North Carolina health professions data book

              &3^
A Special Report on Health Care Resources in North Carolina
North Carolina Health Professions
2003 DATA BOOK
AUG 1 ^006
Effective: October 2003
Cecil G. Sheps Center for Health Services Research
University of North Carolina at Chapel Hill
through support provided by
The North Carolina Area Health Education Centers Program
The UNC-Chapel Hill Office of the Provost (Health Affairs)
North Carolina Health Professions
2003 DATA BOOK
Effective: October 2003
An annual report prepared by:
The N.C. Health Professions Data System
Mari-Wells Hedgpeth, Research Associate
Shayla Higginbotham, Research Assistant
Erin P. Fraher, Director
Hazel L. Hadley, Applications Analyst Programmer
Cecil G. Sheps Center for Health Services Research
University of North Carolina at Chapel Hill
Campus Box #7590, 725 Airport Road
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 © 2004 by the University of North Carolina at Chapel Hill
2003 N.C. Health Professions Data Book
Table of Contents
List of Figures and Tables ii
Acknowledgments iii
Introduction 1
Sources and Limitations of the Data 2
Source of Health Professions Data 2
Definitions and Limitations 3
Population Data 4
Demographic and Economic Data 4
Summary of Trends in North Carolina Health Professional Supply 6
Changes in Supply 7
Physicians 7
Nurse Practitioners, Certified Nurse Midwives and Physician Assistants 8
Licensed Practical and Registered Nurses 9
Dentists and Dental Hygienists 10
Pharmacists 10
Physical Therapists and Physical Therapist Assistants 11
Psychologists and Psychological Associates 11
Podiatrists, Optometrists and Chiropractors 11
Changes in Practitioner to Population Ratios 22
Physicians per 10,000 Population Ratio 13
Primary Care Physicians per 10,000 Population Ratio 14
Dentists per 10,000 Population Ratio 15
Registered Nurses per 10,000 Population Ratio 17
Pharmacists per 10,000 Population Ratio 18
Active Health Professionals per 10,000 Population Ratios for All Counties 19
Inventory of Health Professions Including Selected Demographic, Economic and Health-Related
Statistics 22
County Totals in Alphabetic Order by County 23
State Totals 123
Nonmetropolitan County Totals 124
Metropolitan County Totals 125
Area Health Education Centers (AHEC) Regional Totals 126
Health Service Area (HSA) Regional Totals 135
Department of Environment, Health and Natural Resources (DEHNR) Regional Totals 141
Perinatal Care Regional (PCR) Totals 148
Appendix I: Technical Notes on Methods 154
Appendix II: Definition of Terms 155
Health Professions Related 155
Demographics 156
Location 161
Appendix III: Procedures for Requesting Additional Information 165
Procedures for Requesting Additional Information 165
Addresses of Health Professions Licensing Boards 166
Data Listing for Each Profession 168
2003 N.C. Health Professions Data Book
List of Figures and Tables
Figure 1: Yearly Increases in the Number of Licensed Physicians, 1980-2003 7
Table 1: Number of Residents-In-Training by Sponsor Location, 2003 2
Table 2: North Carolina Health Professions Statistics: 2002 and 2003 6
Table 3: Counties with the Largest Physicians per 10,000 Population Ratios, 2003 vs. 2002 13
Table 4: Counties with the Smallest Physicians per 10,000 Population Ratios, 2003 vs. 2002 13
Table 5: Physicians & Primary Care Physicians per 10,000 Population, US and Selected States, 2002 14
Table 6; Counties with the Largest Primary Care Physicians per 10,000 Population Ratios, 2003 vs. 2002 14
Table 7: Counties with the Smallest Primary Care Physicians per 10,000 Population Ratios, 2003 vs. 2002 15
Table 8: Counties with the Largest Dentists per 10,000 Population Ratios, 2003 vs. 2002 16
Table 9: Counties with the Smallest Dentists per 10,000 Population Ratios, 2003 vs. 2002 16
Table 10: Counties with the Largest RNs per 10,000 Population Ratios, 2003 vs. 2002 17
Table 11: Counties with the Smallest RNs per 10,000 Population Ratios, 2003 vs. 2002 17
Table 12: Counties with the Largest Pharmacists per 10,000 Population Ratios, 2003 vs. 2002 18
Table 13: Counties with the Smallest Pharmacists per 10,000 Population Ratios, 2003 vs. 2002 18
Table 14: Active Health Professionals per 10,000 Population Ratios, 2003 19
u
2003 N.C. Health Professions Data Book
Acknowledgments
Information included in this report has been made available by the following organizations:
North Carolina Board of Chiropractic Examiners
North Carolina Board of Nursing
North Carolina Board of Pharmacy
North Carolina Board of Physical Therapy Examiners
North Carolina Board of Podiatry Examiners
North Carolina Medical Board
North Carolina Medical Society
North Carolina Midwifery Joint Committee
North Carolina Psychology Board
North Carolina State Board of Dental Examiners
North Carolina State Board of Examiners in Optometry
American Medical Association
Government and Business Services Branch, North Carolina State Library
North Carolina Department of Commerce, Employment Security Commission
North Carolina Department of Health and Human Services, Division of Facility Services
North Carolina Department of Health and Human Services, Division of Medical Assistance
North Carolina State Center for Health Statistics
Office of State Planning, Office of the Governor
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 docim-ient 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 Carohna at Chapel Hill.
m
Digitized by the Internet Archive
in 2011 with funding from
State Library of North Carolina
http://www.archive.org/details/nchealthprof2003cecil
2003 N.C. Health Professions Data Book
Introduction
This is the twenty-sixth annual report prepared from data collected by the N.C. Health
Professions Data System (HPDS), formerly the Health Manpower Component of the North Carolina
Cooperative Health Information System. The N.C. Health Professions Data System was developed to
collect and disseminate timely and reliable data on licensed health professionals in North Carolina. The
System was initiated in 1975 with federal funding from the National Center for Health Statistics and was
assisted in the early 1980s by a grant from the Duke Endowment through the N.C. Hospital Association.
Although selected data are available beginning in 1976, continuous and equivalent data files have been
maintained since 1979. For most professions these data include name, mailing address, birth year, gender,
race, information on basic professional education, specialty of practice, activity status, form of
employment, and practice setting. Special analyses and reports from all data files may be requested (see
Appendix III).
This report draws on data from the HPDS and describes the supply and distribution in 2003 of
licensed individuals in sixteen 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.
2003 N.C. Health Professions Data Book
Sources and Limitations of the Data
Source ofHealth Professions Data
Health professions data for this report are provided annually by the regulatory boards for each of
the following professions: certified nurse midwives, chiropractors, dental hygienists, dentists, licensed
practical nurses, nurse practitioners, optometrists, pharmacists, physical therapists, physical therapist
assistants, physicians, physician assistants, podiatrists, practicing psychologists, psychological associates,
and registered nurses. The Boards provide demographic, practice, and location information on every
professional licer\sed to practice in the state of North Carolina between January 1st and October 31st of
each year. This year, and for the past twenty-five 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 some
physicians who are currently in postgraduate medical training programs but who have permanent
licenses. In an effort to accurately separate physicians in residency trairiing from those that are not in
residency training, lisHngs of physicians in postgraduate medical education programs as of July 2003
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, 2003
Residency Program ' County Residents Percent
Duke University Medical Center Durham 841 33.10
University of North Carolina at Chapel Hill-UNC-Hospitals Orange 596 23.46
Wake Forest University Baptist Medical Center Forsyth 482 18.97
East Carolina University-Pitt County Memorial Hospital Pitt 268 10.55
Charlotte AHEC-Carolinas Medical Center Mecklenburg 188 7.40
Coastal AHEC-New Hanover Regional Medical Center New Hanover 56 2.20
Greensboro AHEC-Moses H. Cone Memorial Hospital Guilford 45 1.77
Mountain AHEC Family Practice Residency Program-Asheville Buncombe 24 0.94
Cabarrus Memorial Hospital Cabarrus 23 0.91
Southern Regional AHEC-Fayetteville Cumberland 18 0.71
State Totals State Total 2,541 100%
Source: Residency data are received annually from the respective residency programs and are based on the irwtitutions'
lists of house staff, residents and fellows as of July 2003.
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 licer^ure with the N.C. Board of Nursing.
2003 N.C. Health Professions Data Book
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 orily 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 status'. 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 hygieiusts) are grouped together in the region and county pages.
Physicians are broken down separately. The remairung 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
2002 were checked against specialty data provided by the N.C. Medical Society. Physician data in this
report are classified by residency-training status in 2003 and federal or non-federal employment status.
The physician data reported in this publicahon are for non-resident licensed physicians who are not
currently participating in one of the postgraduate medical education programs listed in Table 1.
Within the category of non-resident physiciar^s 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
' For physical therapists and physical therapist assistants, individuals who report that they are not actively employed
in physical therapy but are seeking employment in physical therapy are also considered active. These are the only
professions that have data available on u'hether individuals are seeking employment.
3
2003 N.C. Health Professions Data Book
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 armual registration
renewal form; therefore, military providers cannot be subcategorized w^ithin the federal providers
category.
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. As a result of this audit, the supply of federal physicians may
have changed in counties where there is a large military installation. Onslow county saw an increase in
the number and proportion of federal physicians from 2002 to 2003. The Regional Profiles which include
Onslow county also reflect these changes ia the number of federal physicians. This increase is largely the
result of changes in methodology to match federal status to federal employment setting and the reader is
cautioned from drawing conclusions about changes in the supply of federal physicians in 2003 in this
county.
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 2003, and data for the remaining 50% who renewed their registration in
their birth month. Additionally, the N.C. Psychology Board requires biermial 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 2003 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 Planning, N.C. Office of the Governor. The 2003 population data
are projected numbers as the 2003 estimates were not available at the time of publication. The 2002
population figures are based on the April 1, 2000 Census. Ratios of health professionals reported are per
10,000 population.
Demographic and Economic Data
This publication includes additional health, vital statistics and socio-demographic data. The
majority of these data are available on-line via the websites of the specific source agencies or through
LINC. A list of the variable names, numbers, definitions, and the source of data by variable number can
be found in Appejidix II: Definition of Terms. All county and substate regional level health professioris data
provided in this publication will also be available on-line at <http://www.shepscenter.unc.edu/hp>.
The infant mortality rates reported in the 2003 State Totals, Non-Metropolitan/Metropolitan
counties. Area Health Education Centers, Health Service Areas, the Department of Environment, Health
2003 N.C. Health Professions Data Book
and Natural Resources, and the Perinatal Care regions are computed for a one year rate. Previous
publications of the Data Book reported regional infant mortality based on a five year rate.
This publication reports the number of general hospital discharges in 2002 from acute care, short-stay
hospitals by county of patient residence. The year 2003 general hospital discharges were not
available at the time of compilation of this report. The data exclude normal nev^^bom discharges (DRG
391). These data are made available through the LINC Data Base.
2003 N.C. Health Professions Data Book
Summary of Trends in North Carolina
Health Professional Supply
The overall number of health professionals in North Carolina grew from November 2002 to October 2003.
Table 2 below summarizes the number of health professionals licensed in the past tv\'o years and the percent
change in those numbers between 2002 and 2003.
Table 2: North Carolina Health Professions Statistics: 2002 and 2003
Active in Profession (October)'
2002 2003 Percent Change
Physicians
Non-federal, not in training
Pnmary Care Specialties
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Federaf
Residency Training
16,769
7,119
2,293
163
2,394
952
1,317
9,650
410
2,512
17,090
7,265
2,347
151
2,481
960
1,326
9,S25
473
2,541
1.9%
2.0%
2.3%
-7.4%
3.6%
0.8%
0.7%
1.7%
15.4%
1.2%
Nurses
Registered Nurses
Certified Nurse Practitioners
Nurse Practitioners^
Licensed Practical Nurses
74,895 76,334
193 196
1,992 2,122
16,887 16,946
1.9%
1.5%
6.5%
0.4%
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physician Assistants
Physical Therapists
Physical Therapy Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
1,104
846
7,183
2,213
3,303
1,628
233
1,571
942
1,160'
885
7,218
2,390
3,347
1,671
234
1,626
927
5.0%
4.6%
0.5%
8.0%
1.3%
2.6%
0.4%
3.5%
-1.6%
Dentists and Dental Hygienists
Dentists
Dental Hygienists
3,415
4,058
3,462
4,095
1.4%
0.9%
" Data are for in-state professionals; includes unknown activity status.
^ 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.
' Prior to 2000, RN and LPN licensure renewals occurred in December of each year. Data in 2002 were the first year that
reflected a shift to renewal by birth month that occurred in 2000. Numbers for 2002 were lower than usual because they reflected
individuals who left the file in the 22 months between January 2001 and October 2002.
Data on Nurse Practitioners are from the NC Medical Board.
6
2003 N.C. Health Professions Data Book
The majority of health professions in 2003 saw moderate growth. The number of primary care physicians
increased 2.0% (+146) from 2002 to 2003. Internal medicine (+87, 3.6%) and family practice (+54, 2.3%) physicians
continued to expand with a 3.6% and 2.3% increase respectively. The primary care specialties with less than 1%
growth are pediatricians (+9, 0.7%) and obstetrician-gynecologists (+8, 0.8%); each of these primary care
disciplines experienced smaller growth than in the previous year. The obvious exception is the 7.4% drop (from
163 in 2002 to 151 in 2003) in general practitioners. The largest percentage increases in other health professions
were seen by physician assistants (+177, 8.0%), nurse practitioners (+130, 6.5%), chiropractors (+56, 5.0%), and
optometrists (+39, 4.6%). In 2003 there were moderate increases in the supply of practicing psychologists (+55,
3.5%), physical therapy assistants (+43, 2.6%), and registered nurses (+1,439, 1.9%). Psychological associates (-15, -
1.6%) continued on a downward trend for the third year in a row.
CHANGES IN SUPPLY
Physicians
Figure 1 depicts the annual growth, over the past 22 years, for the total number of active licensed
physicians practicing in North Carolina, excluding those in residency training or employed by the federal
government. The 1.9% (+321) growth of physiciaiis licensed by the N.C. Medical Board between 2002 and 2003 is
less than seen in the previous year, continuing the slowing trend in growth of physician supply. This is the fifth
consecutive year that the growth in physicians has been equal to, or less than, 2.9%.
Figure 1: Yearly Increases in the Number of Licensed Physicians
1980-2003
9.2%
6.4%
Year
2003 N.C. Health Professions Data Book
Prior to 1997, physician licensure renewal was a biennial process that, through 1994, was held in
even numbered years. In 1995, a switch was made to odd numbered years. However, in 1997, licensure
renewal became an annual process. Figure 1 shows a greater increase in non-renewal years, e.g., 95-96, 92-
. 93, 90-91, and 88-89. This is because a non-renewal year reflects the migration of doctors into the state or
into active practice (i.e., newly licensed physicians or those who notified the Board of their change in
status) but not the corresponding out-migration or inactivity because the licerise remains in effect
throughout the enfire two-year period.
In 2003, every county in North Carolina had at least one physician reporting a primary practice
location; the fewest number were found in the following counties: Tyrrell (1), Hyde (2), and Perquimans
(2). Counties with the largest percentage growth in the supply of physicians between 2002 and 2003
include Hyde (-i-l, 100.0%), Pamlico (+3, 50.0%) and Swain (+8, 61.5%). Forty-seven counties experienced
an increase in the number of physicians; sixteen had no change in supply, and thirty-seven counties lost
physicians. The largest numerical reduction was in Onslow County (-13, -9.5%)^
The supply of primary care physicians in North Carolina increased at the same rate as the
physician supply (1.9%, -1-146) in 2003. However, when compared with primary care physicians from the
previous year there is a slowing in growth from a rate of 3.1% (-1-211) to 1.9% (-(-146). For the past five
years the growth of primary care physicians has slowed, from a rate of 5.2% (-(-332) in 1999. Forty-four
counties increased the numbers of primary care physicians, with Bladen (+5, 33.3%), Dare {+7, 35.0%),
Hyde (-i-l, 100.0%), Pamlico {+2, 33.3%), and Swain (+8, 80.0%) experiencing the largest percentage gains.
Durham (-1-30, 5.9%), and Mecklenburg (-1-35, 4.7%) counties gained the most primary care physicians. The
number of primary care physicians remained stable in seventeen counties, and thirty-nine counties had a
reduction in supply. The largest decreases were seen in Onslow' (-8, -13.2%), and Union (-5, -6.9%)
counties.
'
,
Nurse Practitioners, Certified Nurse Midivives and Physician Assistants
The 6.5% (-(-130) expansion in the nurse practitioner (NP) numbers in 2003 continues a nine-year
trend of substantial growth. While three counties (Greene and Pamlico and Stokes) doubled their NP
supplies, Washington county regained a sole NP for the first time since 1999. Four coimties had no nurse
practitioners (Alexander, Camden, Martin and Perquimans)' and nine counties only had one (Bertie, Clay,
Gates, Graham, Hyde, Jones, Tyrrell, Transylvania and Washington) in 2003. Alexander and Camden
have had no NPs since 1998 and 1997 respectively. In total, fifty-one counties increased their supply of
nurse practitioners, while twenty lost providers and twenty-nine experienced no change.
The state's certified nurse midwives (CNMs) data show a very slight 1.5% (-1-3) percentage
increase in supply between 2002 and 2003. This is only the second time since 1997 that the CNM
' This drop is likely due to a change in methodology in 2003 which reclassified physicians indicating a
primary practice in a military installation as federal status. See the section on Definitions and
Lirfiitations for further details.
' Ibid.
Data are based on primary practice location; there may be NPs with secondary or other practice
locations in these counties.
8
2003 N.C. Health Professions Data Book
workforce has not grown by more than 9%: 12.2% (+21) in 2002, 9.2% (+14) in 2000, 10.9% (+15) in 1999,
14.0% (+17) in 1998, and 15.2% (+16) in 1997. In 2003, Beaufort, Cabarrus and Caldwell experienced the
largest percentage expansions in CNM supply (100.0%, 150.0% and 100.0% respectively). Overall,
fourteen counties saw their CNM supply rise, seventy-two experienced no change, and fourteen counties
lost providers'. Hoke county lost its sole CNM in 2003. However, three counties that previously had no
CNMs gained one midwife (Edgecombe, Sampson and Union). The net result was that forty-seven
counties in North Carolina had no CNMs in 2003, a slight improvement from forty-nine counties in 2002.
The sharpest increase in supply for all the health professions included in the N.C. Health
Professions Data System was experienced by physician assistants (PAs). This year's 8.0% (+177) growth
in PAs continues a pattern of steady expansion; each of the previous five years has yielded gains equal to
or greater than 8.0%: 8.9% (+181) in 2002, 8.1% (+152) in 2001, 13.7% (+226) in 2000, 14.9% (+214) in 1999,
and 12.3% (+158) in 1998. In 2003, fifty-five counties expanded their PA supply; two of these tripled their
number of PAs (Greene +2 and Washington +2). The next highest percentage change was seen in
Chowan county (+1, 100.0%). Twenty-three counties experienced no change in their PA supply, including
three counties that had no PAs in both 2002 and 2003 (Camden, Currituck and Mitchell). Twenty-two
counties decreased their supply, while three counties (Avery -1, Hyde -2, and Yancey -2) are losing their
only PA provider.
Licensed Practical and Registered Nurses
The reader is reminded that prior to the year 2000, RN and LPN licensure renewals occturred in
December of each year. The 2002 data was the first year that reflected a shift to renewal by birth month
by the N.C. Board of Nursing. Numbers for 2002 were lower than usual because they represented
individuals who left the file in the 22 months between January 2001 and October 2002. The registered
nurses (RN) data show a 1.9% (+1,439) rise in counts of RNs in the state between 2002 and 2003. This is
greater than the 0.2% (+181) increase in 2002 in the RN supply, which was affected by changes in the
licensure renewal process. This numeric growth within the RN workforce is in alignment with the
growth rates expected prior to 2002. The annual numeric increase in RNs for the eight years prior to 2002
was in excess of 1,500 providers. In 2003, sixty counties expanded their RN supply. Three counties
(Alleghany, Bladen and Granville) had no change in their RN supply. RN numbers declined in thirty-seven
counties with the largest percentage decrease in Jones county (-12, -30.0%). The largest numeric
loss was in Avery county (-21, -12.8%). The two counties with the fewest RNs in 2002, Gates and Hoke,
each experienced gains (+4, 22.2% and +14, 17.7% respectively).
The supply of licensed practical nurses (LPNs) increased slightly by 0.4% (+59) between 2002
and 2003. Between 2002 and 2003, forty-five counties increased their number of LPNs, forty-five counties
Data are based on primary practice location only; there may be CNMs with secondary or other practice locations in
these counties.
2003 N.C. Health Professions Data Book
dropped their LPN counts, and ten counties stayed the same. The largest percentage losses were in
Camden (-5, -62.5%) and Tyrrell (-3, -60.0%). The largest reductions in number were in Guilford
(-24, -3.4%) and Watauga (-31, -30.4%) counties.
Dentists and Dental Hygienists
Between 2002 and 2003, North Carolina experienced a 1.4% (+46) increase in its supply of
dentists. This increase is less than that of the previous three years. The 2003 year follows an increase of
3.5% (+101) in 2002, a 2.8% (+89) increase in 2001, and a 4.4% (+136) increase in 2000. Thirty-two counties
showed reduced numbers of dentists between 2002 and 2003, thirty-two other coimties had no change in
their supply of dentists, and thirty-six counties saw their supply of dentists rise. The counties of Camden,
Hyde, Jones and Tyrell have not had a dentist indicating a primary practice location since 1995. Bertie,
Gates, Graham and Northampton each have only one dentist.
In 2003, there was a 0.9% (+37) rise in the number of dental hygienists registered with the Board
of Dental Examiners. This is a significant drop in the growth rates experienced in 2002 (4.9%, +192) and in
2001 (5.4%, +197). Fifty-seven counties showed growth in 2003 while thirty-one counties decreased their
supply of hygienists. There were twelve cotmties that had no change in their number of hygienists. In
2003, the largest percentage expansions were seen in Alleghany (+4, 200.0%), Caswell (+2, 200.0%),
Camden (+1, 100.0%) and Davie (+10, 100.0%). In 2003 the largest absolute gains occurred in Chatham
(+13, 81.3%), Union (+22, 68.8%), Davidson (+18, 42.9%) and Harnett (+13, 50.0%).Five counties had only
one hygienist with a primary practice location (Currituck, Jones, Northampton, Perquimans and
Washington) and four counties did not possess any (Bertie, Gates, Hyde and Tyrrell) in 2003.
Pharmacists
The number of licensed pharmacists showed little change (0.5%, +35) from 2002 to 2003. This
year is the first of the last several that breaks a trend of a modest but steady growth: 1.7% (+123) in 2002,
2.1% (+143) in 2001, 2.9% (+197) in 2000, and 3.4% m both 1999 (+213) and 1998 (+227). Between 2002 and
2003, the supply of pharmacists grew in forty-two counties. Buncombe experienced the largest raw
number increase (+16, 6.7%) in pharmacists while Currituck had the largest positive percentage change
(50.0%) with the addition of one pharmacist. In 2003, Camden and Hyde were the only counties without a
pharmacist claiming it as a practice location. At an increasing rate, thirty-eight counties lost pharmacists;
the largest reduction in numbers occurred in Durham (-38, -5.8%) and Pitt (-10, -5.2%). Alleghany lost two
of its five pharmacists for the largest percentage decrease (-40.0%), while twenty counties had no change.
10
2003 N.C. Health Professions Data Book
Physical Therapists and Physical Therapist Assistants'"
Between 2002 and 2003, the supply of licensed physical therapists (PTs) grew 1.3% (+44) in
comparison to the previous year's growth of 4.3% (+135). Thirty-eight counties expanded their supply of
PTs, thirty-two lost PTs, and thirty counties had no change in numbers. Bertie and Bladen, which had no
PTs in 2002, each gained one provider in 2003. Perquimans and Tyrrell have had no PTs since 1999, and
Northampton lost its only two providers in 2003, resulting in three counties possessing no PTs. The
number of physical therapist assistants (PTAs) increased 2.6% (+43) from 2002 to 2003. Forty-three
counties expanded their supply of PTAs, thirty lost PTAs, and twenty-seven counties had no change in
numbers. Perquimans tripled its supply of PTAs (+2, 200.0%). Washington gained two PTAs having had
none in 2002. Clay (-1) lost its sole provider in 2003 and Camden and Tyrrell have had no PTAs since
2001.
Psychologists and Psychological Associates
The number of psychologists in North Carolina grew by 3.5% (+55) between 2002 and 2003. This
is nearly double the growth rate of (1.9%, +30) from 2001 to 2002. Annual increases for three years prior to
1999 had been no more than 3.0%. There were twenty-eight counties without a practicing psychologist in
2003. Sixteen counties had only one psychologist and nine counties lost psychologists during 2003.
During 2003, thirty counties lost psychological associates. CK'erall, North Carolina experienced a
decrease (-15, -1.6%) in the supply of psychological associates in 2003. Thirteen counties had no
psychological associates in 2003; three coimties (Bertie, Columbus and Washington) lost their sole
provider. Forty-six counties experienced no change, and twenty-four gained psychological associates.
Eighteen counties only had one provider. Two counties, Sampson and Vance, experienced the highest
percentage growth (+1, 100.0% for both) while Buncombe had the highest numeric gain (+4, 6.9%).
Podiatrists, Optometrists and Chiropractors
In 2003, the podiatry workforce experienced another slight expansion (0.4%, +1), which is smaller
than the 0.9% increase in 2002. This year's growth is a return to a trend of minor workforce increases
since 1998''. Nine counties gained podiatrists. Eighty had no change in numbers; forty of these eighty
counties have had no podiatrists since 2000. Sampson lost its sole podiatrist in 2003. Orange county had
the highest percentage growth and numeric gain (+3, 300.0%). Together, Forsyth, Mecklenburg, and
Wake accoimted for almost one-third (30.3%) of all podiatrists in the state (71 out of 234).
In 2003, North Carolina's optometrist workforce grew by 4.6% (+39), continuing a small recovery
that started after 2000's 0.1% decline (-1), which was the first break in a slow growth trend extending back
to 1993 (changes ranged between 1.5% and 2.8% for those years). Twenty-three counties gained
Changes between 1999 and 2000 were calculated using revised 1999 counts due to a change in the licensure form
and how the activity status was collected. Individuals who had an unknown activity status in 1999, but who were
retired, students, unemployed or employed in a profession other than physical therapy in 2000 were not included in
the revised 1999 counts used in this edition.
This fluctuation may be attributed to a change in processing of podiatry records between 2000 and 2001.
11
2003 N.C. Health Professions Data Book
providers, eleven lost providers, and sixty-six counties experienced no change. Ten counties had no
optometrists; eight of these have had none since 1993. Wake (+1) and Mecklenburg (+9) experienced the
largest gains. Together, Mecklenburg and Wake accounted for more than one-fifth (21.1%) of all
optometrists in the state (187 out of 885).
Between 2002 and 2003, North Carolina's count of chiropractors grew by 5.0% (-h56). Since 1993,
there have been no losses in supply and 1995 and 1997 showed peak increases of 9.1% (+65) and 13.5%
(+109) respectively. In 2003, thirty-four counties increased their number of providers, ten lost providers,
and fifty-six experienced no change. Eleven counties remained without any chiropractors since 1993.
Franklin, Pasquotarik and Washington had the largest percentage gains (+3, 150.0%), (+3, 100.0%), and
(+1, 100.0%) respectively. Once more, Mecklenburg and Wake accounted for a high proportion of
chiropractors in the state (26.7%, 310 out of 1,160).
CHANGES IN PRACTITIONER TO POPULATION RATIOS
North Carolina's population increased 1.7% between 2002 and 2003, similar to the 1.8% growth
rate experienced the previous year'l Any examination of the changes in the supply and distribution of
the health care workforce must take into account North Carolina's rapid 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 people". The practitioner per 10,000 population ratio provides a better
mechanism to compare the supply and distribution of health professionals across varjdng geographic
areas than the use of simple raw counts. Tables 3 tfirough 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.
' The population change reported here was calculated using the July 1, 2002 population estimate and the July 1,
2003 projection as reported by the NC State Data Center < http://www.linc.state.nc.us/>.
" Publications of this document prior to the 1999 edition reported population per health professional ratios.
Primary care physicians are those who report their primary care specialty as family practice, general practice,
internal medicine, pediatrics, or obstetrics/gynecology.
12
2003 N.C. Health Professions Data Book
Physicians per 10,000 Population Ratio
The 2003 ratio of N.C. physicians per 10,000 population remained the same, 20.1, as in 2002. This
is the third consecutive year that the ratio has remained nearly constant at 20.0 in 2001, and 20.1 in both
2002 and 2003. The counties with the ten largest and ten smallest ratios in 2003 are included in Tables 3
and 4.
Table 3: Counties with the Largest Physicians per 10,000 Population Ratios, 2003 vs. 2002
2003 2003 Total 2003 Total 2003 Physicians per 2002 Physicians per 2002
Rank County Physicians Population 10,000 Population 10,000 Population Rank
1 Orange 1,130 125,372 90.1 88.8 1
2 IXirham 1,596 234,780 68.0 67.4 2
3 Pitt 596 139,521 42.7 43.0 3
4 Forsyth 1,248 318,751 39.2 39.5 4
5 Buncombe 713 215,496 33.1 32.5 5
6 New Hanover 548 171,279 32.0 31.6 6
7 Moore 221 79,368 27.8 28.0 8
8 Pasquotank 97 35,678 27.2 28.9 7
9 Henderson 235 95,314 24.7 23.8 10
10 Mecklenburg 1,850 755,021 24.5 24.1 9
Table 4: Counties with the Smallest Physicians per 10,000 Population Ratios, 2003 vs. 2002
2003 Total
2003 Physician 2003 Total 2003 Physicians per 2002 Physicians per 2002
Rank County s Population 10,000 Population 10,000 Population Rank
100 Perquimans 2 11,678 1.7 1.7 100
99 Tyrrell 1 4,219 2.4 2.4 98
98 Greene 5 19,878 2.5 3.1 96
97 Gates 3 10,726 2.8 2.8 97
96 Currituck 6 19,726 3.0 3.1 95
95 Alexander 12 35,292 3.4 4.0 92
94 Stokes 16 46,771 3.4 3.7 93
93 Hyde 2 5,830 3.4 1.7 99
92 Hoke 13 37,438 3.5 3.6 94
91 Graham 3 8181 3.7 4.9 85
According to the data from the AMA and the U.S. Bureau of the Census, as seen in Table 5, there
were, on average, about 21.8 physicians per 10,000 population in the United States at the beginning of
2002. This is down slightly from 21.9 in 2001. According to the AMA data. North Carolina's ratio was
20.2, slightly lower than the national average.
13
2003 N.C. Health Professions Data Book
Table 5: Physicians & Primary Care Physicians per 10,000 Population, US and Selected States, 2002
AMA Physician Data: US Physician/ NC Physician/ GA Physician/ SC Physician/ TN Physician/ VA Physician/
10,000 Pop 10,000 Pop 10,000 Pop 10,000 Pop 10,000 Pop 10,000 Pop
Total Physicians *
Primary Care Physicians*
21.8 20.2 18.0 19.0 21,3 21.4
8.0 7.6 7.0 7,3 7.9 8.3
Source: Area Resource File, Bureau of Health Professions, National Center for Health Workforce Information and Analysis, data
from AMA Master file, effective 12/31/02; U.S. Census Bureau "State Population Estimates and Estimated Components of Change"
July 1, 2002 resident total population estimates by state <http://eire.census.gov/popest/states_dataset.csv > Internet Release Date:
April 9, 2004. National resident total population estimates "Table NA-EST2003-01 - National Population Estimates: April 1, 2001 to
July 1, 2003" <http://eire.census.gov/popest/data/national/tables/NST-EST2003-01.php> December 18, 2003.
* Active, nonfederal physicians, excluding residents/ fellows.
** Active, nonfederal physicians, excluding residents /fellows with specialties of family practice, general practice, internal medicine,
obstetrics /gynecology, and pediatrics.
Compared to adjacent states, North Carolina has fewer physicians per 10,000 population than
Tennessee and Virginia, but more physicians per population than Georgia and South Carolina. As
mentioned earlier, the county- and state-level ratios using the N.C. Medical Board data are difficult to
compare with the AMA figures due to differences in methodology and timing of data collection and
reporting.
Primary Care Physicians per 10,000 Population Ratio'^
On average, there were 8.6 primary care physicians per 10,000 population in North Carolina in
2003, a slight increase from 8.5 per 10,000 population in 2002. 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,
2003 vs. 2002
2003 Total 2003 Primary Care 2002 Primary Care
2003 Primary Care 2003 Total Physicians per Physicians per 10,000 2002
Rank County Physicians Population 10,000 Population Population Rank
1 Orange 424 125,372 33.8 33.1 1
2 Durham 513 234,780 21.9 20.9 2
3 Pitt 235 139,521 16.8 17.0 3
4 Jones 15 10,465 14.3 14.4 4
5 Buncombe 296 215,496 13.7 13.4 5
6 Svk'ain 18 13,529 13.3 7.5 35
7 Forsyth' 404 318,751 12.7 12.9 6
8 New Hanover 210 171,279 12.3 11.9 7
9 Henderson 107 95,314 11.2 10.1 11
10 Jackson 38 34,729 10.9 10.2 9
Primary care physicians are those who report their primary specialty as family practice, general practice, internal
medicine, pediatrics, or obstetrics/gynecology.
14
2003 N.C. Health Professions Data Book
Table 7: Counties with the Smallest Primary Care Physicians per 10,000 Population Ratios,
2003 vs. 2002
2003 Total 2003 Primary Care 2002 Primary Care
2003 Primary Care 2003 Total Phy sicians per 10,000 Physicians per 10,000 2002
Rank County Physicians Population Population Population Rank
100 Perquimans 2 11,678 1.7 1.7 100
99 Tyrrell 1 4,219 2.4 2.4 98
98 Pender 11 44,548 2.5 2.8 95
97 Greene 5 19,878 2.5 3.1 91
96 Currituck 5 19,726 2.5 2.6 97
95 Camden 2 7,265 2.8 2.8 94
94 Stokes 13 46,771 2.8 2.8 93
93 Gates 3 10,726 2.8 2.8 92
92 Alexander 10 35,292 2.8 3.8 87
91 Hoke 11 37,438 2.9 3.3 90
According to the national AMA data (see Table 5 on page 14), which, as mentioned on the
previous page, has differences in data collection and tinging of collection, there were 8.0 primary care
physicians per 10,000 population on average in the United States at the beginning of 2002. This compares
to a ratio in North Carolina of 7.6 primary care physicians per 10,000 population'^ Tennessee and Virginia
had larger numbers of primary care physicians per 10,000 population than North Carolina (with ratios of
7.9 and 8.3 respectively), and Georgia and South Carolina had smaller ratios (with ratios of 7.0 and 7.3
respectively).
Dentists per 10,000 Population Ratio
North Carolina had 4.1 dentists per 10,000 population in 2003, remaining the same as last year.
National statistics show a ratio of 6.5 dentists per 10,000 population in 2003'^ 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 2003. The four counties tied for
100—Camden, Hyde, Jones and Tyrrell—have not had a dentist with a primary practice location in the
county since 1995.
Area Resource File, Federal Bureau of Health Professions, National Center for Health Workforce Information and
Analysis, data from AMA Masterfile, effective 12/31/02; U.S. Census Bureau "State Population Estimates and
Estimated Components of Change" July 1, 2002 resident total population estimates by state
<http://eire.census.gov/popest/states_dataset.csv > Internet Release Date: December 31, 2003. National resident
total population estimates "Table NA-EST2002-01 - National Population Estimates: April 1, 2000 to July 1, 2003"
<http://eire.census.gov/popest/data/national/tables/NA-EST2002-01.php> December 31, 2003.
Bureau of Labor Statistics; "Employed persons by detailed occupation, sex, race, and Hispanic origin;"
ftp://ftp.bls.gov/pub/special.requests/lf/aatll.txt; (accessed: 01 July 2004). National resident total population
estimates "Table NA-EST2002-01 - National Population Estimates: April 1, 2000 to July 1, 2003"
<http://eire.census.gov/popest/data/national/tables/NA-EST2002-01.php> December 31, 2003.
(accessed: Oljuly 2004).
15
2003 N.C. Health Professions Data Book
Table 8: Counties with the Largest Dentists per 10,000 Population Ratio, 2003 vs. 2002
2003 2003 Total 2003 Total 2003 Dentists per 2002 Dentists per 2002
Rank County Dentists Population 10,000 Population 10,000 Population Rank
1 Orange 135 125,372 10.8 9.9 1
2 New Hanover 122 171,279 7.1 6.9 2
3 Wake 448 702,662 6.4 6.4 3
4 Mecklenburg 460 755,021 6.1 6.2 4
5 Durham 143 234,780 6.1 6.0 5
6 Buncombe 127 215,496 5.9 5.7 6
7 Forsyth 187 318,751 5.9 5.6 7
8 Dare 19 32,440 5.9 5.4 11
9 Carteret 34 60,712 5.6 5.3 12
10 Guilford 229 440,793 5.2 5.3 9
Table 9: Counties with the Smallest Dentists per 10,000 Population Ratio, 2003 vs. 2002
2003 2003 Total 2003 Total 2003 Dentists per 2002 Dentists per 2002
Rank County Dentists Population 10,000 Population 10,000 Population Rank
100 Tyrrell 4,219 0.0 0.0 100
100 Jones 10,465 0.0 0.0 100
100 Hyde 5,830 0.0 0.0 100
100 Camden 7,265 0.0 0.0 100
96 Northampton 1 22,207 0.5 0.5 96
95 Bertie 1 19,649 0.5 0.5 95
94 Franklin 4 51,079 0.8 0.9 86
93 Gates 1 10,726 0.9 0.9 93
92 Currituck 2 19,726 1.0 1.0 92
91 Stokes 5 46,771 1.1 1.2 89
16
2003 N.C. Health Professions Data Book
Registered Nurses per 10,000 Population Ratio
The average number of registered nurses (RNs) per 10,000 population increased slightly between
2002 and 2003, from 89.9 to 90.0. North Carolina's supply of RNs per 10,000 population is in front of the
most current national statistic of 84.2 RNs per 10,000 population in 2003'". 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 10 and 11 represent the counties with the
largest and the smallest registered nurses per 10,000 population ratios in year 2003.
Table 10: Counties with the Largest RNs per 10,000 Population Ratio, 2003 vs. 2002
2003 Registered Nurses 2002 Registered Nurses 2002
per 10,000 Population per 10,000 Population Rank
204.4 202.4 1
191.5 191.5 2
179.1 178.7 3
158.1 159.1 4
156.4 149.8 5
140.4 137.5 6
128.9 125.0 8
128.1 129.2 7
115.9 116.2 9
114.9 113.3 10
Table 11: Counties with the Smallest RNs per 10,000 Population Ratio, 2003 vs. 2002
2003 2003 Total 2003 Total
Rank County Registered Nurses Population
1 Durham 4,798 234,780
2 Orange 2,401 125,372
3 Pitt 2,499 139,521
4 Buncombe 3,408 215,496
5 Forsyth 4,985 318,751
6 New Hanover 2,404 171,279
7 Pasquotank 460 35,678
8 Moore 1,017 79,368
9 Mecklenburg 8,747 755,021
10 Hertford 256 22,289
2003 2003 Total 2003 Total 2003 Registered Nurses 2002 Registered Nurses 2002
Rank County Registered Nurses Population per 10,000 Population per 10,000 Population Rank
100 Gates 22 10,726 20.5 17.0 100
99 Alexander 77 35,292 21.8 22.8 98
98 Caswell 54 24,310 22.2 28.3 96
97 Currituck 48 19,726 24.3 32.1 92
96 Warren 51 20,537 24.8 24.2 97
95 Hoke 93 37,438 24.8 21.9 99
94 Jones 28 10,465 26.8 38.5 77
93 Stokes 134 46,771 28.7 28.9 95
92 Northampton 64 22,207 28.8 33.0 88
91 Yadkin 111 37,971 29.2 33.0 89
Prior to 2000, RN and LPN licensure renewals occurred in December of each year. The 2002 data is the first year
that reflects a shift to renewal by birth month that occurred in 2000. Numbers for 2002 are lower than usual because
they reflect individuals who left the file in the 22 months between January 2001 and October 2002. For a full
explanation of the effect the renewal had on the 2002 licensure data see the Introduction.
' Bureau of Labor Statistics; "Employed persons by detailed occupation, sex, race, and Hispanic origin;"
ftp://ftp.bls.gov/pub/special.requests/lf/aatll.txt; (accessed: 01 July 2004). National resident total population
eshmates "Table NA-EST2002-01 - National Population Estimates: April 1, 2000 to July 1, 2003"
<http://eire.census.gov/popest/data/national/tables/NA-EST2002-01.php> December 31, 2003.
(accessed: 01 July 2004).
.17
2003 N.C. Health Professions Data Book
Pharmacists per 10,000 Population Ratio
On average, the state had 8.5 licensed pharmacists per 10,000 population in 2003; this is a slight
drop from the 8.6 ratio of pharmacists per population seen in 2001 and 2002. The national ratio in 2002
was 8.0 pharmacists per 10,000 population.^". 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 Pharmacist per 10,000 Population Ratio, 2003 vs. 2002
2003 2003 Total 2003 Total 2003 Pharmacists per 2002 PIlarmacists per 2002
Rank County Pharmacists Population 10,000 Population 10,00C1 Population Rank
1 Durham 615 234,780 26.2 28.2 1
2 Orange 232 125,372 18.5 19.6 2
3 Lenoir 83 59,735 13.9 14.4 3
4 Pitt 182 139,521 13.0 14.0 4
5 Forsyth 395 318,751 12.4 12.0 5
6 Buncombe 252 215,496 11.7 11.1 7
7 New Hanover 184 171,279 10.7 11.4 6
8 Wake 738 702,662 10.5 10.6 8
9 Cherokee 25 25,460 9.8 9.6 12
10 Guilford 424 440,793 9.6 9.9 9
Table 13: Counties with the Smallest Pharmacist per 10,000 Population Ratio, 2003 vs. 2002
2003 2003 Total 2003 Total 2003 Pharmacists per 2002 Pharmacists per 2002
Rank County Pharmacists Population 10,000 Population 10,000 Population Rank
100 Hyde 5,830 0.0 0.0 100
100 Camden . 7,265 0.0 0.0 100
98 Currituck 3 19,726 1.5 1.0 98
97 Northampton 4 22,207 1.8 2.3 95
96 Gates 2 10,726 1.9 1.9 97
95 Jones 2 10,465 1.9 1.9 96
94 Greene 4 19,878 2.0 3.1 88
93 Tyrrell 1 4,219 2.4 2.4 94
92 Bertie 5 19,649 2.5 3.0 89
91 Alleghany 3 10,978 2.7 4.6 75
Bureau of Labor Statistics; "Employed persons by detailed occupation, sex, race, and Hispanic origin;"
ftp:'//ftp.bls.gov/pub/special.requests/lf/aatll.txt; (accessed: 01 July 2004). National resident total population
estimates "Table NA-EST2002-01 - National Population Estimates: April 1, 2000 to July 1, 2003"
<http://eire.census.gov/popest/data/national/tables/NA-EST2002-01.php> December 31, 2003.
(accessed: 01 July 2004).
18
2003 N.C. Health Professions Data Book
Active Health Professionals per 10,000 Population Ratios for All Counties
Table 14 reports year 2003 data for selected active health professionals per 10,000 population
ratios for physicians, primary care physicians,^' dentists, registered nurses, and pharmacists for all
counties listed in alphabetical order.
Table 14: Active Health Professionals per 10,000 Population Ratios, 2003
2003 Primary 2003
2003 Care 2003 Registered 2003
Physicians per Physicians per Dentists per Nurses per Pharmacists
2003 Total 10,000 10,000 10,000 10,000 per 10,000
County Population Population Population Population Population Population
Alamance 138,471 12,9 5.4 4.0 58.4 7.4
Alexander 35,292 3.4 2.8 2.3 21.8 4.3
Alleghany 10,978 11.8 10.0 1.8 73.8 2.7
Anson 25,671 7.4 4.3 1.6 47.9 3.9
Ashe 25,142 10.3 7.2 2.0 49.7 7.6
Avery 17,980 16.7 8.3 2.8 79.0 9.5
Beaufort 45,792 14.4 6.6 2.8 81.9 7.0
Bertie 19,649 6.6 5.6 0.5 53.9 2.5
Bladen 33,222 7.8 6.0 1.5 47.3 4.2
Brunswick 80,751 9.4 4.6 2.4 49.3 6.9
Buncombe 215,496 33.1 13.7 5.9 158.1 11.7
Burke 91,943 18.6 7.7 3.3 97.3 8.2
Cabarrus 143,306 21.2 9.6 2.7 97.1 8.9
Caldwell 78,856 10.3 5.8 2.5 48.6 4.6
Camden 7,265 4.1 2.8 0.0 34.4 0.0
Carteret 60,712 15.0 7.2 5.6 72.1 8.2
Caswell 24,310 4.9 4.1 1.6 22.2 2.9
Catawba 149,750 21.9 8.8 4.0 106.6 8.8
Chatham 52,976 6.6 5.3 1.5 39.8 5.3
Cherokee 25,460 14.9 9.0 3.9 86.4 9.8
Chowan 14,710 18.4 8.8 2.0 87.7 6.8
Clay 9,255 6.5 5.4 3.2 57.3 5.4
Cleveland 99,032 14.7 7.6 3.3 80.0 5.9
Columbus 55,961 10.0 4.8 2.0 82.0 7.7
Craven 93,236 21.2 7.8 4.4 94.2 6.9
Cumberland 308,620 14.6 6.7 3.4 70.9 5.9
Currituck 19,726 3.0 2.5 1.0 24.3 1.5
Dare 32,440 13.3 8.3 5.9 68.7 9.6
Davidson 153,152 7.9 4.7 1.9 46.2 5.5
Davie 37,535 5.3 3.5 2.4 31.4 6.1
Duplin 51,812 6.0 4.8 1.9 50.0 5.8
Durham 234,780 68.0 21.9 6.1 204.4 26.2
Edgecombe 54,547 6.8 4.0 1.5 51.7 3.8
Forsyth 318,751 39.2 12.7 5.9 156.4 12.4
Franklin 51,079 5.5 3.1 0.8 36.6 3.9
Gaston 194,094 17.0 7.5 3.4 69.8 7.8
Gates 10,726 2.8 2.8 0.9 20.5 1.9
Graham 8,181 3.7 3.7 2.4 39.1 4.9
Granville 51,605 14.7 5.8 2.7 96.1 8.5
Primary care physicians are those who report their primary specialty as family practice, general pracHce, internal
medicine, pediatrics, or obstetrics/gynecology.
19
2003 N .C. Health P r o f e s s i
2003 Primary
r\ s Data Book
2003
2003 Care 2003 Registered 2003
Physicians per Physicians per Dentists per Nurses per Pharmacists
2003 Total 10,000 10,000 10,000 10,000 per 10,000
County Population Population Population Population Population Population
Greene 19,878 2.5 2.5 2.0 33.2 2.0
Guilford 440,793 22.6 9.1 5.2 105.9 9.6
Halifax 57,335 13.6 7.0 1.7 72.7 6.3
Harnett 98,908 6.6 4.8 2.1 35.8 5.9
Haywood 55,886 18.1 7.7 3.8 70.1 7.5
Henderson 95,314 24.7 11.2 4.1 96.1 6.9
Hertford 22,289 17.5 7.6 3.6 114.9 8.1
Hoke 37,438 3.5 2.9 1.6 24.8 4.3
Hyde 5,830 3.4 3.4 0.0 36.0 0.0
Iredell 133,838 18.5 7.3 4.6 107.4 9.3
Jackson 34,729 21.9 10.9 3.2 90.4 4.9
Johnston 136,802 6.9 4.3 1.9 35.8 6.4
Jones 10,465 22.0 14.3 0.0 26.8 1.9
Lee 51,137 17.0 8.2 4.3 65.7 7.2
Lenoir 59,735 20.1 8.2 4.0 91.9 13.9
Lincoln 68,185 8.8 5.6 2.2 38.6 6.5
McDowell 44,166 7.9 4.8 2.0 58.6 5.4
Macon 31,670 21.2 10.1 3.2 72.9 - 7.6
Madison 20,316 6.9 6.4 1.5 32.5 3.4
Martin 25,450 7.5 5.1 2.0 49.9 7.5
Mecklenburg 755,021 24.5 9.6 6.1 115.9 9.6
Mitchell 16,028 13.7 9.4 3.7 84.2 8.1
Montgomery 27,735 4.3 3.2 1.8 37.5 4.3
Moore 79,368 27.8 8.7 5.2 128.1 9.1
Nash 90,443 18.7 8.1 4.6 97.1 6.4
New Hanover 171,279 32.0 12.3 7.1 140.4 10.7
Northampton 22,207 4.1 3.2 0.5 28.8 1.8
Onslow 150,633 8.2 3.9 3.1 50.6 4.2
Orange 125,372 90.1 33.8 10.8 191.5 18.5
Pamlico 13,144 6.8 6.1 3.0 38.8 3.8
Pasquotank 35,678 27.2 10.7 3.6 128.9 8.7
Pender 44,548 4.3 2.5 2.0 36.1 6.1
Perquimans 11,678 1.7 1.7 1.7 31.7 3.4
Person 37,192 8.3 4.6 2.4 48.9 7.0
Pitt 139,521 42.7 16.8 3.7 179.1 13.0
Polk 19,541 11.8 6.1 3.6 81.9 6.7
Randolph 137,495 8.9 5.1 2.5 .36.3 4.0
Richmond 46,854 10.9 7.3 3.0 79.6 6.6
Robeson 127,972 10.5 5.9 1.9 57.0 5.6
Rockingham 92,983 10.8 5.5 2.8 57.5 7.3
Rowan 136,122 11.0 5.3 3.5 71.0 7.2
Rutherford 64,513 12.9 6.8 2.6 65.9 5.9
Sampson 63,983 7.2 3.9 1.4 53.5 5.3
Scotland 36,248 15.2 8.6 2.5 86.9 7.7
Stanly 60,045 13.5 7.5 2.5 65.0 6.2
Stokes 46,771 3.4 2.8 1.1 28.7 4.1
Surry 73,436 15.0 8.4 3.4 76.0 6.9
Swain 13,529 15.5 13.3 1.5 70.2 3.0
Transylvania 30,049 14.0 8.3 3.0 76.5 6.0
Tyrrell 4,219 2.4 2.4 0.0 30.8 2.4
Union 140,028 9.1 4.8 2.0 43.8 ' 4.0
Vance 44,489 14.2 7.0 2.5 59.6 7.4
20
2003 N.C. Health Professions Data Book
2003 Primary 2003
2003 Care 2003 Registered 2003
Physicians per Physicians per Dentists per Nurses per Pharmacists
2003 Total 10,000 10,000 10,000 10,000 per 10,000
County Population Population Population Population Population Population
Wake 702,662 21.3 9.3 6.4 97.7 10.5
Warren 20,537 3.9 3.4 2.4 24.8 3.9
Washington 13,529 5.9 3.7 2.2 45.1 4.4
Watauga 43,632 20.9 8.9 5.0 81.8 7.8
Wayne 115,168 15.5 6.9 3.7 82.7 7.6
Wilkes 67,331 9.5 5.2 2.7 64.5 5.0
Wilson 75,998 14.2 6.1 2.8 76.6 9.5
Yadkin 37,971 4.5 4.2 1.6 29.2 3.4
Yancey 18,422 8.1 8.1 2.2 35.8 3.3
State Total 8,485,802 20.1 8.6 4.1 90.0 8.5
21
2003 N.C. Health Professions Data Book
NORTH CAROLINA
COUNTY AND REGIONAL
HEALTH PROFESSIONS
AND
RELATED HEALTH STATISTICS
22
Alamance
MSA county designation: Metropolitan AHEC Region: Greensboro
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
179
75
27
1
25
7
15
104
12.9
5.4
56
66
Total Ages 0-19 Ages 20-64 Ages 65+
109,404 28,777 64,614 16,013
29,067 9,256 17,008 2,803
138,471 38,033 81,622 18,816
100.0% 27.5% 58.9% : 13.6%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses 809
Nurse Practitioners 21
Certified Nurse Midwives 5
Licensed Practical Nurses 206
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
17
17
102
66
10
23
2
9
5
Employment and Income Data
Labor Force 2003 73,110
Employed 2003 67,875
Unemployed 2003 5,235
Unemployment Rate 2003 (%) 7.2
Per Capita Income 2002 $26,459
Medicaid Eligibles 2002 20,426
(unduplicaiea count)
(Rates are per 1,000 population)
Resident Births _ .
Resident Deaths _ .
% Births <2500 gms _ . .
Infant Mortality Rates 2002
1,814 Total Pregnancies 2,244 Total Pregnancy Rate
1,283
7.8
Teen Pregnancies.
(ages 15-19)
326 Teen Pregnancy Rate.
(ages 15-19)
66.8
66.8
(Rates are per 1,000 population)
Total 10.5 White. 7.6 Nonwhite. . . 21.7
Hospital/Facility Data
General Hospital Discharges 2002'*"
. . 14,732 General Hospital Beds 2003^^ . 182 Nursing Facility Beds 2003 872
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded-
** Includes NC Medical Board hcensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs
+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
23 2004 UNC Sheps Center for Health Services Research
Alexander
MSA county designation: Metropolitan AHEC Region: Nortiiwest
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
12
10
8
2
2
3.4
2.8
8
14
Total Ages 0-19 Ages 20-64 Ages 65+
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
33,038 8,740 20,282 4,016
2,254 761 1,253 240
35,292 9,501 21,535 4,256
100.0% 26.9% 61.0% 12.1%
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
Other Health Professionals
77
35
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
,3
1
15
4
1
4
Employment and Income Data
Labor Force 2003 17,421
Employed 2003 16,026
Unemployed 2003 1,395
Unemployment Rate 2003 (%) 8.0
Per Capita Income 2002 $24,299
Medicaid Eligibles 2002 5,542
(tinduplicated count)
(Rates are per 1,000 population)
Resident Births . .
Resident Deaths _
% Births <2500 gms _ . _ . .
401 Total Pregnancies.
262 Teen Pregnancies
^ ^
(ages 15-19)
452 Total Pregnancy Rate
6 1 Teen Pregnancy Rate
(ages 15-19)
58.3
56.4
Infant Mortality Rates 2002
(Rates are per 1,000 population)
Total
Hospital/Facility Data
5.0 White. . 5.4 Nonwhite 0.0
General Hospital Discharges 2002"^
. . 3,794 General Hospital Beds 2003"!^ 25 Nursing Facility Beds 2003 183
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, hidian Health Service, and the
Department of Veterans Affairs.
+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 count>'.
24 © 2004 UNC Sheps Center for Health Services Research
Alleghany >V'
MSA county designation: Nonmetropolitan AHEC Region: Northwest
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
13
11
9
2
2
11.8
10.0
2
6
Total Ages 0-19 Ages 20-64 Ages 65+
10,782 2,302 6,397 2,083
196 35 148 13
10,978 2,337 6,545 2,096
100.0% 21.3% 59.6% 19.1%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses 81
Nurse Practitioners 2
Certified Nurse Midwives
Licensed Practical Nurses 23
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
2
3
3
4
5
Employment and Income Data
Labor Force 2003 4,936
Employed 2003 4,448
Unemployed 2003 488
Unemployment Rate 2003 (%) 9.9
Per Capita Income 2002 $24,328
Medicaid Eligibles 2002 2,030
(unduplicaiea count)
(Rates are per 1,000 population)
Resident Births 100
157
12.0
Total Pregnancies
Teen Pregnancies
(ages 15-19)
... 108
13
Total Pregnancy Rate
Teen Pregnancy Rate .
(age's 15-19)
52.2
Resident Deaths . . 47.4
% Births <2500 gms
Infant Mortality' Rates 2002
(Rates are per 1,000 population)
Total . _
Hospital/Facility' Data
10.0 White 10.3 Nonwhite 0.0
General Hospital Discharges 2002 "*
. . 1,768 General Hospital Beds 2003^*^
. 46 Nursing Facility Beds 2003 90
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded
** Includes NC Medical Board hcensed federal physicians in the armed services, US Public Health Service, hidian Health Service, and the
Department of Veterans Affairs
+Counts are for discharges of county residents from acute-care, short-stay hospitals; numbers exclude normal newborns.
""""X^ounts of hospital beds m acute care short stay hospitals in count>'.
25 © 2004 UNC Sheps Center for Health Services Research
Anson
MSA county designation: Nonmetropolitan
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
AHEC Region: Charlotte
19
11
4
1
4
2
8
7.4
4.3
4
3
Total Ages 0-19 Ages 20-64 Ages 65+
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
12,668 2,835 7,495 2,338
13,003 4,080 7,659 1,264
25,671 6,915 15,154 3,602
100.0% 26.9% 59.0% 14.0%
Nurses
Registered Nurses 123
Nurse Practitioners 2
Certified Nurse Midwives
Licensed Practical Nurses 69
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
1
1
10
1
5
6
b
4
Employment and Income Data
Labor Force 2003 10,889
Employed 2003 9,689
Unemployed 2003 1,200
Unemployment Rate 2003 (%) 11 .0
Per Capita Income 2002 $22,066
Medicaid Eligibles 2002 6,778
(undiiplicated count)
{Rates are per 1,000 population)
Resident Births .
Resident Deaths . .
% Births <2500 gms
Infant Mortality Rates 2002
321 Total Pregnancies 382
307 Teen Pregnancies
. 63
7.2
{ages 15-19)
Total Pregnancy Rate
Teen Pregnancy Rate
{ages 15-19}
69.4
74.7
{Rates are per 1,000 population)
Total 6.2 White. 6.3 Nonwhite . 6.2
Hospital/Facility Data
General Hospital Discharges 2002"^
. . 4,182 General Hospital Beds 2003*"^.
. 52 Nursing Facility Beds 2003 161
'Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+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.
26 2004 UNC Sheps Center for Health Services Research
MSA county designation: Nonmetropolitan AHEC Region: Northwest
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 26
Primary Care Physicians 18
Family Practice 12
General Practice 1
Internal Medicine 2
Obstetrics/Gynecology 1
Pediatrics 2
Other Specialties 8
Physicians per 10,000 Population 10.3
Primary Care Physicians 7.2
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists '
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
5
4
Total Ages 0-19 Ages 20-64 Ages 65h
24,775 5,248 14,969 4,558
367 115 220 32
25,142 5,363 15,189 4,590
100.0% 21.3% 60.4% 18.3%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses 125
Nurse Practitioners 4
Certified Nurse Midwives
Licensed Practical Nurses 58
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
5
3
19
8
6
3
1
3
Employment and Income Data
Labor Force 2003 11,975
Employed 2003 11,122
Unemployed 2003 853
Unemployment Rate 2003 (%) 7.
1
Per Capita Income 2002 $23,853
Medicaid Eligibles 2002 4,850
(unduplicatea count)
(Rates are per 1,000 population)
Resident Births .
Resident Deaths
% Births <2500 gms
Infant Mortality Rates 2002
219 Total Pregnancies.
292 Teen Pregnancies.
g g
(ages 15-19)
249 Total Pregnancy Rate
39 Teen Pregnancy Rate.
(ages 15-19)
50.5
60.0
(Rates are per 1,000 population)
Total
Hospital/Facility Data
13.7 White. 14.0 Nonwhite 0.0
General Hospital Discharges 2002" 3,499 General Hospital Beds 2003 76 Nursing Facility Beds 2003 210
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services. US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+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.
27 2004 UNC Sheps Center for Health Services Research
Avery
MSA county designation: Nonmetropolitan AHEC Region: Northwest
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 30 Registered Nurses 142
Primary Care Physicians
Family Practice
15
10
Nurse Practitioners
Certified Nurse Midwives
5
1
General Practice 1
Licensed Practical Nurses 52
Internal Medicine 3 Other Health Professionals
Obstetrics/Gynecology 1
Pediatrics
Chiropractors
Other Specialties 15 Optometrists
Pharmacists 17
Physicians per 10,000 Population 16.7
Primary Care Physicians 8.3
Physical Therapists 7
per 10,000 Population
Physical Therapist Assistants 6
Physician Assistants
Federal Physicians**
Podiatrists
Dentists and Dental Hygienists Practicing Psychologists 2
Dentists 5 Psychological Associates 2
Dental Hygienists 5
DEMOGRAPHICS
Projected Population 2003 Employment and Income Data
Total Ages 0-19 Ages 20-64 Ages 65+
17,098 3,821 10,444 2,833
882 86 777 19
17,980 3,907 11,221 2,852
100.0% 21.7% 62.4% 15.9%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Labor Force 2003 8,651
Employed 2003 8,282
Unemployed 2003 369
Unemployment Rate 2003 (%) 4.3
Per Capita Income 2002 $22,876
Medicaid Eligibles 2002 3,120
(unduplicated count)
(Rates are per J, 000 population)
Resident Births 161
201
7.5
Total Pregnancies
Teen Pregnancies
(ages 15-19)
. . . 183
28
Total Pregnancy Rate
Teen Pregnancy Rate
(ages 15-19)
50.6
Resident Deaths 52.6
% Births <2500 gms ........... .
Infant Mortality Rates 2002
(Rates are per 1,000 population)
Total 6.2 White 6.2 Nonwhite 0.0
Hospital/Facility Data
General Hospital Discharges 2002"^
. . 2,286 General Hospital Beds 2003'^"^. 40 Nursing Facility Beds 2003 128
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+Counts are for discharges of county residents from acute-care, short-stay hospitals; numbers exclude normal newborns.
"•"tDounts of hospital beds in acute care short stay hospitals m county.
28 © 2004 UNC Sheps Center for Health Services Research
MSA county designation: Nonmetropolitan AHEC Region: Eastern
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 66
Primary Care Physicians 30
Family Practice 10
General Practice 1
Internal Medicine 11
Obstetrics/Gynecology 2
Pediatrics 6
Other Specialties 36
Physicians per 10,000 Population 14.4
Primary Care Physicians 6.6
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
13
15
Total Ages 0-19 Ages 20-64 Ages 65+
32,228 7,164 19,523 5,541
13,564 4,194 7,568 1,802
45,792 11,358 27,091 7,343
100.0% 24.8% 59.2% 16.0%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
Other Health Professionals
375
9
2
95
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
5
7
32
12
15
8
4
3
Employment and Income Data
Labor Force 2003 18,892
Employed 2003 17,054
Unemployed 2003 1,838
Unemployment Rate 2003 (%) 9.7
Per Capita Income 2002 $22,3 1
1
Medicaid Eligibles 2002 10,78
1
(unduplicatea count)
(Rates are per 1,000 population)
Resident Births ... .
Resident Deaths
% Births <2500 gms
Infant Mortality Rates 2002
631
526
8.4
Total Pregnancies. 716 Total Pregnancy Rate
Teen Pregnancies.
(ages 15-19)
95 Teen Pregnancy Rate
(ages 15-19)
73.8
67.0
(Rates are per 1,000 population)
Total . .
Hospital/Facility Data
15.8 White 14.5 Nonwhite 18.4
General Hospital Discharges 2002"^
. . 6,186 General Hospital Beds 2003^. . 159 Nursing Facility Beds 2003 300
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+Counts are for discharges of county residents from acute-care, short-stay hospitals; numbers exclude normal newborns.
"•"•X^ounts of hospital beds in acute care short stay hospitals in county.
29 © 2004 UNC Sheps Center for Health Services Research
Bertie
MSA county designation: Nonmetropolitan AHEC Region: Eastern
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
13
11
8
2
1
2
6.6
5.6
0.
1
Total Ages 0-19 Ages 20-64 Ages 65+
White 7,126 1,455 4,186 1,485
Nonwhite 12,523 3,803 7,002 1,718
Total 19,649 5.258 11,188 3,203
% of Pop. 100.0% 26.8% 56.9% 16.3%
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
Other Health Professionals
106
1
39
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
1
5
1
2
6
6
Employment and Income Data
Labor Force 2003 8,671
Employed 2003 8,006
Unemployed 2003 665
Unemployment Rate 2003 (%) 7.7
Per Capita Income 2002 $2 1 ,293
Medicaid Eligibles 2002 6,541
(unduplicatea count)
(Rates are per 1,000 population)
Resident Births _ _ .
Resident Deaths . .
% Births <2500 gms .
Infatjt Mortality Rates 2002
255 Total Pregnancies . 290
262 Teen Pregnancies . 51
12.9
Pregnancies.
(ages 15-19)
Total Pregnancy Rate
Teen Pregnancy Rate
64.1
70.4
(ages 15-19)
(Rates are per 1,000 population)
Total 11.8 White 0.0 Nonwhite 16.5
Hospital/Facility Data
General Hospital Discharges 2002"^
. _ 2,703 General Hospital Beds 2003^^ 6 Nursing Facility Beds 2003 142
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board Ucensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+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.
30 2004 UNC Sheps Center for Health Services Research
MSA county designation: Nonmetropolitan AHEC Region: Southern Regional
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 26
Primary Care Physicians 20
Family Practice 12
General Practice 2
Internal Medicine 6
Obstetrics/Gynecology
Pediatrics
Other Specialties 6
Physicians per 10,000 Population 7.8
Primary Care Physicians 6.0
per 10,000 Population
Federal Physicians** 1
Dentists and Dental Hygienists .
Registered Nurses 157
Nurse Practitioners 7
Certified Nurse Midwives
Licensed Practical Nurses 11
Other Health Professionals
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
5
6
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
2
2
14
1
5
6
1
1
Total Ages 0-19 Ages 20-64 Ages 65+
19,764 4,677 12,003 3,084
13,458 4,175 7,631 1,652
33,222 8,852 19,634 4,736
100.0% 26.6% 59.1% 14.3%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Employment and Incotne Data
Labor Force 2003 20,107
Employed 2003 18,729
Unemployed 2003 1,378
Unemployment Rate 2003 (%) 6.9
Per Capita Income 2002 $20,936
Medicaid Eligibles 2002 10,005
(iinduplicatea count)
(Rates are per 1,000 population)
Resident Births 434
393
8.1
Total Pregnancies
Teen Pregnancies
(ages 15-19)
... 503
93
Total Pregnancy Rate . . . .
Teen Pregnancy Rate.
(ages 15-19)
. . . 67.5
Resident Deaths 86.4
% Births <2500 gms _ _ , ^
Infant Mortality Rates 2002
(Rates are per 1,000 population)
Total 11.5 White 7.7 Nonwhite . . . . 17.3
Hospital/Facility Data
General Hospital Discharges 2002"^
. . 4,199 General Hospital Beds 2003^ . 48 Nursing Facility Beds 2003 194
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services, US Pubhc Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+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
31 2004 UNC Sheps Center for Health Services Research
Brunswick
MSA county designation: Metropolitan AHEC Region: Coastal
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
76
37
18
1
10
4
4
39
9.4
4.6
19
27
Total Ages 0-19 Ages 20-64 Ages 65-i-
68,252 14,232 41,251 12,769
12,499 4,035 7,198 1,266
80,751 18,267 48,449 14,035
100.0% 22.6% 60.0% 17.4%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses 398
Nurse Practitioners §,
Certified Nurse Midwives
Licensed Practical Nurses 193
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
17
8
56
23
8
21
2
3
3
Employment and Income Data
Labor Force 2003 37,823
Employed 2003 35,532
Unemployed 2003 2,291
Unemployment Rate 2003 (%) 6.1
Per Capita Income 2002 $23,908
Medicaid Eligibles 2002 15,533
(unduplicated count)
(Rates are per 1,000 population)
Resident Births .
Resident Deaths
% Births <2500 gms
Infant Mortality Rates 2002
813 Total Pregnancies . 981
729 Teen Pregnancies ... 141
9.5
Pregnancies.
(ages 15-19)
Total Pregnancy Rate
Teen Pregnancy Rate.
(ages 15-19)
62.9
63.7
(Rates are per 1,000 population)
Total 4.9 White. ......... 5.8 Nonwhite 0.0
Hospital/Facility Data
General Hospital Discharges 2002"^ . 10,417 General Hospital Beds 2003^^^
. 96 Nursing Facility Beds 2003 419
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+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.
32 © 2004 UNC Sheps Center for Health Services Research
Buncombe
MSA county designation: Metropolitan AHEC Region: Mountain
\ m 2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians .713 Registered Nurses 3,408
Primary Care Physicians
Family Practice
296
114
Nurse Practitioners
Certified Nurse Midwives
94
9
General Practice 7
Licensed Practical Nurses 719
Internal Medicine 89 Other Health Professionals
Obstetrics/Gvnecology 45
Pediatrics 41 Chiropractors 56
Other Specialties 417 Optometrists 30
Pharmacists 252
Physicians per 10,000 Population 33.1
Physical Therapists 188
Primary Care Physicians 13.7
per 10,000 Population
Physical Therapist Assistants 60
Physician Assistants 100
Federal Physicians** 48
Podiatrists 9
Dentists and Dental Hygienists Practicing Psychologists 91
Dentists 127 Psychological Associates 62
Dental Hygienists 150
DEMOGRAPHICS
Projected Population 2003
Total Ages 0-19 Ages 20-64 Ages 65 -i-
195,185 45,659 119,159 30,367
20,311 6,520 11,779 2,012
215,496 52,179 130,938 32,379
100,0% 24.2% 60.8% 15.0%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Employment and Income Data
Labor Force 2003 110,703
Employed 2003
Unemployed 2003
Unemployment Rate 2003 (%)
Per Capita Income 2002
Medicaid Eligibles 2002
(unduplicatea count)
106,413
4.290
3.9
$27,288
34,942
(Rales are per 1,000 population)
Resident Births . . . .
Resident Deaths
% Births <2500 gms
Infant Mortality Rates 2002
2,564 Total Pregnancies.
2,193 Teen Pregnancies
jQ ^
(ages 15-19)
3,172 Total Pregnancy Rate
4 1 3 Teen Pregnancy Rate
64.8
64.0
(ages 15-19)
(Rates are per 1,000 population)
Total 7.0 White 5.7 Nonwhite 16.6
Hospital/Facility Data
General Hospital Discharges 2002 '^
. . 22,200 General Hospital Beds 2003'*'"^
. 716 Nursing Facility Beds 2003 . . . 1,668
* Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded
** Includes NC Medical Board Ucensed federal physicians in the armed services, US Pubhc Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+Counts are for discharges of county residents from acute-care, short-stay hospitals; numbers exclude normal newborns.
•"•X^ounts of hospital beds in acute care short stay hospitals in county.
33 © 2004 UNC Sheps Center for Health Services Research
MSA county designation: Metropolitan AHEC Region: Northwest
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 171
Primary Care Physicians 71
Family Practice 36
General Practice 4
Internal Medicine 14
Obstetrics/Gynecology 9
Pediatrics 8
Other Specialties 100
Physicians per 10,000 Population 18.6
Primary Care Physicians 7.7
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
30
30
Total Ages 0-19 Ages 20-64 Ages 65+
80,630 19,930 49,084 11,616
11,313 4,760 5,747 806
91,943 24,690 54,831. 12,422
100.0% 26.9% 59.6% 13.5%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
Other Health Professionals
895
15
4
151
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
10
4
75
28
29
19
1
35
43
Employment and Income Data
Labor Force 2003 43,110
Employed 2003 39,606
Unemployed 2003 3,504
Unemploymem Rate 2003 (%) 8.
1
Per Capita Income 2002 $23,890
Medicaid Eligibles 2002 16,095
(unduplicatea count)
(Rales are per 1,000 population)
Resident Births 1,047
792
8.0
Total Pregnancies
Teen Pregnancies
(ages 15-19) .
1,179
189
Total Pregnancy Rate
Teen Pregnancy Rate.
(ages 15-19)
60.4
Resident Deaths . . . 66.9
% Births <2500 gms _ _
Infant Mortality Rates 2002
(Rates are per 1,000 population)
Total 6.7 White. 5.5 Nonwhite _ . . . 13.8
Hospital/Facility Data
General Hospital Discharges 2002"*"
. . 10,586 General Hospital Beds 2003 . 354 Nursing Facility Beds 2003 556
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services. US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+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
34 2004 UNC Sheps Center for Health Services Research
Cabarrus
MSA county designation: Metropolitan AHEC Region: Charlotte
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 304
Primary Care Physicians 137
Family Practice 53
General Practice 1
Internal Medicine 46
Obstetrics/Gynecology 13
Pediatrics 24
Other Specialties 167
Physicians per 10,000 Population 21.2
Primary Care Physicians 9.6
per 10,000 Population
Federal Physicians** 1
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
39
71
Total Ages 0-19 Ages 20-64 Ages 65+
122,940 33,946 74,682 14,312
20,366 7,149 11,648 1,569
143,306 41,095 86,330 15,881
100.0% 28.7% 60.2% 11.1%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses 1,391
Nurse Practitioners 34
Certified Nurse Midwives 5
Licensed Practical Nurses 195
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
32
12
127
35
42
26
3
16
21
Employment and Income Data
Labor Force 2003 77,433
Employed 2003 71,228
Unemployed 2003 6,205
Unemployment Rate 2003 (%) 8.0
Per Capita Income 2002 $29,733
Medicaid Eligibles 2002 19,996
(unduplicated count)
(Rates are per 1,000 population)
Resident Births . .
Resident Deaths .
% Births <2500 gms
Infant Mortality Rates 2002
2,190 Total Pregnancies. 2,546
1,150 Teen Pregnancies. 308
g ^
{ages 15-19)
Total Pregnancy Rate 75.6
Teen Pregnancy Rate. 66.3
(ages 15-19)
(Rates are per 1,000 population)
Total 7.3 White 5.5 Nonwhite 16.4
Hospital/Facility Data
General Hospital Discharges 2002"^
. . 16,797 General Hospital Beds 2003^*^ 447 Nursing Facility Beds 2003 691
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded,
** Includes NC Medical Board licensed federal physicians in the armed services, US I*ubUc Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+Counts are for discharges of county residents from acute-care, short-stay hospitals; numbers exclude normal newborns.
"•"•iTounts of hospital beds in acute care short stay hospitals in county'.
35 2004 UNC Sheps Center for Health Services Research
Caldwell
MSA county designation: Metropolitan AHEC Region: Northwest
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 81 Registered Nurses 383
Primary Care Physicians
Family Practice
46
23
Nurse Practitioners
Certified Nurse Midwives
13
6
General Practice 2 Licensed Practical Nurses 101
Internal Medicine 9 Other Health Professionals
Obstetrics/Gynecology 6
Pediatrics 6 Chiropractors 4
Other Specialties 35 Optometrists 4
Physicians per 10,000 Population 10.3
Pharmacists 36
Primary Care Physicians 5.8
Physical Therapists 16
per 10,000 Population
Physical Therapist Assistants 20
Physician Assistants 12
Federal Physicians**
Podiatrists 2
Dentists and Dental Hygienists Practicing Psychologists 1
Dentists 20 Psychological Associates 5
Dental Hygienists 26
DEMOGRAPHICS
Projected Population 2003
Total Ages 0-19 Ages 20-64 Ages 65-i-
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
73,546 18,484 44,799 10,263
5,310 1,842 2,950 518
78,856 20,326 47,749 10,781
100.0% 25.8% 60.6% 13.7%
Employment and Income Data
Labor Force 2003 39,576
Employed 2003 35,707
Unemployed 2003 3,869
Unemployment Rate 2003 (%) 9.8
Per Capita Income 2002 $25,235
Medicaid Eligibles 2002 14,079
(unduplicated counl)
(Rates are per 1,000 population)
Resident Births 943 Total Pregnancies 1,045 Total Pregnancy Rate . 60.6
Resident Deaths 789
9.8
Teen Pregnancies
(ages 15-19)
136 Teen Pregnancy Rate .
(ages 15-19)
58.0
% Births <2500 gms
Infant Mortality' Rates 2002
(Rates are per 1,000 population)
Total 9.5 White. 10.2 Nonwhite 0.0
Hospital/Facility Data
General Hospital Discharges 2002"^ . . 10,015 General Hospital Beds 2003*^. . 110 Nursmg Facility Beds 2003 410
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded
** Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, hidian Health Service, and the
Department of Veterans Affairs.
+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.
36 ® 2004 UNC Sheps Center for Health Services Research
Camden
I MSA county designation: Nonmetropolitan AHEC Region: Eastern
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 3
Primary Care Physicians 2
Family Practice 2
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties 1
Physicians per 10,000 Population 4.1
Primary Care Physicians 2.8
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Poyulation 2003
2
Total Ages 0-19 Ages 20-64 Ages 65+
5,981 1,549 3,669 763
1,284' 321 754 209
7,265 1,870 4,423 972
100.0% 25.7% 60.9% 13.4%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
Other Health Professionals
25
3
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
Employment and Income Data
Labor Force 2003 3,833
Employed 2003 3,721
Unemployed 2003 1 12
Unemployment Rate 2003 (%) 2.9
Per Capita Income 2002 $25,896
Medicaid Eligibles 2002 999
(unduplicalea count)
(Rates are per 1,000 population)
Resident Births 72
68
8.3
Total Pregnancies.
Teen Pregnancies .
(ages 15-19)
87
12
Total Pregnancy Rate
Teen Pregnancy Rate. . . . .
(ages 15-19)
53.0
Resident Deaths
% Births <2500 gms _
-
.
. . . 45.8
Infant Mortality Rates 2002
(Rates are per 1,000 population)
Total 0.0 White 0.0 Nonwhite . . ... 0.0
Hospital/Facility' Data
General Hospital Discharges 2002"^
. . 505 General Hospital Beds 2003^ Nursing Facility Beds 2003
*Number's reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** hicludes NC Medical Board hcensed federal physicians in the armed services, US Pubhc Health Service, hidian Health Service, and the
Department of Veterans Affairs
+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.
37 © 2004 UNC Sheps Center for Health Services Research
Carteret
MSA county designation: Nonmetropolitan AHEC Region: Eastern
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 91
Primary Care Physicians 44
Family Practice 17
General Practice 6
Internal Medicine 9
Obstetrics/Gynecology 8
Pediatrics 4
Other Specialties 47
Physicians per 10,000 Population 15.0
Primary Care Physicians 7.2
per 10,000 Population
Federal Physicians** 2
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
34
36
Total Ages 0-19 Ages 20-64 Ages 65-i-
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
55,515 11,550 33,643 10,322
5,197 1,545 3,102 550
60,712 13,095 36,745 10,872
100.0% 21.6% 60.5% 17.9%
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
Other Health Professionals
438
20
179
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
12
,9
50
26^
7
15'
'2
^:
1
Employment and Income Data
Labor Force 2003 29,560
Employed 2003 28,059
Unemployed 2003 1,501
Unemployment Rate 2003 (%) 5.1
Per Capita Income 2002 $27,7 1
3
Medicaid Eligibles 2002 9,09
1
(unduplicatea count)
(Rates are per 1.000 population)
Resident Births . . . .
Resident Deaths . .
% Births <2500 gms
Infant Mortality Rates 2002
577 Total Pregnancies. ... 703 Total Pregnancy Rate
67 1 Teen Pregnancies . . .
^ ^
(ages 15-19)
90 Teen Pregnancy Rate
(ages 15-19)
58.8
48.8
(Rales are per 1,000 population)
Total 5.2 White 5.8 Nonwhite 0.0
Hospital/Facility Data
General Hospital Discharges 2002"^
. . 7,894 General Hospital Beds 2003"^"^ 117 Nursing Facility Beds 2003 424
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly bcensed in 2003;
inactive are excluded.
** hicludes NC Medical Board licensed federal physicians in the armed services. US Public Health Service, hidian Health Service, and the
Department of Veterans Affairs.
+Counts are for discharges of county residents from acute-care, short-stay hospitals; numbers exclude normal newborns.
"•"•Xl^ounts of hospital beds in acute care short stay hospitals in county.
38 © 2004 UNC Sheps Center for Health Services Research
MSA county designation: Nonmetropolitan AHEC Region: Greensboro
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
12
10
7
3
2
4.9
4.1
4
3
Total Ages 0-19 Ages 20-64 Ages 65+
15,405 3,829 9,506 2,070
8,905 2,242 5,554 1,109
24,310 6,071 15,060 3,179
100.0% ' 25.0% ' 61.9% 13.1%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses 54
Nurse Practitioners 5
Certified Nurse Midwives
Licensed Practical Nurses 36
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
2
7
4
1
3
1
1
1
Employment and Income Data
Labor Force 2003 11,592
Employed 2003 10,569
Unemployed 2003 1,023
Unemployment Rate 2003 (%) 8.8
Per Capita Income 2002 $2 1 ,5 8
1
Medicaid Eligibles 2002 4,640
{uiiduplicatea count)
(Rates are per 1,000 population)
Resident Births .
Resident Deaths .
% Births <2500 gms
Infant Mortality Rates 2002
267
260
6.4
Total Pregnancies, . . 313 Total Pregnancy Rate
Teen Pregnancies.
(ages 15-19)
45 Teen Pregnancy Rate.
(ages 15-19}
63.1
61.1
(Rates are per 1,000 population)
Total 3.7 White. 5.2 Nonwhite
,
0.0
Hospital/Facility Data
General Hospital Discharges 2002"!'
. . 1,171 General Hospital Beds 2003. Nursmg Facility Beds 2003 137
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians m the armed services, US Public Health Service, Indian Health Service, and the
Deparcment of Veterans Affairs
+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 count)'.
39 © 2004 UNC Sheps Center for Health Services Research
Catawba
MSA county designation: Metropolitan AHEC Region: Northwest
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
328
132
64
1
36
20
11
196
21.9
8.8
60
65
Total Ages 0-19 Ages 20-64 Ages 65+
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
130,391 32,916 80,374 17,101
19,359 7,621 10,490 1,248
149,750 40,537 90,864 18,349
100.0% 27.1% 60.7% 12.3%
Nurses
Registered Nurses 1,597
Nurse Practitioners 56
Certified Nurse Midwives 10
Licensed Practical Nurses 273
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
21
18
132
65
54
46
7
14
22
Employment and Income Data
Labor Force 2003 77,121
Employed 2003 70,363
Unemployed 2003 6,758
Unemployment Rate 2003 (%) 8.8
Per Capita Income 2002 $26,925
Medicaid Eligibles 2002 23,178
(unduplicaled count)
(Rates are per 1,000 population)
Resident Births 2,079
1,260
8.6
Total Pregnancies. ,
Teen Pregnancies
(ages 15-19)
2,391
301
Total Pregnancy Rate
Teen Pregnancy Rate
(ages 15-19)
69.6
Resident Deaths . . . 66.1
% Births <2500 gms
Infant Mortality Rates 2002
(Rates are per 1,000 population)
Total 5.8 White . . 4.0 Nonwhite ... 16.1
Hospital/Facility Data
GeneralHospitalDischarges2002"*'. 15,147 General Hospital Beds 2003'^'*;
. 409 Nursing Facility Beds 2003 759
*Numbers repdrted include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded
** hicludes NC Medical Board Ucensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+Counts are for discharges of county residents from acute-care, short-stay hospitals; numbers exclude normal newborns,
"•"•tllounts of hospital beds in acute care short stay hospitals in county.
40 2004 UNC Sheps Center for Heilth Services Research
Chatham
MSA county designation: Metropolitan AHEC Region: Greensboro
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 35 Registered Nurses 211
Primary Care Physicians
Family Practice
General Practice
28
17
1
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
19
1
89
Internal Medicine
Obstetrics/Gynecology
Pediatrics
8
o'
2
Other Health Professionals
Chiropractors 4
Other Specialties 7 Optometrists 5
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
6.6
5.3
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
28
7
4
2
Dentists and Dental Hygienists Practicing Psychologists 3
Dentists 8 Psychological Associates 6
Dental Hygienists 29
DEMOGRAPHICS
Projected Population 2003
Total Ages 0-19 Ages 20-64 Ages 65+
43,608 10,647 26,318 6,643
9,368 2,470 5,638 1,260
52,976 13,117 31,956 7,903
100.0% 24.8% 60.3% 14.9%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Employment and Income Data
Labor Force 2003 29,934
Employed 2003 28,594
Unemployed 2003 1,340
Unemployment Rate 2003 (%) 4.5
Per Capita Income 2002 $35 , 1 5
1
Medicaid Eligibles 2002 6,774
(unduplicatea count)
(Rales are per 1,000 populalion)
Resident Births .
Resident Deaths
% Births <2500 gms
Infant Mortality Rates 2002
696 Total Pregnancies 815
479 Teen Pregnancies 87
8.9
Pregnancies.
(ages 15-19)
Total Pregnancy Rate . 71.4
Teen Pregnancy Rate. . 56.1
(ages 15-19)
(Rates are per 1,000 population)
Total 7.2 White 6.6 Nonwhite 10.6
Hospital/Facility Data
General Hospital Discharges 2002"^
. . 4,534, General Hospital Beds 2003"^"^
. 68 Nursing Facility Beds 2003 340
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board hcensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+Counts are for discharges of county residents from acute-care, short-stay hospitals; numbers exclude normal newborns.
"•"•X^ounts of hospital beds in acute care short stay hospitals in county.
41 © 2004 UNC Sheps Center for Health Services Research
Cherokee
MSA county designation: Nonmetropolitan AHEC Region: Mountain
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians
Non-Federal Physicians 38
Primary Care Physicians 23
'
Family Practice 7
General Practice
Internal Medicine 10
Obstetrics/Gynecology 2
Pediatrics 4
Other Specialties 15
Physicians per 10,000 Population 14.9
Primary Care Physicians 9.0
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Populatioti 2003
10
12
Total Ages 0-19 Ages.20-64 Ages 65+
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
24,466 5,277 14,196 4,993
994 271 602 121
25,460 5,548 14,798 5,114
100.0% 21.8% 58.1% 20.1%
Nurses
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
Other Health Professionals
220
5
90
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
5
5
25
9
7
8
\3-
4'
Employment and Income Data
Labor Force 2003 10,345
Employed 2003 9,593
Unemployed 2003 752
Unemployment Rate 2003 (%) 7.3
Per Capita Income 2002 $ 1 9,752
Medicaid Eligibles 2002 5,630
(unduplicatea count)
(Rates are per 1,000 population)
Resident Births 270
325
8.5
Total Pregnancies .
Teen Pregnancies
(ages 15-19)
... 300
48
Total Pregnancy Rate
Teen Pregnancy Rate.
(ages 15-19)
63.1
Resident Deaths . 67.3
% Births <2500 gms
Infant Mortality Rates 2002
(Rates are per 1,000 population)
Total 3.7 White 3.8 Nonwhite . . ... 0.0
Hospital/Facility Data
General Hospital Discharges 2002"!; _ . 2,813 General Hospital Beds 2003'*"^
. 1 10 Nursing Facility Beds 2003 ... 210
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board hcensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+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.
42 2004 UNC Sheps Center for Health Services Research
MSA county designation: Nonmetropolitan AHEC Region: Eastern
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians — Nurses
Non-Federal Physicians 27
Primary Care Physicians 13
Family Practice 5
General Practice
Internal Medicine 3
Obstetrics/Gynecology 2
Pediatrics 3
Other Specialties 14
Physicians per 10,000 Population 18.4
Primary Care Physicians 8.8
per 10,000 Population
Federal Physicians** 1
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
3
4
Total Ages 0-19 Ages 20-64 Ages 65+
8,996 1,933 5,155 1,908
5,714- 1,830 3,158 726
14,710 3,763 8,313 2,634
100.0% 25.6% 56.5% 17.9%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
Other Health Professionals
129
3
2
46
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
3
1
10
2
5
2
1
Employment and Income Data
Labor Force 2003 7,089
Employed 2003 6,761
Unemployed 2003 328
Unemployment Rate 2003 (%) 4.6
Per Capita Income 2002 $24,743
Medicaid Eligibles 2002 3 ,6 1
4
(unduplicated count)
(Rates are per 1,000 population)
Resident Births 187
193
7.0
Total Pregnancies. . . . . .
Teen Pregnancies . . .
(ages 15-19)
... 223
41
Total Pregnancy Rate
Teen Pregnancy Rate
(ages 15-19)
. 73.6
Resident Deaths 82.3
% Births <2500 gms .......... .
Infant Mortality Rates 2002
(Rates are per 1,000 population)
Total . 0.0 White 0.0 Nonwhite . ... 0.0
Hospital/Facility Data
General Hospital Discharges 2002"^
. . 1,787 General Hospital Beds 2003^"^
. 71 Nursing Facility Beds 2003 170
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Ser\'ice, Indian Health Service, and the
Department of Veterans Affairs.
+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.
43 © 2004 UNC Sheps Center for Health Services Research
MSA county designation: Nonmetropolitan AHEC Region: Mountain
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 6
Primary Care Physicians 5
Family Practice 4
General Practice
Internal Medicine
Obstetrics/Gynecology 1
Pediatrics
Other Specialties 1
Physicians per 10,000 Population 6.5
Primary Care Physicians 5.4
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists 3
Dental Hygienists 8
DEMOGRAPHICS
Projected Population 2003
Total Ages 0-19 Ages 20-64 Ages 65+
9,090 1,708 5,306 2,076
165 47 101 17
9,255 1,755 5,407 2,093
100.0% 19.0% 58.4% 22.6%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
53
1
23
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
I.
5
2
Q
2
1
Employment and Income Data
Labor Force 2003 3,689
Employed 2003 3,536
Unemployed 2003 153
Unemployment Rate 2003 (%) 4.1
Per Capita Income 2002 $2 1 ,625
Medicaid Eligibles 2002 1 ,763
(unduplicaied count)
(Rates are per 1,000 population)
Resident Births .
Resident Deaths . .
% Births <2500 gms .
Infant Mortality Rates 2002
90 Total Pregnancies.
106 Teen Pregnancies
^ ^
(ages 15-19)
97 Total Pregnancy Rate 60.:
13 Teen Pregnancy Rate. . 53.9
(ages 15-19)
(Rales are per 1,000 population)
Total 0.0 White 0.0 Nonwhite . 0.0
Hospital/Facility Data
General Hospital Discharges 2002t . . 768 General Hospital Beds 2003'^^.
. Nursing Facility Beds 2003 80
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** tacludes NC Medical Board licensed federal physicians in the armed services, US Pubhc Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+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. ^
44 © 2004 UNC Sheps Center for Health Services Research
Cleveland
MSA county designation: Nonmetropolitan AHEC Region: Charlotte
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
146
75
29
3
23
8
12
71
14.7
7.6
33
55
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Total Ages 0-19 Ages 20-64 Ages 65+
76,697 19,710 45,668 11,319
22,335 7,739 12,671 1,925
99,032 27,449 58,339 13,244
100.0% 27.7% 58.9% 13.4%
Registered Nurses 792
Nurse Practitioners 19
Certified Nurse Midwives 3
Licensed Practical Nurses 247
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
10
10
58
26
17
15
3
3
10
Employment and Income Data
Labor Force 2003 43,879
Employed 2003 39,331
Unemployed 2003 4,548
Unemployment Rate 2003 (%) 10.4
Per Capita Income 2002 $23,020
Medicaid Eligibles 2002 2 1 , 1 06
(undupUcatea count)
(Rates are per 1,000 population]
Resident Births
Resident Deaths
% Births <2500 gms .
Infant Mortality Rates 2002
1,202 Total Pregnancies. 1,375 Total Pregnancy Rate
978 Teen Pregnancies .. . 222 Teen Pregnancy Rate.
^ ^
(ages r5-19) (ages 15-19)
60.4
69.1
(Rates are per 1,000 population)
Total 6.7 White 4.5 Nonwhite 13.0
Hospital/Facility Data
General Ho.spital Discharges 2002"^
. . 13,299 General Hospital Beds 2003^^
. 373 Nursing Facility Beds 2003 ... 544
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded
** Includes NC Medical Board licensed federal physicians in the armed services, US PubUc Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+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.
45 © 2004 UNC Sheps Center for Health Services Research
Columbus
MSA county designation: Nonmetropolitan AHEC Region: Coastal
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
56
27
7
15
3
2
29
10.0
4.8
11
12
Total Ages 0-19 Ages 20-64 Ages 65-i-
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
36,284 8,838 21,859 5,587
19,677 6,453 11,045 2,179
55,961 15,291 32,904 7,766
100.0% 27.3% 58.8% 13.9%
Registered Nurses 459
Nurse Practitioners 14
Certified Nurse Midwives
Licensed Practical Nurses 135
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
, 7
4
43
13
11
19
1
1
Employment and Income Data
Labor Force 2003 22,213
Employed 2003 20,282
Unemployed 2003 1,931
Unemployment Rate 2003 (%) 8.7
Per Capita Income 2002 $22,273
Medicaid Eligibles 2002 17,388
(unduplicated count)
(Rates are per 1,000 population)
Resident Births , .
Resident Deaths ... .... .
% Births <2500 gms
Infant Mortality Rates 2002
11 1 Total Pregnancies. . . 931
643 Teen Pregnancies 166
10.6
Pregnancies.
[ages 15-19)
Total Pregnancy Rate
Teen Pregnancy Rate
(ages 15-19)
73.8
87.1
(Rales are per 1,000 population)
Total
Hospital/Facility Data
9.1 White 4.1 Nonwhite 17.9
General Hospital Discharges 2002t . . 8,280 General Hospital Beds 2003^*. . 166 Nursing Facility Beds 2003 323
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services. US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+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
46 2004 UNC Sheps Center for Health Services Research
MSA county designation: Nonmetropolitan AHEC Region: Eastern
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
198
73
12
2
33
8
18
125
21.2
7.8
13
41
44
Total Ages 0-19 Ages 20-64 Ages 65+
67,162 16,665 40,052 10,445
26,074 8,569 15,145 2,360
93,236 25,234 55,197 12,805
100.0% 27.1% 59.2% 13.7%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses 878
Nurse Practitioners 28
Certified Nurse Midwives 1
Licensed Practical Nurses 248
Other Health Professionals
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
13
12
64
46
19
21
3
13
16
Employment and Income Data
Labor Force 2003
Employed 2003
Unemployed 2003
Unemployment Rate 2003 (%)
Per Capita Income 2002
Medicaid Eligibles 2002
(imduplicatea count)
38,318
36,214
2,104
5.5
$26,917
16,197
(Rates are per 1,000 population)
Resident Births . .
Resident Deaths
% Births <2500 gms
Infant Mortality Rates 2002
1,519 Total Pregnancies 1,760
825 Teen Pregnancies . . . 252
g ^
(ages 15-19)
Total Pregnancy Rate ... 82.7
Teen Pregnancy Rate. 85.2
(ages 15-19)
(Rates are per 1,000 population)
Total . , . 4.6 White 4.5 Nonwhite . 4.8
Hospital/Facility Data
GeneralHospitalDischarges2002'^. 12,617 General Hospital Beds 2003^"^
. 270 Nursing Facility Beds 2003 461
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs
+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.
47 2004 UNC Sheps Center for Health Services Research
Cumberland
MSA county designation: Metropolitan AHEC Region: Soutliern Regional
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 450
Primary Care Physicians 206
Family Practice 64
General Practice 7
Internal Medicine 54
Obstetrics/Gynecology 34
Pediatrics 47
Other Specialties 244
Physicians per 10,000 Population 14.6
Primary Care Physicians 6.7
per 10,000 Population
Federal Physicians** 136
Dentists and Dental Hygienists
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
Other Health Professionals
2,189
72
6
877
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
105
145
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
24
29
183
96
87
135
10
tJ
2>V
Total Ages 0-19 Ages 20-64 Ages 65-i-
179,026 50,092 112J03 16,831
129,594 45,813 75,745 8,036
308,620 95,905 187,848 24,867
100.0% 31.1% 60.9% 8.1%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Employment and Income Data
Labor Force 2003 129,741
Employed 2003 122,499
Unemployed 2003 7,242
Unemployment Rate 2003 (%) 5.6
Per Capita Income 2002 $26,323
Medicaid Eligibles 2002 54,397
(undupticatea count)
(Rates are per 1,000 population)
Resident Births . _ .
Resident Deaths .
% Births <2500 gms _ . . _
Infant Mortality Rates 2002
5,433 Total Pregnancies. . 7,009
1,999 Teen Pregnancies . 874
^ ^
(ages 15-19)
Total Pregnancy Rate
Teen Pregnancy Rate
(ages 15-19)
83.7
80.0
(Rates are per 1,000 population)
Total 1 1.2 White 7.7 Nonwhite 16.4
Hospital/Facility Data
General Hospital Discharges 2002"^ _. 25,272 General Hospital Beds 2003^^^
. 471 Nursing Facility Beds 2003 939
* Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs,
+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.
48 © 2004 UNC Sheps Center for Health Services Research
Currituck
MSA county designation: Metropolitan AHEC Region: Eastern
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 6
Primary Care Physicians 5
Family Practice 2
General Practice
Internal Medicine 2
Obstetrics/Gynecology 1
Pediatrics
Other Specialties 1
Physicians per 10,000 Population 3.0
Primary Care Physicians 2.5
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
2
1
Total Ages 0-19 Ages 20-64 Ages 65+
18,087 4,785 11,128 2,174
1,639 489 932 218
19,726 5,274 12,060 2,392
100.0% 26.7% 61.1% 12.1%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
Other Health Professionals
48
3
21
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
2
1
3
3
1
2
Employment and Income Data
Labor Force 2003 10,631
Employed 2003 10,330
Unemployed 2003 301
Unemployment Rate 2003 (%) 2.8
Per Capita Income 2002 $26,48
1
Medicaid Eligibles 2002 2,615
(unduplicaled count)
(Rates are per 1,000 population)
Resident Births . . .
Resident Deaths
% Births <2500 gms
Infant Mortality Rates 2002
211 Total Pregnancies 261
159 Teen Pregnancies . . 37
9.5
Pregnancies.
(ages 15-19)
Total Pregnancy Rate . 59.0
Teen Pregnancy Rate ... 52.3
(ages 15-19)
(Rates are per 1,000 population)
Total 9.5 White. 9.9 Nonwhite 0.0
Hospital/Facilits' Data
General Hospital Discharges 2002"^
.
872 General Hospital Beds 2003^ Nursing Facility Beds 2003 100
'Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded
** Includes NC Medical Board licensed federal physicians in the armed services, US Public Health Service, Indian Health Service, and the
Department of Veterans Affairs.
+Counts are for discharges of county residents from acute-care, short-stay hospitals; numbers exclude normal newborns.
''"''Counts of hospital beds m acute care short stay hospitals in county.
49 2004 UNC Sheps Center for Health Services Research
Dare
MSA county designation: Nonmetropolitan AHEC Region: Eastern
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians
Primary Care Physicians
Family Practice
General Practice
Internal Medicine
Obstetrics/Gynecology
Pediatrics
Other Specialties
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
Dentists and Dental Hygienists
Dentists
Dental Hygienists
DEMOGRAPHICS
Projected Population 2003
43
27
14
1
6
5
1
16
13.3
8.3
19
15
Total Ages 0-19 Ages 20-64 Ages 65+
31,213 6,961 19,774 4,478
1,227 398 748 81
32,440 7,359 20,522 4,559
100.0% 22.7%
1
63.3% 14.1%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Registered Nurses
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
Other Health Professionals
223
10
2
39
Chiropractors
Optometrists
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
Practicing Psychologists
Psychological Associates
5
5
31
14
1
7
2
Employment and Income Data
Labor Force 2003 22,275
Employed 2003 21,149
Unemployed 2003 1,126
Unemployment Rate 2003 (%
)
5.1
Per Capita Income 2002 $28,908
Medicaid Eligibles 2002 3,245
(unduplicated count)
(Rates are per 1,000 population)
Resident Births 354
286
7.6
Total Pregnancies
Teen Pregnancies
(ages 15-19)
... 484
70
Total Pregnancy Rate
Teen Pregnancy Rate.
(ages 15-19)
72.0
Resident Deaths 72.6
% Births <2500 gms . .
Infant Mortality Rates 2002
(Rates are per 1,000 population)
Total _ . _ 8.5 White 5.9 Nonwhite _ . _ 66.7
Hospital/Facility Data
General Hospital Discharges 2002"!"
. . 1,734 General Hospital Beds 2003^* 19 Nursing Facility Beds 2003 126
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded.
** Includes NC Medical Board hcensed federal physicians in the armed services, US Public Health Service, hidian Health Service, and the
Department of Veterans Affairs.
+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.
50 2004 UNC Sheps Center for Health Services Research
Davidson
MSA county designation: Metropolitan AHEC Region: Nortli west
2003 ACTIVE HEALTH PROFESSIONALS*
Physicians Nurses
Non-Federal Physicians 121 Registered Nurses 708
Primary Care Physicians
Family Practice
General Practice
72
24
3
Nurse Practitioners
Certified Nurse Midwives
Licensed Practical Nurses
17
1
162
Internal Medicine
Obstetrics/Gynecology
Pediatrics
21
10
14
Other Health Professionals
Chiropractors 10
Other Specialties 49 Optometrists 14
Physicians per 10,000 Population
Primary Care Physicians
per 10,000 Population
Federal Physicians**
7.9
4.7
Pharmacists
Physical Therapists
Physical Therapist Assistants
Physician Assistants
Podiatrists
84
27
21
14
1
Dentists and Dental Hygienists Practicing Psychologists 3
Dentists 29 Psychological Associates 7
Dental Hygienists 60
DEMOGRAPHICS
Projected Population 2003
Total Ages 0-19 Ages 20-64 Ages 65+
136,144 34,863 82,979 18,302
17.008 5,647 9.886 1,475
153,152 40,510 92,865 19,777
100.0% 26.5% 60.6% 12.9%
White
Nonwhite
Total
% of Pop.
HEALTH-RELATED STATISTICS
Vital Statistics 2002
Employment and Income Data
Labor Force 2003 83,113
Employed 2003 76,679
Unemployed 2003 6,434
Unemployment Rate 2003 (%) 7.7
Per Capita Income 2002 $25,914
Medicaid Eligibles 2002 23,878
(unduplicalea count)
(Rates are per 1.000 population)
Resident Births .
Resident Deaths . . . .
% Births <2500 gms
Infant Mortality Rates 2002
1,903 Total Pregnancies. 2.170 Total Pregnancy Rate 62.7
1,431 Teen Pregnancies . . 312
„ _ {ages 15-19}
Teen Pregnancy Rate 65.1
(ages 15-19)
(Rates are per 1,000 population)
Total 8.9 White 7.6 Nonwhite 21.3
Hospital/Facility Data
General Hospital Discharges 2002"^
, . 14,735 General Hospital Beds 2003'*^
, 228 Nursing Facility Beds 2003 744
*Numbers reported include those who are active within the profession and those with unknown activity status who were newly licensed in 2003;
inactive are excluded
** Includes NC Medical Board Ucensed federal physicians in the armed services, US Pubhc Health Service, Indian Health