Physicians per 10,000 Population 8.5 Nurses Chiropractors 9 Optometrists 10 Pharmacists 61 Physical Therapists 34 Physical Therapist Assistants 23 Podiatrists 3 Practicing Psychologists 2 Psychological Associates 7 ** 100.0% 27.7% 58.7% 13.6% Resident Births 1,144 Resident Deaths 969 Nonwhite 23.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 3 Dentists and Dental Hygienists Dentists 30 Dental Hygienists 60 Other Health Professionals Respiratory Therapists 37 Occupational Therapists 9 Occupational Therapy Assistants 12 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 44 © 2007 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. * ** Columbus MSA county designation: Nonmetropolitan AHEC Region: Coastal AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 11.4 Teen Pregnancies 145 Teen Pregnancy Rate 85.4 Total Pregnancies 860 Total Pregnancy Rate 81.3 Total 8.1 White 6.3 Unemployed 2006 1,353 Employed 2006 22,489 Labor Force 2006 23,842 Unemployment Rate 2006 (%) 5.7 Per Capita Income 2005 $ 25,319 Medicaid Eligibles 2006 17,906 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 7,770 General Hospital Beds 2006 154 Nursing Facility Beds 2006 323 Total Ages 0- 19 Ages 20- 64 Ages 65+ 54,666 35,463 19,203 14,852 8,760 6,092 32,079 21,122 10,957 7,735 5,581 2,154 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 57 Primary Care Physicians 29 Nurse Practitioners 13 Family Practice 10 General Practice 1 Internal Medicine 13 Obstetrics/ Gynecology 2 Pediatrics 3 Physician Assistants 20 Licensed Practical Nurses 131 Registered Nurses 447 Federal Physicians 0 Other Specialties 28 Physicians per 10,000 Population 10.4 Primary Care Physicians per 10,000 Population 5.3 Nurses Chiropractors 5 Optometrists 3 Pharmacists 52 Physical Therapists 13 Physical Therapist Assistants 11 Podiatrists 1 Practicing Psychologists 1 Psychological Associates 0 ** 100.0% 27.2% 58.7% 14.1% Resident Births 744 Resident Deaths 611 Nonwhite 11.4 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 11 Dental Hygienists 16 Other Health Professionals Respiratory Therapists 26 Occupational Therapists 6 Occupational Therapy Assistants 6 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 45 © 2007 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. * ** Craven MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.3 Teen Pregnancies 235 Teen Pregnancy Rate 82.4 Total Pregnancies 1,794 Total Pregnancy Rate 102.8 Total 7.2 White 5.4 Unemployed 2006 1,844 Employed 2006 40,021 Labor Force 2006 41,865 Unemployment Rate 2006 (%) 4.4 Per Capita Income 2005 $ 30,794 Medicaid Eligibles 2006 16,679 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 12,873 General Hospital Beds 2006 270 Nursing Facility Beds 2006 461 Total Ages 0- 19 Ages 20- 64 Ages 65+ 95,566 68,669 26,897 25,083 16,527 8,556 56,664 40,799 15,865 13,819 11,343 2,476 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 200 Primary Care Physicians 72 Nurse Practitioners 24 Family Practice 14 General Practice 3 Internal Medicine 32 Obstetrics/ Gynecology 8 Pediatrics 15 Physician Assistants 25 Licensed Practical Nurses 255 Registered Nurses 967 Federal Physicians 10 Other Specialties 128 Physicians per 10,000 Population 20.9 Primary Care Physicians per 10,000 Population 7.5 Nurses Chiropractors 15 Optometrists 15 Pharmacists 78 Physical Therapists 44 Physical Therapist Assistants 18 Podiatrists 3 Practicing Psychologists 12 Psychological Associates 16 ** 100.0% 26.2% 59.3% 14.5% Resident Births 1,527 Resident Deaths 902 Nonwhite 12.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 2 Dentists and Dental Hygienists Dentists 42 Dental Hygienists 46 Other Health Professionals Respiratory Therapists 49 Occupational Therapists 24 Occupational Therapy Assistants 14 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 46 © 2007 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. * ** Cumberland MSA county designation: Metropolitan AHEC Region: Southern Regional HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 8.9 Teen Pregnancies 812 Teen Pregnancy Rate 69.8 Total Pregnancies 6,844 Total Pregnancy Rate 97.7 Total 12.1 White 8.2 Unemployed 2006 7,201 Employed 2006 123,533 Labor Force 2006 130,734 Unemployment Rate 2006 (%) 5.5 Per Capita Income 2005 $ 33,192 Medicaid Eligibles 2006 60,289 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 27,868 General Hospital Beds 2006 394 Nursing Facility Beds 2006 939 Total Ages 0- 19 Ages 20- 64 Ages 65+ 306,545 172,785 133,760 93,100 47,323 45,777 187,731 108,444 79,287 25,714 17,018 8,696 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 486 Primary Care Physicians 230 Nurse Practitioners 75 Family Practice 70 General Practice 4 Internal Medicine 75 Obstetrics/ Gynecology 33 Pediatrics 48 Physician Assistants 146 Licensed Practical Nurses 902 Registered Nurses 2,282 Federal Physicians 167 Other Specialties 256 Physicians per 10,000 Population 15.9 Primary Care Physicians per 10,000 Population 7.5 Nurses Chiropractors 23 Optometrists 32 Pharmacists 199 Physical Therapists 102 Physical Therapist Assistants 95 Podiatrists 8 Practicing Psychologists 42 Psychological Associates 25 ** 100.0% 30.4% 61.2% 8.4% Resident Births 5,529 Resident Deaths 2,056 Nonwhite 18.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 12 Dentists and Dental Hygienists Dentists 120 Dental Hygienists 165 Other Health Professionals Respiratory Therapists 129 Occupational Therapists 61 Occupational Therapy Assistants 21 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 47 © 2007 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. * ** Currituck MSA county designation: Metropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.8 Teen Pregnancies 33 Teen Pregnancy Rate 46.3 Total Pregnancies 328 Total Pregnancy Rate 70.6 Total 11.7 White 12.7 Unemployed 2006 429 Employed 2006 11,979 Labor Force 2006 12,408 Unemployment Rate 2006 (%) 3.5 Per Capita Income 2005 $ 29,982 Medicaid Eligibles 2006 2,763 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 1,025 General Hospital Beds 2006 0 Nursing Facility Beds 2006 100 Total Ages 0- 19 Ages 20- 64 Ages 65+ 23,580 21,869 1,711 6,144 5,632 512 14
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 | 2007 |
Description | 2006 (Effective October 2006) |
Rights | State Document see http://digital.ncdcr.gov/u?/p249901coll22,63754 |
Digital Characteristics-A | 2.1 MB; 210 p. |
Digital Format | application/pdf |
Pres Local File Path-M | \Preservation_content\StatePubs\pubs_borndigital\images_master\ |
Full Text | North Carolina Health Professions 2006 DATA BOOK Effective: October 2006 An annual report prepared by: The N. C. Health Professions Data System Wren Haaland, Research Assistant Hazel L. Hadley, Applications Analyst Programmer Jennifer S. Groves, Applications Analyst Programmer Katie Gaul, Research Associate Erin P. Fraher, Director Claire de la Varre, Research Associate 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 © 2007 by the University of North Carolina at Chapel Hill 2 0 0 6 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 Registered Nurses and Licensed Practical Nurses ..................................................................................... 9 Dentists and Dental Hygienists .................................................................................................................... 9 Pharmacists.................................................................................................................... ............................... 10 Physical Therapists and Physical Therapist Assistants ........................................................................... 10 Occupational Therapists and Occupational Therapy Assistants ........................................................... 10 Psychologists and Psychological Associates ............................................................................................. 10 Podiatrists, Optometrists and Chiropractors ............................................................................................ 11 Respiratory Therapists ............................................................................................................................... . 11 Changes in Practitioner to Population Ratios............................................................................................................. 12 Physicians per 10,000 Population Ratio ..................................................................................................... 12 Primary Care Physicians per 10,000 Population Ratio ............................................................................ 14 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 2 0 0 6 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- 2006............................................................. 7 Table 1: Number of Residents- In- Training by Sponsor Location, 2006....................................................................... 2 Table 2: North Carolina Health Professions Statistics: 2005 and 2006 ...................................................................... 6 Table 3: Counties with the Largest Physicians per 10,000 Population Ratios, 2006 vs. 2005................................... 13 Table 4: Counties with the Smallest Physicians per 10,000 Population Ratios, 2006 vs. 2005................................. 13 Table 5: Physicians & Primary Care Physicians per 10,000 Population, US and Selected States, 2006 .................. 13 Table 6: Counties with the Largest Primary Care Physicians per 10,000 Population Ratios, 2006 vs. 2005............ 14 Table 7: Counties with the Smallest Primary Care Physicians per 10,000 Population Ratios, 2006 vs. 2005.......... 14 Table 8: Counties with the Largest Dentists per 10,000 Population Ratios, 2006 vs. 2005 ...................................... 15 Table 9: Counties with the Smallest Dentists per 10,000 Population Ratios, 2006 vs. 2005 .................................... 16 Table 10: Counties with the Largest RNs per 10,000 Population Ratios, 2006 vs. 2005........................................... 16 Table 11: Counties with the Smallest RNs per 10,000 Population Ratios, 2006 vs. 2005......................................... 17 Table 12: Counties with the Largest Pharmacists per 10,000 Population Ratios, 2006 vs. 2005 .............................. 17 Table 13: Counties with the Smallest Pharmacists per 10,000 Population Ratios, 2006 vs. 2005 ............................ 18 Table 14: Active Health Professionals per 10,000 Population Ratios, 2006............................................................... 18 2 0 0 6 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 Occupational Therapy • 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 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 Health Service Regulation • 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 6 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- ninth annual report prepared from data collected by the N. C. Health Professions Data System ( HPDS). 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 HPDS 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 2006 of licensed individuals in nineteen 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 6 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, occupational therapists, occupational therapy assistants, optometrists, pharmacists, physical therapists, physical therapist assistants, physicians, physician assistants, podiatrists, practicing psychologists, psychological associates, registered nurses and 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- eight 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 who are not in residency training, listings of physicians in postgraduate medical education programs as of July 2006 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, 2006 Residency Program County Residents Percent Duke University Medical Center Durham 868 31.9 University of North Carolina at Chapel Hill— UNC Hospitals Orange 690 25.3 Wake Forest University Baptist Medical Center Forsyth 492 18.1 East Carolina University— Pitt County Memorial Hospital Pitt 287 10.5 Charlotte AHEC— Carolinas Medical Center Mecklenburg 193 7.1 Coastal AHEC— New Hanover Regional Medical Center New Hanover 60 2.2 Greensboro AHEC— Moses H. Cone Memorial Hospital Guilford 48 1.8 Mountain AHEC— Mission Hospital Buncombe 46 1.7 Cabarrus Memorial Hospital Cabarrus 21 0.8 Southern Regional AHEC— Fayetteville Cumberland 18 0.7 State Totals 2,723 100 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 2006. 2 0 0 6 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 2005 were checked against specialty data provided by the N. C. Medical Society. Physician data in this report are classified by residency- training status in 2006 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, physical therapist assistants, occupational therapists and occupational therapy assistants, individuals who report that they are not actively employed in physical therapy or occupational therapy but are seeking employment in physical or occupational therapy are also considered active. These are the only professions that have data available on whether individuals are seeking employment. 2 0 0 6 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 2006, and data for the remaining 50% who renewed their registration in their birth month of the previous year. 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 2006 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 2006 population data are projected numbers as the 2006 estimates were not available at the time of publication. The 2005 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 online 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 are also available online at http:// www. shepscenter. unc. edu/ hp. The infant 2 0 0 6 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 mortality rates reported in the 2006 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 2005 from acute care, short-stay hospitals by county of patient residence. The year 2006 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 6 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 2005 to October 2006. Table 2 below summarizes the number of health professionals licensed in the past two years and the percent change in those numbers between 2005 and 2006. Table 2: North Carolina Health Professions Statistics: 2005 and 2006 Active in Profession ( October) 2 2005 2006 Percent Change Physicians Non- federal, not in training 17,895 18,396 2.80% Primary Care Specialties 7,660 7,984 4.23% Family Practice 2,452 2,568 4.73% General Practice 141 132 - 6.38% Internal Medicine 2,652 2,805 5.77% Obstetrics/ Gynecology 988 995 0.71% Pediatrics 1,427 1,484 3.99% Other Specialties 10,235 10,412 1.73% Federal3 563 550 - 2.31% Residency Training 2,615 2,723 4.13% Nurses Registered Nurses 79,835 82,303 3.09% Certified Nurse Midwives 198 203 2.53% Nurse Practitioners4 2,440 2,641 8.24% Licensed Practical Nurses 16,960 17,295 1.98% Other Health Professionals Chiropractors 1,207 1,198 - 0.75% Occupational Therapists N/ A 2,041 N/ A Occupational Therapy Assistants N/ A 895 N/ A Optometrists 896 943 5.25% Pharmacists5 7,618 7,873 3.35% Physical Therapists 3,749 3,988 6.38% Physical Therapist Assistants 1,859 1,959 5.38% Physician Assistants 2,674 2,826 5.68% Podiatrists 245 252 2.86% Practicing Psychologists 1,674 1,745 4.24% Psychological Associates 905 903 - 0.22% Respiratory Therapists 3,413 3,554 4.13% Dentists and Dental Hygienists Dentists 3,772 3,858 2.28% Dental Hygienists 4,397 4,714 7.21% 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 N. C. Medical Board. 5 Data released in previous years underestimated the total number of pharmacists in the state. This table uses the revised data for 2005 and 2006. 2 0 0 6 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 2006. The number of primary care physicians increased 4.2% (+ 324) from 2005 to 2006. Internal medicine (+ 153, 5.8%) and family practice (+ 116, 4.7%) physicians also expanded. This year, obstetrician- gynecologists (+ 7, 0.71%) showed only a very slight increase over 2005 numbers while there was another decrease in the number of general practitioners from 141 to 132 (- 6.4%). The largest percentage increases in other health professions were seen by nurse practitioners (+ 201, 8.2%), dental hygienists (+ 317, 7.2%), physical therapists (+ 239, 6.4%), and physician assistants (+ 152, 5.7%). In 2006 there were moderate increases in the supply of physical therapist assistants (+ 100, + 5.4%), optometrists (+ 47, 5.3%), practicing psychologists (+ 71, + 4.2%), respiratory therapists (+ 141, 4.1%), pharmacists (+ 255, 3.3%), and registered nurses (+ 2,468, 3.1%) and small increases in podiatrists (+ 7, 2.9%), certified nurse midwives (+ 5, + 2.5%), dentists (+ 86, + 2.3%), and licensed practical nurses (+ 335, + 2.0%). Psychological associates experienced a slight decrease (- 2, - 0.22%), as did chiropractors (- 9, - 0.75). CHANGES IN SUPPLY Physicians Figure 1 depicts the annual growth, over the past 10 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 2.80% (+ 501) growth of physicians licensed by the N. C. Medical Board between 2005 and 2006 marks a second year of relatively large growth in supply after the slowing growth trend seen in previous years. Figure 1: Yearly Increase in the Number of Licensed Physicians 1996‐ 2006 4.2% 5.4% 2.2% 2.9% 2.9% 2.3% 1.9% 1.5% 3.1% 2.8% 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 96- 97 97- 98 98- 99 99- 00 00- 01 01- 02 02- 03 03- 04 04- 05 05- 06 2 0 0 6 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. In 2006, almost every county in North Carolina had at least one physician reporting a primary practice location; the fewest were found in the following counties: Camden ( 1), Tyrrell ( 1), Gates ( 1) and Perquimans ( 2). Hyde lost its sole practitioner in 2006, resulting in no physician reporting a primary practice location in the county. Fifty counties experienced an increase in the number of physicians, sixteen had no change in supply, and thirty- four counties lost physicians. Counties with the largest percentage growth in the supply of physicians between 2005 and 2006 include Caswell (+ 4, 44.4%), Currituck (+ 2, 33.3%), and Lincoln, (+ 11, 25.0%). The largest numeric growth was observed in Wake (+ 156, 9.59%) and Mecklenburg (+ 116, 5.70%) The largest reduction in numbers was in Orange County (- 60, - 5.29%). The supply of primary care physicians6 in North Carolina increased at a greater rate ( 4.23%) than the total physician supply ( 2.80%) in 2006. This subset of the physician profession experienced several years of highly variable growth rates from 1993 to 2000. Since 2000 the supply has shown greater stability. Forty- seven counties increased their numbers of primary care physicians, with Caswell (+ 4, 50.0%) and Currituck (+ 2, 50.0%) experiencing the largest percentage gains. Mecklenburg (+ 68, 8.5%) and Wake (+ 63, 9.1%) counties gained the most primary care physicians. The number of primary care physicians remained stable in seventeen counties, and thirty- six counties had a reduction in supply. The largest numeric decrease was in Orange County (- 21, - 5.1%). Of the ten counties with the largest percentage growth, seven were recovering after a loss of providers in the previous year and three had no change in supply in 2005. Nurse Practitioners, Certified Nurse Midwives and Physician Assistants The 8.2% (+ 201) expansion in the nurse practitioner ( NP) numbers in 2006 marks twelve years of substantial annual growth. Four counties had no nurse practitioners ( Alexander, Camden, Gates, and Washington) 7 with Alexander losing its sole practitioner after gaining one for the first time in 2005 and Washington losing both of its practitioners. Four counties had only one NP ( Alleghany, Currituck, Martin, and Tyrrell) in 2006. In total, forty- six counties increased their supply of nurse practitioners, while thirty- three lost providers and twenty- one experienced no change. The state’s certified nurse midwives ( CNMs) data show a 2.5% (+ 5) increase in supply between 2005 and 2006, improving on last year’s 1.5% (+ 3) growth rate. Edgecombe, Harnett, Moore, Nash, and Person counties each added one practitioner after having none in 2005. Overall, fifteen counties saw their CNM supply rise, sixty- eight experienced no change, and seventeen counties lost providers8. Hertford, Macon, Madison, Richmond, and Stanley counties each lost their sole CNM in 2006. However, Vance 6 Primary care physicians are those who report their primary specialty as family practice, general practice, internal medicine, pediatrics or obstetrics/ gynecology. 7 Data are based on primary practice location; there may be NPs with secondary or other practice locations in these counties. 8 Data are based on primary practice location only; there may be CNMs with secondary or other practice locations in these counties. 2 0 0 6 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 County gained two midwives after having none in 2005. The net result was that fifty- one counties in North Carolina had no CNMs in 2006, down one from fifty- two in 2005. This year’s 5.7% (+ 152) increase in physician assistants ( PAs) marks another year of fluctuating growth for the profession. In 2006, forty- four counties expanded their PA supply, with Chatham County (+ 3) quadrupling its numbers. Gates, Jones, and Pamlico counties each lost their sole provider, joining four other counties that had no PAs in 2006 ( Camden, Hyde, Tyrrell, and Warren). Twenty- six counties experienced no change in their PA supply while thirty counties decreased their PA supply. Registered Nurses and Licensed Practical Nurses The registered nurse ( RN) data showed a 3.1% (+ 2,468) rise in numbers of RNs in the state between 2005 and 2006, the largest growth rate reported since 2001. Seventy- five counties expanded their RN supply in 2006. Two counties ( Clay and Pamlico) had no change in their RN supply and RN numbers declined in twenty- three counties. Mecklenberg had the greatest number of RNs with 9,091 active in the county. Tyrrell had the fewest with thirteen RNs, followed by Camden with sixteen. The supply of licensed practical nurses ( LPNs) grew by 2.0% (+ 335) between 2005 and 2006. This year’s growth rate is the largest reported in the past decade. Fifty- six counties increased their numbers of LPNs, forty counties lost LPNs and four counties did not show any change. Yadkin experienced the greatest percentage gain (+ 10, 26.3%) and Alleghany had the greatest percentage loss (- 5, - 35.7%). Dentists and Dental Hygienists Between 2005 and 2006, North Carolina experienced a 2.3% (+ 86) increase in its supply of dentists. Twenty- four counties showed reduced numbers of dentists between 2005 and 2006, thirty- nine counties had no change in their supply of dentists, and thirty- seven counties saw their supply of dentists rise. The counties of Camden, Gates, Hyde, and Tyrell remained the only four in the state without a dentist indicating a primary practice location. Bertie, Graham, Jones, and Northampton each have only one dentist. The only three counties reporting supply changes greater than twenty- five percent were Alleghany (- 1, - 50.0%), Caswell (- 1, - 33.3%), and Yadkin ( - 2, - 33.3%). In 2006, there was a 7.2% (+ 317) rise in the number of dental hygienists registered with the Board of Dental Examiners. This increase marks the largest year to year growth in the profession in the past decade. Sixty counties showed growth in 2006 while seventeen counties experienced a decrease in their supply of hygienists. There were twenty- three counties with no change in their number of hygienists. Two counties had only one hygienist with a primary practice location ( Currituck and Jones) and Camden lost its sole hygienist, joining four other counties that did not possess any ( Bertie, Gates, Hyde and Tyrrell) in 2006. 2 0 0 6 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 Pharmacists Data released in previous years underestimated the total number of licensed pharmacists in the state. This publication uses the newly revised data to show changes in the true supply from 2005 to 2006. Revised data for 2004, 2005, and 2006 are available on the Health Professions Data System website ( http:// www. shepscenter. unc. edu/ hp/). The supply of pharmacists grew 3.3% (+ 255) from 2005 to 2006. This year’s growth is on par with the 2.3% (+ 172) change experienced from 2004 to 2005 and the 3.2% (+ 228) expansion from 2003 to 2004. From 2005 to 2006, the supply of pharmacists grew in 52 counties, with Wake county experiencing the largest raw number increase (+ 57, 6.8%). In 2006, Camden and Hyde were the only counties without a pharmacist indicating a practice location. Tyrrell retained its sole pharmacist and was the only county with just one provider. Twenty- nine counties lost pharmacists; the largest reduction in numbers occurred in Davidson (- 12, - 14.5%) and Durham (- 10, - 1.6%). Greene (- 2, - 33.3%) had the largest percentage decrease, followed by Clay (- 2, - 25.0%) and Perquimans (- 1, - 25.0%). Nineteen counties had no change in numbers. Physical Therapists and Physical Therapist Assistants Between 2005 and 2006, the supply of licensed physical therapists ( PTs) grew 6.4% (+ 239). Fifty-seven counties expanded their supply of PTs, nineteen lost PTs, and twenty- four counties had no change in numbers. Perquimans gained a sole provider, its first since 1998. Bertie lost two PTs and Hyde lost one to join three other counties ( Camden, Gates, and Tyrrell) without a provider in 2006. The number of physical therapist assistants ( PTAs) increased 5.4% (+ 100) in 2006, maintaining a three- year trend of stable growth in the profession. Fifty counties expanded their supply of PTAs, twenty- two lost PTAs, and twenty- eight counties had no change in numbers. Washington (+ 4, 133.3%) and Pamlico (+ 2, 200.0%) more than doubled their supply of PTAs. Camden and Clay have not had any PTAs since 2003. Occupational Therapists and Occupational Therapy Assistants Occupational therapists ( OTs) are new to the Health Professions Data System in 2006. There are seven counties with no occupational therapists and seven counties with only one practitioner. Mecklenberg offers the greatest number of OTs, with 251 registered in the county, followed by Wake with 249. Occupational therapy assistants ( OTAs) are also new this year. Eight counties in North Carolina do not have any OTAs and sixteen counties have one provider. Of the seven counties without an occupational therapist, four of these do not have an occupational therapy assistant ( Camden, Hyde, Perquimans, Tyrrell). Psychologists and Psychological Associates The number of practicing psychologists in North Carolina increased 4.2% (+ 71) between 2005 and 2006. This is the second year of growth in the profession after a 2.6% decrease in supply in 2004. There were twenty- six counties without a practicing psychologist in 2006 and fourteen counties had only 2 0 0 6 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 one psychologist. During 2006, eighteen counties lost psychologists, fifty- four counties had no change in numbers and twenty- eight counties gained practicing psychologists. During 2006, the supply of psychological associates decreased slightly (- 2, - 0.2%), returning to a trend of lessening supply after a small increase in 2005. Overall, thirty counties lost psychological associates and seventeen counties had none in 2006. Three counties, Caswell, Franklin, and Northampton, lost their lone provider while Brunswick and Davie each gained a sole provider. Forty- five counties experienced no change, and twenty- five gained psychological associates. Seventeen counties had only one provider. Podiatrists, Optometrists and Chiropractors In 2006, the podiatry workforce experienced a slight increase (+ 7, 2.9%). Eight counties gained podiatrists, including Chowan (+ 1) which reported a podiatrist for the first time since data collection began in 1979. Three counties lost podiatrists, and eighty- nine had no change in numbers. Forty- one counties had no podiatrists. Dare and Sampson each lost one provider, for a 50.0% decrease in supply. The largest numeric changes occurred in Mecklenburg (+ 2, 6.9%) and Pitt (+ 2, 25.0%). Together, Forsyth, Guilford, Mecklenburg, and Wake accounted for more than one- third ( 36.9%) of all podiatrists in the state ( 93 out of 252). North Carolina’s optometrist workforce expanded by 5.2% (+ 47) in 2006, the largest increase posted in the past ten years and a return to growth after a slight decrease in supply in 2005. Twenty-seven counties gained providers, fourteen lost providers, and fifty- nine counties experienced no change. Ten counties had no optometrists; eight of these ten have had none since 1993. Anson and Yadkin each doubled their supply with the addition of one more optometrist. Orange (- 2, - 12.5%) lost the greatest number of optometrists while Wake (+ 13, 12.3%) gained the most. Between 2005 and 2006, North Carolina’s count of chiropractors dropped by - 0.75% (- 9). This is the first loss in supply since 1993. In 2006, twenty- two counties increased their number of providers, twenty- one lost providers, and fifty- seven experienced no change. Martin and Mitchell each doubled their supply with the addition of one chiropractor. Warren lost the sole provider that it gained in 2005, joining twelve other counties that have no chiropractors. Of these thirteen, eight counties have remained without any chiropractors since 1979. Orange had the greatest numeric gain (+ 3, 13.6%) and Wake had the greatest numeric loss (- 5, - 3.3%). Mecklenburg and Wake again accounted for a large proportion of chiropractors in the state ( 28.4%, 340 out of 1,198). Respiratory Therapists The number of respiratory therapists ( RTs) in North Carolina showed a steady rate of increase with a 4.1% (+ 141) growth rate for the second year since the profession was added to the Health Professions Data System in 2004. From 2005 to 2006, forty- nine counties gained providers, twenty- three lost providers, and twenty- eight had no change. There are fifteen counties with no respiratory therapists 2 0 0 6 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 and two counties, Clay and Yadkin, with only one practitioner. Mecklenburg experienced the largest numeric change (+ 29, 7.3%). CHANGES IN PRACTITIONER TO POPULATION RATIOS North Carolina’s population increased 1.7% between 2005 and 2006, more than the 1.4% growth rate experienced the previous year9. Any examination of the changes in the supply and distribution of the health 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 2006 ratio of N. C. physicians per 10,000 population increased slightly to 20.8, up from 20.7 in 2005. The counties with the ten largest and ten smallest ratios in 2006 are included in Tables 3 and 4 on the following page. 9 The population change reported here was calculated using the July 1, 2005 population estimate and the July 1, 2006 projection as reported by the NC State Center for Health Statistics ( http:// www. schs. state. nc. us/ SCHS/). 10 Publications of this document prior to the 1999 edition reported population per health professional ratios. 2 0 0 6 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 3: Counties with the Largest Physicians per 10,000 Population Ratios, 2006 vs. 2005 2006 Rank County 2006 Total Physicians 2006 Total Population 2006 Physicians per 10,000 Population 2005 Physicians per 10,000 Population 2005 Rank 1 Orange 1,075 123,762 86.9 92.7 1 2 Durham 1,657 246,825 67.1 68.5 2 3 Pitt 655 146,398 44.7 45.1 3 4 Forsyth 1,350 331,851 40.7 40.8 4 5 Buncombe 786 221,327 35.5 35.0 5 6 New Hanover 606 184,116 32.9 33.3 6 7 Moore 244 82,288 29.7 29.4 7 8 Jones 29 10,318 28.1 23.5 12 9 Pasquotank 104 39,968 26.0 26.5 8 10 Mecklenburg 2151 826,897 26.0 25.9 9 Table 4: Counties with the Smallest Physicians per 10,000 Population Ratios, 2006 vs. 2005 2006 Rank County 2006 Total Physicians 2006 Total Population 2006 Physicians per 10,000 Population 2005 Physicians per 10,000 Population 2005 Rank 100 Hyde 0 5,511 0.0 1.8 96 99 Gates 1 11,563 0.9 0.9 100 98 Camden 1 9,298 1.1 1.1 99 97 Warren 3 19,969 1.5 1.5 98 96 Perquimans 2 12,464 1.6 1.7 97 95 Tyrrell 1 4,248 2.4 2.4 95 94 Greene 5 20,839 2.4 3.5 91 93 Montgomery 8 27,505 2.9 4.0 88 92 Northampton 7 21,522 3.3 4.2 87 91 Hoke 14 42,186 3.3 3.3 92 According to the data from the AMA and the U. S. Census Bureau, as seen in Table 5, there were, on average, about 24.8 physicians per 10,000 population in the United States at the beginning of 2004. This is up slightly from 22.8 in 2003. According to the AMA data, North Carolina’s ratio was 22.5, slightly lower than the national average. Table 5: Physicians & Primary Care Physicians per 10,000 Population, US and Selected States, 2004 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 * 24.77 22.45 20.10 21.08 23.68 23.81 Primary Care Physicians** 10.19 9.07 8.63 8.89 9.66 10.01 Sources: Area Resource File, Bureau of Health Professions; National Center for Health Workforce Analysis; Health Resources and Services Administration; Department of Health and Human Services; data from AMA Master file, effective 12/ 31/ 04; 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, 2005” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2005- 01. xls > Release Date: December 22, 2005. * 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. 2 0 0 6 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 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 9.0 primary care physicians per 10,000 population in North Carolina in 2006, a slight increase from 8.8 in 2005. Tables 6 and 7 illustrate the counties with the largest and the smallest primary care physician per 10,000 ratios. Table 6: Counties with the Largest Primary Care Physicians per 10,000 Population Ratios, 2006 vs. 2005 2006 Rank County 2006 Total Primary Care Physicians 2006 Total Population 2006 Primary Care Physicians per 10,000 Population 2005 Primary Care Physicians per 10,000 Population 2005 Rank 1 Orange 392 123,762 31.7 33.7 1 2 Durham 540 246,825 21.9 22.5 2 3 Jones 21 10,318 20.4 18.6 3 4 Pitt 262 146,398 17.9 18.1 4 5 Buncombe 331 221,327 15.0 14.3 5 6 Forsyth 464 331,851 14.0 13.2 6 7 Mitchell 22 15,894 13.8 9.9 18 8 Chowan 19 14,677 12.9 11.7 10 9 Swain 18 13,940 12.9 11.8 9 10 New Hanover 237 184,116 12.9 12.7 7 Table 7: Counties with the Smallest Primary Care Physicians per 10,000 Population Ratios, 2006 vs. 2005 2006 Rank County 2006 Total Primary Care Physicians 2006 Total Population 2006 Primary Care Physicians per 10,000 Population 2005 Primary Care Physicians per 10,000 Population 2005 Rank 100 Hyde 0 5,511 0.0 1.8 95 99 Gates 1 11,563 0.9 0.9 100 98 Camden 1 9,298 1.1 1.1 99 97 Warren 3 19,969 1.5 1.5 98 96 Perquimans 2 12,464 1.6 1.7 97 95 Northampton 4 21,522 1.9 2.8 91 94 Tyrrell 1 4,248 2.4 2.4 92 93 Greene 5 20,839 2.4 3.5 90 92 Currituck 6 23,580 2.5 1.8 96 91 Stokes 13 46,334 2.8 2.8 95 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 10.2 primary care physicians per 10,000 population on average in the United States at the beginning of 2004. This compares to a ratio in 2 0 0 6 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 North Carolina of 9.1 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 9.7 and 10.0 respectively), and Georgia and South Carolina had smaller ratios ( with ratios of 8.6 and 8.9 respectively). Dentists per 10,000 Population Ratio North Carolina had 4.4 dentists per 10,000 population in 2006, the same ratio that was found in 2005. National statistics show a ratio of 6.5 dentists per 10,000 population in 200612. 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 2006. Of the four counties tied for 100, three— Camden, Hyde and Tyrrell— have not had a dentist with a primary practice location in the county since 1995 while Gates lost its only dentist in 2005. Table 8: Counties with the Largest Dentists per 10,000 Population Ratio, 2006 vs. 2005 2006 Rank County 2006 Total Dentists 2006 Total Population 2006 Dentists per 10,000 Population 2005 Dentists per 10,000 Population 2005 Rank 1 Orange 136 123,762 11.0 11.8 1 2 New Hanover 134 184,116 7.3 6.9 2 3 Durham 167 246,825 6.8 6.3 6 4 Wake 533 789,969 6.7 6.7 3 5 Mecklenburg 530 826,897 6.4 6.3 7 6 Dare 22 34,730 6.3 5.7 8 7 Buncombe 140 221,327 6.3 6.5 4 8 Moore 52 82,288 6.3 6.5 5 9 Watauga 26 43,406 6.0 5.4 11 10 Forsyth 191 331,851 5.8 5.7 9 11 Source: Area Resource File, Bureau of Health Professions; National Center for Health Workforce Analysis; Health Resources and Services Administration; Department of Health and Human Services; data from AMA Master file, effective 12/ 31/ 04; 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, 2005” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2005- 01. xls > Release Date: December 22, 2005. 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: July 24, 2007). 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 ,2006” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2006- 01. xls > Release Date: December 22, 2006 ( accessed: July 24, 2007). 2 0 0 6 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 Table 9: Counties with the Smallest Dentists per 10,000 Population Ratio, 2006 vs. 2005 2006 Rank County 2006 Total Dentists 2006 Total Population 2006 Dentists per 10,000 Population 2005 Dentists per 10,000 Population 2005 Rank 100 Camden 0 9,298 0.0 0.0 100 100 Gates 0 11,563 0.0 0.0 100 100 Hyde 0 5,511 0.0 0.0 100 100 Tyrrell 0 4,248 0.0 0.0 100 96 Northampton 1 21,522 0.5 0.5 96 95 Bertie 1 19,352 0.5 0.5 96 94 Caswell 2 23,541 0.8 1.3 89 93 Alleghany 1 11,000 0.9 1.8 76 92 Jones 1 10,318 1.0 1.0 94 91 Madison 2 20,449 1.0 1.0 93 Registered Nurses per 10,000 Population Ratio The average number of registered nurses ( RNs) per 10,000 population increased slightly from 92.1 in 2005 to 92.9 in 2006. North Carolina’s supply of RNs per 10,000 population is higher than the most current national statistic of 84.5 RNs per 10,000 population in 2006. 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 2006. Table 10: Counties with the Largest Registered Nurses per 10,000 Population Ratio, 2006 vs. 2005 2006 Rank County 2006 Total Registered Nurses 2006 Total Population 2006 RNs per 10,000 Population 2005 RNs per 10,000 Population 2005 Rank 1 Orange 2,693 123,762 217.6 213.4 1 2 Durham 5,210 246,825 211.1 208.8 2 3 Pitt 2,832 146,398 193.4 184.1 3 4 Forsyth 5,586 331,851 168.3 166.3 4 5 Buncombe 3,685 221,327 166.5 164.8 5 6 New Hanover 2,646 184,116 143.7 144.2 6 7 Moore 1,097 82,288 133.3 131.2 7 8 Hertford 275 23,901 115.1 112.8 10 9 Guilford 5,075 449,071 113.0 111.5 12 10 Catawba 1,695 151,126 112.2 112.6 11 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: July 24, 2007). 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 ,2006” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2006- 01. xls > Release Date: December 22, 2006 ( accessed: July 24, 2007). 2 0 0 6 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 Table 11: Counties with the Smallest Registered Nurses per 10,000 Population Ratio, 2006 vs. 2005 2006 Rank County 2006 Total Registered Nurses 2006 Total Population 2006 RNs per 10,000 Population 2005 RNs per 10,000 Population 2005 Rank 100 Camden 16 9,298 17.2 19.1 100 99 Warren 35 19,969 17.5 19.9 99 98 Perquimans 22 12,464 17.7 21.8 97 97 Gates 22 11,563 19.0 20.8 98 96 Caswell 50 23,541 21.2 24.3 96 95 Currituck 60 23,580 25.4 28.7 93 94 Hoke 114 42,186 27.0 26.9 94 93 Stokes 126 46,334 27.2 26.6 95 92 Tyrrell 13 4,248 30.6 33.5 86 91 Yadkin 117 37,810 30.9 34.0 85 Pharmacists per 10,000 Population Ratio On average, the state had 8.9 licensed pharmacists per 10,000 population in 2006, up slightly from 8.4 in 2005. The national ratio is 8.2 licensed 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 Ratio15, 2006 vs. 2005 2006 Rank County 2006 Total Pharmacists 2006 Total Population 2006 Pharmacists per 10,000 Population 2005 Pharmacists per 10,000 Population 2005 Rank 1 Durham 637 246,825 25.8 26.7 1 2 Orange 231 123,762 18.7 17.8 2 3 Lenoir 85 58,170 14.6 14.2 3 4 Forsyth 452 331,851 13.6 13.3 4 5 Pitt 186 146,398 12.7 12.7 5 6 Buncombe 275 221,327 12.2 12.2 6 7 Wake 893 789,969 11.3 11.2 7 8 New Hanover 197 184,116 10.7 10.6 8 9 Mecklenburg 841 826,897 10.2 10.0 11 10 Guilford 444 449,071 9.9 9.3 13 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: July 24, 2007). 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 ,2006” < http:// www. census. gov/ popest/ states/ tables/ NST- EST2006- 01. xls > Release Date: December 22, 2006 ( accessed: July 24, 2007). 15 Data released in previous years underestimated the total number of pharmacists in the state. This table uses the revised data for 2005 and 2006. 2 0 0 6 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 Table 13: Counties with the Smallest Pharmacists per 10,000 Population Ratio16, 2006 vs. 2005 2006 Rank County 2006 Total Pharmacists 2006 Total Population 2006 Pharmacists per 10,000 Population 2005 Pharmacists per 10,000 Population 2005 Rank 100 Camden 0 9,298 0.0 0.0 100 100 Hyde 0 5,511 0.0 0.0 100 98 Currituck 4 23,580 1.7 1.8 98 97 Greene 4 20,839 1.9 3.0 89 96 Tyrrell 1 4,248 2.4 2.4 95 95 Perquimans 3 12,464 2.4 3.4 87 94 Caswell 6 23,541 2.5 2.5 94 93 Gates 3 11,563 2.6 2.7 92 92 Yadkin 10 37,810 2.6 2.7 93 91 Northampton 6 21,522 2.8 1.9 97 Active Health Professionals per 10,000 Population Ratios for All Counties Table 14 reports year 2006 data for selected active health professionals per 10,000 population ratios for physicians, primary care physicians17, dentists, registered nurses, and pharmacists for all counties listed in alphabetical order. Table 14: Active Health Professionals per 10,000 Population Ratios, 2006 County 2006 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 139,786 14.9 6.9 4.6 61.2 7.8 Alexander 36,296 4.7 3.3 1.4 32.5 5.2 Alleghany 11,000 10.9 8.2 0.9 49.1 6.4 Anson 25,372 7.1 3.2 1.6 51.2 3.9 Ashe 25,778 7.4 5.4 1.9 48.1 6.2 Avery 18,174 12.1 6.6 3.3 72.6 9.4 Beaufort 46,344 13.4 6.5 3.7 88.9 6.7 Bertie 19,352 4.7 4.7 0.5 53.7 4.1 Bladen 32,872 7.3 6.1 1.8 47.8 4.6 Brunswick 94,964 9.8 5.3 2.6 46.6 7.0 Buncombe 221,327 35.5 15.0 6.3 166.5 12.2 Burke 88,664 20.9 8.9 3.8 106.1 8.6 Cabarrus 157,176 23.3 11.1 3.1 101.2 9.6 Caldwell 79,297 9.1 5.3 2.9 49.2 5.4 Camden 9,298 1.1 1.1 0.0 17.2 0.0 Carteret 63,557 15.3 6.9 5.5 73.6 8.7 Caswell 23,541 5.5 5.1 0.8 21.2 2.5 Catawba 151,126 23.5 9.1 4.4 112.2 9.3 Chatham 57,708 7.3 5.2 2.8 42.3 5.5 Cherokee 26,727 14.2 7.5 3.4 79.7 9.7 16 Data released in previous years underestimated the total number of pharmacists in the state. This table uses the revised data for 2005 and 2006. 17 Primary care physicians are those who report their primary specialty as family practice, general practice, internal medicine, pediatrics, or obstetrics/ gynecology. 2 0 0 6 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 2006 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 Chowan 14,677 21.8 12.9 2.7 98.1 5.5 Clay 10,116 5.9 4.9 4.0 40.5 5.9 Cleveland 96,720 17.8 8.5 3.1 87.0 6.3 Columbus 54,666 10.4 5.3 2.0 81.8 9.5 Craven 95,566 20.9 7.5 4.4 101.2 8.2 Cumberland 306,545 15.9 7.5 3.9 74.4 6.5 Currituck 23,580 3.4 2.5 1.7 25.4 1.7 Dare 34,730 13.5 7.2 6.3 63.3 7.8 Davidson 155,343 8.0 4.8 1.7 46.0 4.6 Davie 39,838 5.3 4.3 2.5 32.6 5.5 Duplin 52,708 6.5 5.5 1.9 52.2 5.7 Durham 246,825 67.1 21.9 6.8 211.1 25.8 Edgecombe 52,641 6.3 3.8 1.3 59.3 4.6 Forsyth 331,851 40.7 14.0 5.8 168.3 13.6 Franklin 55,316 4.3 2.9 1.1 41.2 3.6 Gaston 197,232 18.0 8.5 3.7 74.0 8.1 Gates 11,563 0.9 0.9 0.0 19.0 2.6 Graham 8,106 4.9 4.9 1.2 44.4 4.9 Granville 53,837 13.7 6.3 2.8 96.4 8.7 Greene 20,839 2.4 2.4 2.4 34.6 1.9 Guilford 449,071 24.7 10.5 5.4 113.0 9.9 Halifax 55,601 12.9 7.0 2.5 71.0 6.5 Harnett 103,717 5.0 3.3 1.7 34.2 5.8 Haywood 56,664 18.7 7.8 4.4 73.9 6.9 Henderson 100,106 22.2 10.7 4.6 93.8 8.1 Hertford 23,901 16.3 8.4 4.6 115.1 5.4 Hoke 42,186 3.3 3.1 1.4 27.0 3.1 Hyde 5,511 0.0 0.0 0.0 45.4 0.0 Iredell 145,232 19.2 8.9 4.3 110.0 9.5 Jackson 36,312 21.5 10.7 5.0 90.3 6.3 Johnston 151,589 7.3 4.6 2.0 40.0 6.2 Jones 10,318 28.1 20.4 1.0 47.5 2.9 Lee 55,282 15.4 8.3 3.6 64.6 6.9 Lenoir 58,170 16.8 6.7 4.8 102.1 14.6 Lincoln 71,298 7.7 5.9 2.8 45.0 6.6 McDowell 43,636 6.6 4.8 2.3 60.3 5.3 Macon 33,078 21.5 10.9 3.9 60.5 7.0 Madison 20,449 7.3 6.4 1.0 34.7 3.4 Martin 24,396 7.8 5.7 2.0 54.9 6.6 Mecklenburg 826,897 26.0 10.5 6.4 109.9 10.2 Mitchell 15,894 18.2 13.8 4.4 95.6 8.2 Montgomery 27,505 2.9 2.9 1.8 37.8 6.2 Moore 82,288 29.7 9.0 6.3 133.3 9.0 Nash 92,223 20.1 9.3 4.9 101.2 6.9 New Hanover 184,116 32.9 12.9 7.3 143.7 10.7 Northampton 21,522 3.3 1.9 0.5 31.6 2.8 Onslow 161,224 7.9 4.2 3.4 48.4 4.2 Orange 123,762 86.9 31.7 11.0 217.6 18.7 Pamlico 13,097 4.6 4.6 3.8 34.4 4.6 Pasquotank 39,968 26.0 9.5 3.0 112.1 8.8 Pender 48,726 3.9 2.9 2.1 33.2 4.9 Perquimans 12,464 1.6 1.6 1.6 17.7 2.4 Person 37,440 9.1 5.3 1.9 44.1 7.2 2 0 0 6 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 2006 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 Pitt 146,398 44.7 17.9 4.4 193.4 12.7 Polk 19,088 13.1 5.8 4.2 80.2 5.8 Randolph 138,582 8.6 4.8 2.5 39.0 4.5 Richmond 46,699 9.9 6.6 2.6 74.5 6.4 Robeson 129,054 10.5 5.4 1.8 62.8 5.6 Rockingham 91,840 11.5 6.3 2.8 51.8 8.8 Rowan 134,538 10.9 5.1 4.0 77.8 7.3 Rutherford 63,177 13.5 7.4 2.5 70.3 7.1 Sampson 64,048 9.1 6.2 1.7 52.5 5.5 Scotland 36,993 15.7 9.2 2.4 84.6 8.4 Stanly 59,126 12.5 7.3 2.9 63.8 6.3 Stokes 46,334 3.9 2.8 1.5 27.2 3.5 Surry 73,000 14.5 8.2 3.3 80.7 7.8 Swain 13,940 14.3 12.9 3.6 79.6 6.5 Transylvania 30,354 14.8 8.9 3.3 74.1 6.6 Tyrrell 4,248 2.4 2.4 0.0 30.6 2.4 Union 172,094 7.8 4.8 2.1 43.1 6.1 Vance 43,925 16.2 8.9 2.3 61.5 8.0 Wake 789,969 22.6 9.6 6.7 100.1 11.3 Warren 19,969 1.5 1.5 2.5 17.5 5.0 Washington 13,364 4.5 3.7 2.2 50.9 4.5 Watauga 43,406 24.4 10.4 6.0 89.6 7.8 Wayne 114,920 15.7 6.9 3.8 86.1 7.3 Wilkes 66,924 10.3 6.3 2.7 61.7 4.8 Wilson 77,472 14.3 6.5 2.7 82.2 9.2 Yadkin 37,810 4.2 4.0 1.1 30.9 2.6 Yancey 18,368 5.4 5.4 2.2 44.1 3.8 State Total 8,860,341 20.8 9.0 4.4 92.9 8.9 2 0 0 6 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 AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 10.7 Teen Pregnancies 337 Teen Pregnancy Rate 64.2 Total Pregnancies 2,277 Total Pregnancy Rate 76.5 Total 11.0 White 9.5 Unemployed 2006 3,866 Employed 2006 66,089 Labor Force 2006 69,955 Unemployment Rate 2006 (%) 5.5 Per Capita Income 2005 $ 27,551 Medicaid Eligibles 2006 24,606 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 16,070 General Hospital Beds 2006 182 Nursing Facility Beds 2006 872 Total Ages 0- 19 Ages 20- 64 Ages 65+ 139,786 110,461 29,325 38,614 29,516 9,098 82,670 65,326 17,344 18,502 15,619 2,883 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 208 Primary Care Physicians 97 Nurse Practitioners 25 Family Practice 32 General Practice 1 Internal Medicine 31 Obstetrics/ Gynecology 10 Pediatrics 23 Physician Assistants 21 Licensed Practical Nurses 183 Registered Nurses 855 Federal Physicians 0 Other Specialties 111 Physicians per 10,000 Population 14.9 Primary Care Physicians per 10,000 Population 6.9 Nurses Chiropractors 20 Optometrists 17 Pharmacists 109 Physical Therapists 70 Physical Therapist Assistants 12 Podiatrists 4 Practicing Psychologists 11 Psychological Associates 4 ** 100.0% 27.6% 59.1% 13.2% Resident Births 1,820 Resident Deaths 1,359 Nonwhite 17.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 6 Dentists and Dental Hygienists Dentists 64 Dental Hygienists 67 Other Health Professionals Respiratory Therapists 25 Occupational Therapists 30 Occupational Therapy Assistants 6 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 22 © 2007 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. * ** Alexander MSA county designation: Metropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.2 Teen Pregnancies 64 Teen Pregnancy Rate 61.8 Total Pregnancies 475 Total Pregnancy Rate 66.1 Total 14.1 White 15.0 Unemployed 2006 902 Employed 2006 17,597 Labor Force 2006 18,499 Unemployment Rate 2006 (%) 4.9 Per Capita Income 2005 $ 26,760 Medicaid Eligibles 2006 6,519 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 3,907 General Hospital Beds 2006 25 Nursing Facility Beds 2006 183 Total Ages 0- 19 Ages 20- 64 Ages 65+ 36,296 34,080 2,216 9,580 8,838 742 22,103 20,874 1,229 4,613 4,368 245 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 17 Primary Care Physicians 12 Nurse Practitioners 0 Family Practice 9 General Practice 0 Internal Medicine 2 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 9 Licensed Practical Nurses 32 Registered Nurses 118 Federal Physicians 0 Other Specialties 5 Physicians per 10,000 Population 4.7 Primary Care Physicians per 10,000 Population 3.3 Nurses Chiropractors 3 Optometrists 1 Pharmacists 19 Physical Therapists 3 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 2 Psychological Associates 4 ** 100.0% 26.4% 60.9% 12.7% Resident Births 426 Resident Deaths 305 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 5 Dental Hygienists 14 Other Health Professionals Respiratory Therapists 5 Occupational Therapists 2 Occupational Therapy Assistants 4 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 23 © 2007 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. * ** Alleghany MSA county designation: Nonmetropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 13.8 Teen Pregnancies 11 Teen Pregnancy Rate 44.2 Total Pregnancies 120 Total Pregnancy Rate 67.6 Total 18.3 White 18.5 Unemployed 2006 252 Employed 2006 4,747 Labor Force 2006 4,999 Unemployment Rate 2006 (%) 5.0 Per Capita Income 2005 $ 26,205 Medicaid Eligibles 2006 2,314 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 1,485 General Hospital Beds 2006 25 Nursing Facility Beds 2006 90 Total Ages 0- 19 Ages 20- 64 Ages 65+ 11,000 10,800 200 2,303 2,274 29 6,508 6,353 155 2,189 2,173 16 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 12 Primary Care Physicians 9 Nurse Practitioners 1 Family Practice 8 General Practice 0 Internal Medicine 1 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 2 Licensed Practical Nurses 9 Registered Nurses 54 Federal Physicians 0 Other Specialties 3 Physicians per 10,000 Population 10.9 Primary Care Physicians per 10,000 Population 8.2 Nurses Chiropractors 1 Optometrists 1 Pharmacists 7 Physical Therapists 2 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 0 ** 100.0% 20.9% 59.2% 19.9% Resident Births 109 Resident Deaths 143 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 1 Dental Hygienists 2 Other Health Professionals Respiratory Therapists 3 Occupational Therapists 4 Occupational Therapy Assistants 2 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 24 © 2007 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. * ** Anson MSA county designation: Nonmetropolitan AHEC Region: Charlotte AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 12.3 Teen Pregnancies 68 Teen Pregnancy Rate 84.4 Total Pregnancies 376 Total Pregnancy Rate 78.5 Total 16.6 White 0.0 Unemployed 2006 817 Employed 2006 10,302 Labor Force 2006 11,119 Unemployment Rate 2006 (%) 7.3 Per Capita Income 2005 $ 23,713 Medicaid Eligibles 2006 7,130 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 3,966 General Hospital Beds 2006 52 Nursing Facility Beds 2006 161 Total Ages 0- 19 Ages 20- 64 Ages 65+ 25,372 12,527 12,845 6,780 2,929 3,851 15,065 7,268 7,797 3,527 2,330 1,197 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 18 Primary Care Physicians 8 Nurse Practitioners 3 Family Practice 3 General Practice 0 Internal Medicine 4 Obstetrics/ Gynecology 0 Pediatrics 1 Physician Assistants 3 Licensed Practical Nurses 63 Registered Nurses 130 Federal Physicians 2 Other Specialties 10 Physicians per 10,000 Population 7.1 Primary Care Physicians per 10,000 Population 3.2 Nurses Chiropractors 1 Optometrists 2 Pharmacists 10 Physical Therapists 4 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 1 Psychological Associates 4 ** 100.0% 26.7% 59.4% 13.9% Resident Births 302 Resident Deaths 264 Nonwhite 30.3 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 4 Dental Hygienists 2 Other Health Professionals Respiratory Therapists 8 Occupational Therapists 2 Occupational Therapy Assistants 5 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 25 © 2007 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. * ** Ashe MSA county designation: Nonmetropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.1 Teen Pregnancies 34 Teen Pregnancy Rate 57.5 Total Pregnancies 292 Total Pregnancy Rate 67.6 Total 10.9 White 11.0 Unemployed 2006 736 Employed 2006 12,122 Labor Force 2006 12,858 Unemployment Rate 2006 (%) 5.7 Per Capita Income 2005 $ 25,899 Medicaid Eligibles 2006 5,349 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 3,217 General Hospital Beds 2006 76 Nursing Facility Beds 2006 210 Total Ages 0- 19 Ages 20- 64 Ages 65+ 25,778 25,382 396 5,508 5,393 115 15,377 15,132 245 4,893 4,857 36 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 19 Primary Care Physicians 14 Nurse Practitioners 7 Family Practice 10 General Practice 1 Internal Medicine 2 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 4 Licensed Practical Nurses 36 Registered Nurses 124 Federal Physicians 1 Other Specialties 5 Physicians per 10,000 Population 7.4 Primary Care Physicians per 10,000 Population 5.4 Nurses Chiropractors 5 Optometrists 3 Pharmacists 16 Physical Therapists 7 Physical Therapist Assistants 9 Podiatrists 0 Practicing Psychologists 3 Psychological Associates 5 ** 100.0% 21.4% 59.7% 19.0% Resident Births 274 Resident Deaths 327 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 5 Dental Hygienists 4 Other Health Professionals Respiratory Therapists 9 Occupational Therapists 3 Occupational Therapy Assistants 2 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 26 © 2007 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. * ** Avery MSA county designation: Nonmetropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 5.5 Teen Pregnancies 22 Teen Pregnancy Rate 47.5 Total Pregnancies 183 Total Pregnancy Rate 61.1 Total 18.2 White 18.3 Unemployed 2006 402 Employed 2006 7,603 Labor Force 2006 8,005 Unemployment Rate 2006 (%) 5.0 Per Capita Income 2005 $ 25,115 Medicaid Eligibles 2006 3,324 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 2,381 General Hospital Beds 2006 40 Nursing Facility Beds 2006 128 Total Ages 0- 19 Ages 20- 64 Ages 65+ 18,174 17,191 983 3,749 3,667 82 11,421 10,543 878 3,004 2,981 23 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 22 Primary Care Physicians 12 Nurse Practitioners 6 Family Practice 8 General Practice 1 Internal Medicine 2 Obstetrics/ Gynecology 1 Pediatrics 0 Physician Assistants 1 Licensed Practical Nurses 49 Registered Nurses 132 Federal Physicians 0 Other Specialties 10 Physicians per 10,000 Population 12.1 Primary Care Physicians per 10,000 Population 6.6 Nurses Chiropractors 1 Optometrists 1 Pharmacists 17 Physical Therapists 8 Physical Therapist Assistants 5 Podiatrists 0 Practicing Psychologists 2 Psychological Associates 1 ** 100.0% 20.6% 62.8% 16.5% Resident Births 165 Resident Deaths 211 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 6 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 6 Occupational Therapists 2 Occupational Therapy Assistants 1 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 27 © 2007 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. * ** Beaufort MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 11.6 Teen Pregnancies 86 Teen Pregnancy Rate 68.9 Total Pregnancies 662 Total Pregnancy Rate 80.2 Total 7.1 White 2.7 Unemployed 2006 1,204 Employed 2006 19,264 Labor Force 2006 20,468 Unemployment Rate 2006 (%) 5.9 Per Capita Income 2005 $ 25,737 Medicaid Eligibles 2006 11,300 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 6,142 General Hospital Beds 2006 159 Nursing Facility Beds 2006 300 Total Ages 0- 19 Ages 20- 64 Ages 65+ 46,344 32,957 13,387 11,360 7,361 3,999 27,302 19,715 7,587 7,682 5,881 1,801 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 62 Primary Care Physicians 30 Nurse Practitioners 13 Family Practice 11 General Practice 1 Internal Medicine 10 Obstetrics/ Gynecology 2 Pediatrics 6 Physician Assistants 9 Licensed Practical Nurses 102 Registered Nurses 412 Federal Physicians 0 Other Specialties 32 Physicians per 10,000 Population 13.4 Primary Care Physicians per 10,000 Population 6.5 Nurses Chiropractors 6 Optometrists 7 Pharmacists 31 Physical Therapists 11 Physical Therapist Assistants 16 Podiatrists 4 Practicing Psychologists 0 Psychological Associates 4 ** 100.0% 24.5% 58.9% 16.6% Resident Births 567 Resident Deaths 569 Nonwhite 15.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 17 Dental Hygienists 22 Other Health Professionals Respiratory Therapists 16 Occupational Therapists 6 Occupational Therapy Assistants 11 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 28 © 2007 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. * ** Bertie MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 15.7 Teen Pregnancies 53 Teen Pregnancy Rate 86.3 Total Pregnancies 293 Total Pregnancy Rate 78.5 Total 17.4 White 0.0 Unemployed 2006 584 Employed 2006 8,230 Labor Force 2006 8,814 Unemployment Rate 2006 (%) 6.6 Per Capita Income 2005 $ 23,859 Medicaid Eligibles 2006 6,460 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 2,939 General Hospital Beds 2006 6 Nursing Facility Beds 2006 142 Total Ages 0- 19 Ages 20- 64 Ages 65+ 19,352 7,002 12,350 5,070 1,407 3,663 11,104 4,114 6,990 3,178 1,481 1,697 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 9 Primary Care Physicians 9 Nurse Practitioners 3 Family Practice 6 General Practice 0 Internal Medicine 1 Obstetrics/ Gynecology 1 Pediatrics 1 Physician Assistants 8 Licensed Practical Nurses 53 Registered Nurses 104 Federal Physicians 0 Other Specialties 0 Physicians per 10,000 Population 4.7 Primary Care Physicians per 10,000 Population 4.7 Nurses Chiropractors 0 Optometrists 1 Pharmacists 8 Physical Therapists 0 Physical Therapist Assistants 2 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 2 ** 100.0% 26.2% 57.4% 16.4% Resident Births 230 Resident Deaths 251 Nonwhite 23.5 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 1 Dental Hygienists 0 Other Health Professionals Respiratory Therapists 3 Occupational Therapists 3 Occupational Therapy Assistants 0 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 29 © 2007 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. * ** Bladen MSA county designation: Nonmetropolitan AHEC Region: Southern Regional HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 10.5 Teen Pregnancies 77 Teen Pregnancy Rate 78.8 Total Pregnancies 506 Total Pregnancy Rate 80.4 Total 25.1 White 17.9 Unemployed 2006 991 Employed 2006 14,399 Labor Force 2006 15,390 Unemployment Rate 2006 (%) 6.4 Per Capita Income 2005 $ 24,304 Medicaid Eligibles 2006 10,255 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 4,121 General Hospital Beds 2006 48 Nursing Facility Beds 2006 194 Total Ages 0- 19 Ages 20- 64 Ages 65+ 32,872 19,767 13,105 8,775 4,823 3,952 19,345 11,878 7,467 4,752 3,066 1,686 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 24 Primary Care Physicians 20 Nurse Practitioners 5 Family Practice 12 General Practice 2 Internal Medicine 4 Obstetrics/ Gynecology 2 Pediatrics 0 Physician Assistants 10 Licensed Practical Nurses 75 Registered Nurses 157 Federal Physicians 0 Other Specialties 4 Physicians per 10,000 Population 7.3 Primary Care Physicians per 10,000 Population 6.1 Nurses Chiropractors 2 Optometrists 2 Pharmacists 15 Physical Therapists 4 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 1 Psychological Associates 1 ** 100.0% 26.7% 58.8% 14.5% Resident Births 439 Resident Deaths 403 Nonwhite 37.7 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 6 Dental Hygienists 7 Other Health Professionals Respiratory Therapists 11 Occupational Therapists 2 Occupational Therapy Assistants 1 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 30 © 2007 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. * ** Brunswick MSA county designation: Metropolitan AHEC Region: Coastal AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.3 Teen Pregnancies 164 Teen Pregnancy Rate 69.0 Total Pregnancies 1,164 Total Pregnancy Rate 75.9 Total 10.3 White 11.0 Unemployed 2006 2,064 Employed 2006 43,356 Labor Force 2006 45,420 Unemployment Rate 2006 (%) 4.5 Per Capita Income 2005 $ 26,866 Medicaid Eligibles 2006 17,380 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 11,359 General Hospital Beds 2006 96 Nursing Facility Beds 2006 454 Total Ages 0- 19 Ages 20- 64 Ages 65+ 94,964 80,779 14,185 20,992 16,520 4,472 56,398 48,160 8,238 17,574 16,099 1,475 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 93 Primary Care Physicians 50 Nurse Practitioners 16 Family Practice 18 General Practice 2 Internal Medicine 16 Obstetrics/ Gynecology 7 Pediatrics 7 Physician Assistants 26 Licensed Practical Nurses 206 Registered Nurses 443 Federal Physicians 1 Other Specialties 43 Physicians per 10,000 Population 9.8 Primary Care Physicians per 10,000 Population 5.3 Nurses Chiropractors 18 Optometrists 10 Pharmacists 66 Physical Therapists 30 Physical Therapist Assistants 8 Podiatrists 2 Practicing Psychologists 7 Psychological Associates 1 ** 100.0% 22.1% 59.4% 18.5% Resident Births 967 Resident Deaths 869 Nonwhite 6.8 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 25 Dental Hygienists 29 Other Health Professionals Respiratory Therapists 26 Occupational Therapists 19 Occupational Therapy Assistants 16 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 31 © 2007 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. * ** Buncombe MSA county designation: Metropolitan AHEC Region: Mountain AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 8.9 Teen Pregnancies 395 Teen Pregnancy Rate 58.0 Total Pregnancies 3,266 Total Pregnancy Rate 75.0 Total 10.7 White 10.5 Unemployed 2006 4,525 Employed 2006 114,405 Labor Force 2006 118,930 Unemployment Rate 2006 (%) 3.8 Per Capita Income 2005 $ 30,158 Medicaid Eligibles 2006 40,951 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 21,164 General Hospital Beds 2006 673 Nursing Facility Beds 2006 1,668 Total Ages 0- 19 Ages 20- 64 Ages 65+ 221,327 200,725 20,602 52,801 46,333 6,468 135,234 123,072 12,162 33,292 31,320 1,972 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 786 Primary Care Physicians 331 Nurse Practitioners 107 Family Practice 123 General Practice 8 Internal Medicine 107 Obstetrics/ Gynecology 50 Pediatrics 43 Physician Assistants 124 Licensed Practical Nurses 742 Registered Nurses 3,685 Federal Physicians 56 Other Specialties 455 Physicians per 10,000 Population 35.5 Primary Care Physicians per 10,000 Population 15.0 Nurses Chiropractors 65 Optometrists 30 Pharmacists 271 Physical Therapists 214 Physical Therapist Assistants 82 Podiatrists 11 Practicing Psychologists 117 Psychological Associates 51 ** 100.0% 23.9% 61.1% 15.0% Resident Births 2,621 Resident Deaths 2,227 Nonwhite 12.3 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 12 Dentists and Dental Hygienists Dentists 140 Dental Hygienists 169 Other Health Professionals Respiratory Therapists 161 Occupational Therapists 106 Occupational Therapy Assistants 29 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 32 © 2007 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. * ** Burke MSA county designation: Metropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 8.5 Teen Pregnancies 181 Teen Pregnancy Rate 64.0 Total Pregnancies 1,122 Total Pregnancy Rate 65.6 Total 12.1 White 13.9 Unemployed 2006 2,434 Employed 2006 39,602 Labor Force 2006 42,036 Unemployment Rate 2006 (%) 5.8 Per Capita Income 2005 $ 25,945 Medicaid Eligibles 2006 17,845 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 10,735 General Hospital Beds 2006 354 Nursing Facility Beds 2006 556 Total Ages 0- 19 Ages 20- 64 Ages 65+ 88,664 77,276 11,388 23,534 18,899 4,635 52,807 46,843 5,964 12,323 11,534 789 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 185 Primary Care Physicians 79 Nurse Practitioners 18 Family Practice 40 General Practice 3 Internal Medicine 21 Obstetrics/ Gynecology 9 Pediatrics 6 Physician Assistants 20 Licensed Practical Nurses 159 Registered Nurses 941 Federal Physicians 0 Other Specialties 106 Physicians per 10,000 Population 20.9 Primary Care Physicians per 10,000 Population 8.9 Nurses Chiropractors 9 Optometrists 4 Pharmacists 76 Physical Therapists 31 Physical Therapist Assistants 33 Podiatrists 1 Practicing Psychologists 34 Psychological Associates 42 ** 100.0% 26.5% 59.6% 13.9% Resident Births 992 Resident Deaths 869 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 2 Dentists and Dental Hygienists Dentists 34 Dental Hygienists 33 Other Health Professionals Respiratory Therapists 21 Occupational Therapists 28 Occupational Therapy Assistants 29 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 33 © 2007 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. * ** Cabarrus MSA county designation: Metropolitan AHEC Region: Charlotte AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.3 Teen Pregnancies 273 Teen Pregnancy Rate 54.8 Total Pregnancies 2,790 Total Pregnancy Rate 86.9 Total 4.6 White 4.0 Unemployed 2006 3,354 Employed 2006 77,545 Labor Force 2006 80,899 Unemployment Rate 2006 (%) 4.1 Per Capita Income 2005 $ 32,111 Medicaid Eligibles 2006 24,866 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 18,219 General Hospital Beds 2006 447 Nursing Facility Beds 2006 691 Total Ages 0- 19 Ages 20- 64 Ages 65+ 157,176 134,677 22,499 45,717 37,744 7,973 94,640 81,772 12,868 16,819 15,161 1,658 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 366 Primary Care Physicians 174 Nurse Practitioners 43 Family Practice 67 General Practice 1 Internal Medicine 56 Obstetrics/ Gynecology 17 Pediatrics 33 Physician Assistants 33 Licensed Practical Nurses 221 Registered Nurses 1,591 Federal Physicians 1 Other Specialties 192 Physicians per 10,000 Population 23.3 Primary Care Physicians per 10,000 Population 11.1 Nurses Chiropractors 31 Optometrists 16 Pharmacists 151 Physical Therapists 48 Physical Therapist Assistants 40 Podiatrists 4 Practicing Psychologists 18 Psychological Associates 23 ** 100.0% 29.1% 60.2% 10.7% Resident Births 2,389 Resident Deaths 1,287 Nonwhite 7.7 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 4 Dentists and Dental Hygienists Dentists 48 Dental Hygienists 89 Other Health Professionals Respiratory Therapists 66 Occupational Therapists 29 Occupational Therapy Assistants 23 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 34 © 2007 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. * ** Caldwell MSA county designation: Metropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 10.1 Teen Pregnancies 175 Teen Pregnancy Rate 75.8 Total Pregnancies 1,027 Total Pregnancy Rate 67.1 Total 7.5 White 5.7 Unemployed 2006 3,031 Employed 2006 37,196 Labor Force 2006 40,227 Unemployment Rate 2006 (%) 7.5 Per Capita Income 2005 $ 26,814 Medicaid Eligibles 2006 16,268 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 10,048 General Hospital Beds 2006 110 Nursing Facility Beds 2006 400 Total Ages 0- 19 Ages 20- 64 Ages 65+ 79,297 73,914 5,383 20,065 18,253 1,812 47,926 44,899 3,027 11,306 10,762 544 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 72 Primary Care Physicians 42 Nurse Practitioners 15 Family Practice 22 General Practice 1 Internal Medicine 8 Obstetrics/ Gynecology 5 Pediatrics 6 Physician Assistants 11 Licensed Practical Nurses 86 Registered Nurses 390 Federal Physicians 0 Other Specialties 30 Physicians per 10,000 Population 9.1 Primary Care Physicians per 10,000 Population 5.3 Nurses Chiropractors 4 Optometrists 4 Pharmacists 43 Physical Therapists 11 Physical Therapist Assistants 20 Podiatrists 1 Practicing Psychologists 4 Psychological Associates 5 ** 100.0% 25.3% 60.4% 14.3% Resident Births 929 Resident Deaths 829 Nonwhite 39.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 2 Dentists and Dental Hygienists Dentists 23 Dental Hygienists 29 Other Health Professionals Respiratory Therapists 17 Occupational Therapists 3 Occupational Therapy Assistants 14 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 35 © 2007 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. * ** Camden MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 10.2 Teen Pregnancies 9 Teen Pregnancy Rate 31.5 Total Pregnancies 110 Total Pregnancy Rate 62.3 Total 0.0 White 0.0 Unemployed 2006 195 Employed 2006 4,333 Labor Force 2006 4,528 Unemployment Rate 2006 (%) 4.3 Per Capita Income 2005 $ 27,167 Medicaid Eligibles 2006 1,177 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 702 General Hospital Beds 2006 0 Nursing Facility Beds 2006 0 Total Ages 0- 19 Ages 20- 64 Ages 65+ 9,298 7,852 1,446 2,399 2,036 363 5,659 4,824 835 1,240 992 248 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 1 Primary Care Physicians 1 Nurse Practitioners 0 Family Practice 1 General Practice 0 Internal Medicine 0 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 0 Licensed Practical Nurses 10 Registered Nurses 16 Federal Physicians 0 Other Specialties 0 Physicians per 10,000 Population 1.1 Primary Care Physicians per 10,000 Population 1.1 Nurses Chiropractors 0 Optometrists 0 Pharmacists 0 Physical Therapists 0 Physical Therapist Assistants 0 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 0 ** 100.0% 25.8% 60.9% 13.3% Resident Births 98 Resident Deaths 57 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 0 Dental Hygienists 0 Other Health Professionals Respiratory Therapists 0 Occupational Therapists 0 Occupational Therapy Assistants 0 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 36 © 2007 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. * ** Carteret MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 7.1 Teen Pregnancies 106 Teen Pregnancy Rate 63.9 Total Pregnancies 823 Total Pregnancy Rate 76.6 Total 2.9 White 1.6 Unemployed 2006 1,385 Employed 2006 32,024 Labor Force 2006 33,409 Unemployment Rate 2006 (%) 4.1 Per Capita Income 2005 $ 30,961 Medicaid Eligibles 2006 9,789 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 7,545 General Hospital Beds 2006 117 Nursing Facility Beds 2006 424 Total Ages 0- 19 Ages 20- 64 Ages 65+ 63,557 58,214 5,343 13,019 11,454 1,565 38,533 35,316 3,217 12,005 11,444 561 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 97 Primary Care Physicians 44 Nurse Practitioners 22 Family Practice 19 General Practice 2 Internal Medicine 11 Obstetrics/ Gynecology 9 Pediatrics 3 Physician Assistants 15 Licensed Practical Nurses 182 Registered Nurses 468 Federal Physicians 1 Other Specialties 53 Physicians per 10,000 Population 15.3 Primary Care Physicians per 10,000 Population 6.9 Nurses Chiropractors 10 Optometrists 7 Pharmacists 55 Physical Therapists 28 Physical Therapist Assistants 12 Podiatrists 3 Practicing Psychologists 6 Psychological Associates 3 ** 100.0% 20.5% 60.6% 18.9% Resident Births 679 Resident Deaths 691 Nonwhite 13.9 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 35 Dental Hygienists 48 Other Health Professionals Respiratory Therapists 39 Occupational Therapists 8 Occupational Therapy Assistants 2 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 37 © 2007 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. * ** Caswell MSA county designation: Nonmetropolitan AHEC Region: Greensboro AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 8.8 Teen Pregnancies 40 Teen Pregnancy Rate 58.5 Total Pregnancies 312 Total Pregnancy Rate 71.6 Total 11.5 White 10.9 Unemployed 2006 778 Employed 2006 10,025 Labor Force 2006 10,803 Unemployment Rate 2006 (%) 7.2 Per Capita Income 2005 $ 23,564 Medicaid Eligibles 2006 5,393 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 1,276 General Hospital Beds 2006 0 Nursing Facility Beds 2006 157 Total Ages 0- 19 Ages 20- 64 Ages 65+ 23,541 15,202 8,339 5,830 3,797 2,033 14,579 9,374 5,205 3,132 2,031 1,101 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 13 Primary Care Physicians 12 Nurse Practitioners 3 Family Practice 9 General Practice 0 Internal Medicine 3 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 2 Licensed Practical Nurses 23 Registered Nurses 50 Federal Physicians 0 Other Specialties 1 Physicians per 10,000 Population 5.5 Primary Care Physicians per 10,000 Population 5.1 Nurses Chiropractors 0 Optometrists 1 Pharmacists 6 Physical Therapists 4 Physical Therapist Assistants 2 Podiatrists 1 Practicing Psychologists 1 Psychological Associates 0 ** 100.0% 24.8% 61.9% 13.3% Resident Births 260 Resident Deaths 246 Nonwhite 13.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 2 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 0 Occupational Therapists 0 Occupational Therapy Assistants 1 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 38 © 2007 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. * ** Catawba MSA county designation: Metropolitan AHEC Region: Northwest AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.0 Teen Pregnancies 302 Teen Pregnancy Rate 62.7 Total Pregnancies 2,341 Total Pregnancy Rate 77.2 Total 9.0 White 8.8 Unemployed 2006 4,210 Employed 2006 73,575 Labor Force 2006 77,785 Unemployment Rate 2006 (%) 5.4 Per Capita Income 2005 $ 28,598 Medicaid Eligibles 2006 27,128 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 15,415 General Hospital Beds 2006 409 Nursing Facility Beds 2006 759 Total Ages 0- 19 Ages 20- 64 Ages 65+ 151,126 130,808 20,318 41,006 32,969 8,037 91,462 80,453 11,009 18,658 17,386 1,272 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 355 Primary Care Physicians 137 Nurse Practitioners 65 Family Practice 67 General Practice 1 Internal Medicine 37 Obstetrics/ Gynecology 20 Pediatrics 12 Physician Assistants 67 Licensed Practical Nurses 282 Registered Nurses 1,695 Federal Physicians 0 Other Specialties 218 Physicians per 10,000 Population 23.5 Primary Care Physicians per 10,000 Population 9.1 Nurses Chiropractors 22 Optometrists 14 Pharmacists 140 Physical Therapists 72 Physical Therapist Assistants 65 Podiatrists 9 Practicing Psychologists 11 Psychological Associates 23 ** 100.0% 27.1% 60.5% 12.3% Resident Births 2,006 Resident Deaths 1,326 Nonwhite 10.2 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 10 Dentists and Dental Hygienists Dentists 67 Dental Hygienists 82 Other Health Professionals Respiratory Therapists 67 Occupational Therapists 45 Occupational Therapy Assistants 29 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 39 © 2007 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. * ** Chatham MSA county designation: Metropolitan AHEC Region: Greensboro AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.5 Teen Pregnancies 96 Teen Pregnancy Rate 59.5 Total Pregnancies 872 Total Pregnancy Rate 80.8 Total 9.4 White 7.6 Unemployed 2006 1,260 Employed 2006 30,973 Labor Force 2006 32,233 Unemployment Rate 2006 (%) 3.9 Per Capita Income 2005 $ 38,426 Medicaid Eligibles 2006 7,847 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 4,582 General Hospital Beds 2006 68 Nursing Facility Beds 2006 376 Total Ages 0- 19 Ages 20- 64 Ages 65+ 57,708 48,175 9,533 14,078 11,650 2,428 34,945 29,190 5,755 8,685 7,335 1,350 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 42 Primary Care Physicians 30 Nurse Practitioners 13 Family Practice 21 General Practice 0 Internal Medicine 6 Obstetrics/ Gynecology 1 Pediatrics 2 Physician Assistants 4 Licensed Practical Nurses 100 Registered Nurses 244 Federal Physicians 0 Other Specialties 12 Physicians per 10,000 Population 7.3 Primary Care Physicians per 10,000 Population 5.2 Nurses Chiropractors 5 Optometrists 4 Pharmacists 32 Physical Therapists 9 Physical Therapist Assistants 3 Podiatrists 0 Practicing Psychologists 5 Psychological Associates 6 ** 100.0% 24.4% 60.6% 15.0% Resident Births 746 Resident Deaths 510 Nonwhite 22.5 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 1 Dentists and Dental Hygienists Dentists 16 Dental Hygienists 30 Other Health Professionals Respiratory Therapists 3 Occupational Therapists 5 Occupational Therapy Assistants 2 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 40 © 2007 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. * ** Cherokee MSA county designation: Nonmetropolitan AHEC Region: Mountain AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.9 Teen Pregnancies 32 Teen Pregnancy Rate 54.4 Total Pregnancies 291 Total Pregnancy Rate 68.6 Total 0.0 White 0.0 Unemployed 2006 574 Employed 2006 10,043 Labor Force 2006 10,617 Unemployment Rate 2006 (%) 5.4 Per Capita Income 2005 $ 21,814 Medicaid Eligibles 2006 5,798 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 2,374 General Hospital Beds 2006 50 Nursing Facility Beds 2006 210 Total Ages 0- 19 Ages 20- 64 Ages 65+ 26,727 25,622 1,105 5,739 5,413 326 15,345 14,702 643 5,643 5,507 136 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 38 Primary Care Physicians 20 Nurse Practitioners 4 Family Practice 6 General Practice 0 Internal Medicine 9 Obstetrics/ Gynecology 2 Pediatrics 3 Physician Assistants 10 Licensed Practical Nurses 75 Registered Nurses 213 Federal Physicians 0 Other Specialties 18 Physicians per 10,000 Population 14.2 Primary Care Physicians per 10,000 Population 7.5 Nurses Chiropractors 4 Optometrists 5 Pharmacists 26 Physical Therapists 9 Physical Therapist Assistants 11 Podiatrists 0 Practicing Psychologists 7 Psychological Associates 4 ** 100.0% 21.5% 57.4% 21.1% Resident Births 273 Resident Deaths 311 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 9 Dental Hygienists 15 Other Health Professionals Respiratory Therapists 16 Occupational Therapists 4 Occupational Therapy Assistants 4 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 41 © 2007 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. * ** Chowan MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 14.9 Teen Pregnancies 42 Teen Pregnancy Rate 90.9 Total Pregnancies 210 Total Pregnancy Rate 80.5 Total 28.7 White 11.2 Unemployed 2006 357 Employed 2006 6,725 Labor Force 2006 7,082 Unemployment Rate 2006 (%) 5.0 Per Capita Income 2005 $ 28,456 Medicaid Eligibles 2006 3,630 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 1,769 General Hospital Beds 2006 49 Nursing Facility Beds 2006 170 Total Ages 0- 19 Ages 20- 64 Ages 65+ 14,677 9,032 5,645 3,621 1,846 1,775 8,265 5,146 3,119 2,791 2,040 751 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 32 Primary Care Physicians 19 Nurse Practitioners 2 Family Practice 8 General Practice 0 Internal Medicine 7 Obstetrics/ Gynecology 3 Pediatrics 1 Physician Assistants 1 Licensed Practical Nurses 61 Registered Nurses 144 Federal Physicians 0 Other Specialties 13 Physicians per 10,000 Population 21.8 Primary Care Physicians per 10,000 Population 12.9 Nurses Chiropractors 3 Optometrists 1 Pharmacists 8 Physical Therapists 1 Physical Therapist Assistants 6 Podiatrists 1 Practicing Psychologists 1 Psychological Associates 1 ** 100.0% 24.7% 56.3% 19.0% Resident Births 174 Resident Deaths 196 Nonwhite 47.1 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 2 Dentists and Dental Hygienists Dentists 4 Dental Hygienists 5 Other Health Professionals Respiratory Therapists 3 Occupational Therapists 3 Occupational Therapy Assistants 1 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 42 © 2007 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. * ** Clay MSA county designation: Nonmetropolitan AHEC Region: Mountain AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 2.3 Teen Pregnancies 15 Teen Pregnancy Rate 72.8 Total Pregnancies 98 Total Pregnancy Rate 68.0 Total 11.4 White 11.5 Unemployed 2006 184 Employed 2006 4,512 Labor Force 2006 4,696 Unemployment Rate 2006 (%) 3.9 Per Capita Income 2005 $ 23,230 Medicaid Eligibles 2006 2,069 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 756 General Hospital Beds 2006 0 Nursing Facility Beds 2006 90 Total Ages 0- 19 Ages 20- 64 Ages 65+ 10,116 9,972 144 1,938 1,886 52 5,794 5,718 76 2,384 2,368 16 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 6 Primary Care Physicians 5 Nurse Practitioners 3 Family Practice 5 General Practice 0 Internal Medicine 0 Obstetrics/ Gynecology 0 Pediatrics 0 Physician Assistants 2 Licensed Practical Nurses 20 Registered Nurses 41 Federal Physicians 0 Other Specialties 1 Physicians per 10,000 Population 5.9 Primary Care Physicians per 10,000 Population 4.9 Nurses Chiropractors 0 Optometrists 1 Pharmacists 6 Physical Therapists 3 Physical Therapist Assistants 0 Podiatrists 0 Practicing Psychologists 0 Psychological Associates 1 ** 100.0% 19.2% 57.3% 23.6% Resident Births 88 Resident Deaths 128 Nonwhite 0.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 4 Dental Hygienists 7 Other Health Professionals Respiratory Therapists 1 Occupational Therapists 1 Occupational Therapy Assistants 1 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 43 © 2007 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. * ** Cleveland MSA county designation: Nonmetropolitan AHEC Region: Charlotte AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.6 Teen Pregnancies 226 Teen Pregnancy Rate 65.7 Total Pregnancies 1,350 Total Pregnancy Rate 67.8 Total 13.1 White 9.4 Unemployed 2006 3,089 Employed 2006 44,963 Labor Force 2006 48,052 Unemployment Rate 2006 (%) 6.4 Per Capita Income 2005 $ 26,104 Medicaid Eligibles 2006 24,230 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 14,098 General Hospital Beds 2006 373 Nursing Facility Beds 2006 544 Total Ages 0- 19 Ages 20- 64 Ages 65+ 96,720 75,069 21,651 26,789 19,412 7,377 56,816 44,481 12,335 13,115 11,176 1,939 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 172 Primary Care Physicians 82 Nurse Practitioners 28 Family Practice 32 General Practice 1 Internal Medicine 27 Obstetrics/ Gynecology 6 Pediatrics 16 Physician Assistants 16 Licensed Practical Nurses 282 Registered Nurses 841 Federal Physicians 0 Other Specialties 90 Physicians per 10,000 Population 17.8 Primary Care Physicians per 10,000 Population 8.5 Nurses Chiropractors 9 Optometrists 10 Pharmacists 61 Physical Therapists 34 Physical Therapist Assistants 23 Podiatrists 3 Practicing Psychologists 2 Psychological Associates 7 ** 100.0% 27.7% 58.7% 13.6% Resident Births 1,144 Resident Deaths 969 Nonwhite 23.6 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 3 Dentists and Dental Hygienists Dentists 30 Dental Hygienists 60 Other Health Professionals Respiratory Therapists 37 Occupational Therapists 9 Occupational Therapy Assistants 12 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 44 © 2007 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. * ** Columbus MSA county designation: Nonmetropolitan AHEC Region: Coastal AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 11.4 Teen Pregnancies 145 Teen Pregnancy Rate 85.4 Total Pregnancies 860 Total Pregnancy Rate 81.3 Total 8.1 White 6.3 Unemployed 2006 1,353 Employed 2006 22,489 Labor Force 2006 23,842 Unemployment Rate 2006 (%) 5.7 Per Capita Income 2005 $ 25,319 Medicaid Eligibles 2006 17,906 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 7,770 General Hospital Beds 2006 154 Nursing Facility Beds 2006 323 Total Ages 0- 19 Ages 20- 64 Ages 65+ 54,666 35,463 19,203 14,852 8,760 6,092 32,079 21,122 10,957 7,735 5,581 2,154 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 57 Primary Care Physicians 29 Nurse Practitioners 13 Family Practice 10 General Practice 1 Internal Medicine 13 Obstetrics/ Gynecology 2 Pediatrics 3 Physician Assistants 20 Licensed Practical Nurses 131 Registered Nurses 447 Federal Physicians 0 Other Specialties 28 Physicians per 10,000 Population 10.4 Primary Care Physicians per 10,000 Population 5.3 Nurses Chiropractors 5 Optometrists 3 Pharmacists 52 Physical Therapists 13 Physical Therapist Assistants 11 Podiatrists 1 Practicing Psychologists 1 Psychological Associates 0 ** 100.0% 27.2% 58.7% 14.1% Resident Births 744 Resident Deaths 611 Nonwhite 11.4 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 0 Dentists and Dental Hygienists Dentists 11 Dental Hygienists 16 Other Health Professionals Respiratory Therapists 26 Occupational Therapists 6 Occupational Therapy Assistants 6 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 45 © 2007 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. * ** Craven MSA county designation: Nonmetropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.3 Teen Pregnancies 235 Teen Pregnancy Rate 82.4 Total Pregnancies 1,794 Total Pregnancy Rate 102.8 Total 7.2 White 5.4 Unemployed 2006 1,844 Employed 2006 40,021 Labor Force 2006 41,865 Unemployment Rate 2006 (%) 4.4 Per Capita Income 2005 $ 30,794 Medicaid Eligibles 2006 16,679 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 12,873 General Hospital Beds 2006 270 Nursing Facility Beds 2006 461 Total Ages 0- 19 Ages 20- 64 Ages 65+ 95,566 68,669 26,897 25,083 16,527 8,556 56,664 40,799 15,865 13,819 11,343 2,476 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 200 Primary Care Physicians 72 Nurse Practitioners 24 Family Practice 14 General Practice 3 Internal Medicine 32 Obstetrics/ Gynecology 8 Pediatrics 15 Physician Assistants 25 Licensed Practical Nurses 255 Registered Nurses 967 Federal Physicians 10 Other Specialties 128 Physicians per 10,000 Population 20.9 Primary Care Physicians per 10,000 Population 7.5 Nurses Chiropractors 15 Optometrists 15 Pharmacists 78 Physical Therapists 44 Physical Therapist Assistants 18 Podiatrists 3 Practicing Psychologists 12 Psychological Associates 16 ** 100.0% 26.2% 59.3% 14.5% Resident Births 1,527 Resident Deaths 902 Nonwhite 12.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 2 Dentists and Dental Hygienists Dentists 42 Dental Hygienists 46 Other Health Professionals Respiratory Therapists 49 Occupational Therapists 24 Occupational Therapy Assistants 14 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 46 © 2007 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. * ** Cumberland MSA county designation: Metropolitan AHEC Region: Southern Regional HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 8.9 Teen Pregnancies 812 Teen Pregnancy Rate 69.8 Total Pregnancies 6,844 Total Pregnancy Rate 97.7 Total 12.1 White 8.2 Unemployed 2006 7,201 Employed 2006 123,533 Labor Force 2006 130,734 Unemployment Rate 2006 (%) 5.5 Per Capita Income 2005 $ 33,192 Medicaid Eligibles 2006 60,289 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 27,868 General Hospital Beds 2006 394 Nursing Facility Beds 2006 939 Total Ages 0- 19 Ages 20- 64 Ages 65+ 306,545 172,785 133,760 93,100 47,323 45,777 187,731 108,444 79,287 25,714 17,018 8,696 2006 ACTIVE HEALTH PROFESSIONALS* Total White Nonwhite % of Pop. Physicians Non- Federal Physicians 486 Primary Care Physicians 230 Nurse Practitioners 75 Family Practice 70 General Practice 4 Internal Medicine 75 Obstetrics/ Gynecology 33 Pediatrics 48 Physician Assistants 146 Licensed Practical Nurses 902 Registered Nurses 2,282 Federal Physicians 167 Other Specialties 256 Physicians per 10,000 Population 15.9 Primary Care Physicians per 10,000 Population 7.5 Nurses Chiropractors 23 Optometrists 32 Pharmacists 199 Physical Therapists 102 Physical Therapist Assistants 95 Podiatrists 8 Practicing Psychologists 42 Psychological Associates 25 ** 100.0% 30.4% 61.2% 8.4% Resident Births 5,529 Resident Deaths 2,056 Nonwhite 18.0 ( Rates are per 1,000 population) ( ages 15- 19) ( ages 15- 19) Infant Mortality Rates 2006 ( Rates are per 1,000 population) Certified Nurse Midwives + ++ 12 Dentists and Dental Hygienists Dentists 120 Dental Hygienists 165 Other Health Professionals Respiratory Therapists 129 Occupational Therapists 61 Occupational Therapy Assistants 21 Numbers reported include those active within the profession and those newly licensed in 2006 with unknown activity status; inactives are excluded Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the 47 © 2007 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. * ** Currituck MSA county designation: Metropolitan AHEC Region: Eastern AHEC HEALTH- RELATED STATISTICS DEMOGRAPHICS Vital Statistics 2005 Employment and Income Data % Births < 2500 gms 9.8 Teen Pregnancies 33 Teen Pregnancy Rate 46.3 Total Pregnancies 328 Total Pregnancy Rate 70.6 Total 11.7 White 12.7 Unemployed 2006 429 Employed 2006 11,979 Labor Force 2006 12,408 Unemployment Rate 2006 (%) 3.5 Per Capita Income 2005 $ 29,982 Medicaid Eligibles 2006 2,763 Projected Population 2006 Hospital/ Facility Data General Hospital Discharges 2005 1,025 General Hospital Beds 2006 0 Nursing Facility Beds 2006 100 Total Ages 0- 19 Ages 20- 64 Ages 65+ 23,580 21,869 1,711 6,144 5,632 512 14 |
OCLC number | 30056349 |