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The Pediatric Rheumatology Workforce:  A Study of the Supply and Demand for Pediatric Rheumatologists

 

References

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[i] Program starting in July 2004

[ii] Program recently started.

[iii] A national prevalence rate of 390 per 100,000 children was used, which corresponds to a national estimate of 285,000 children with rheumatic diseases.

[iv] It is important to note that the ratio in Washington D.C. may be underestimated, however, as some of these providers may work at the National Institutes of Health as researchers rather than patient care providers.

[v] While 45 percent of survey pediatric rheumatology units had only one pediatric rheumatologist, 55 percent had more than one.  Thus, the actually number of children seen per provider will deviate from 443.

[vi] It should be noted that the ABP file has either a home address or work address for a physician, depending on which one the physician reports.  It is possible that some of the pediatric rheumatologists work in counties that differ from their home address.

[vi] i Though not board-certified, Kansas City, KS had two pediatric rheumatologists who graduated prior to 1987.

[vii] Visits in which JRA was not listed as one of the nine diagnoses were excluded from this analysis.

[viii] It is essential to note that visits to centers with pediatric rheumatologists may have involved a visit to another type of physician, such as an ophthalmologist.  Thus, the percentage of visits to pediatric rheumatologists may be overstated.

[ix] Our 2004 ACR data only includes pediatric rheumatologists.