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The Economic Contributions of Oregon’s Physician Practices Jo Isgrigg, Ph.D. Oregon Healthcare Workforce Institute Rural Health Policy Summit June 11, 2010 Nearing 4 million Oregonians 32 of Oregon’s 36 counties are Primary Care Health Professional Shortage Areas 329 new physicians annually Purpose of the Study: Inform investments in Oregon’s physician workforce Education Recruitment Retention Study Partners Oregon Healthcare Workforce Institute Oregon Medical Education Foundation Oregon Health & Science University Oregon Area Health Education Center Oregon Employment Department Oregon Medical Association Methodology 2008 State and county employment, income and economic data from OED and OEA Survey of large retail stores’ to obtain data on pharmacy workers 9,469 physicians with an Oregon practice address from June 2008 OMB database IMPLAN model: input-output economic analysis Analysis Included physician-related contributions to state and county: Employment Gross State Domestic Product and local taxes paid through the contribution of physicians and physicianrelated employment Total Employment Statewide, Oregon’s physician practices contributed 242,084 jobs to the state’s economy. Multnomah: 58,283 Washington: 19,216 Lane: 18,005 Marion: 15,496 Jackson: 12,338 Clackamas: 9,951 Deschutes: 9,330 Total Employment Contribution (jobs) per Physician 60 50 40 30 20 10 0 l nt ake olk op wa oln rry os n ey ide ok ion o w ook son ker sco illa las n e ine tes at h ver on ion eur bia to n ah ton h il in n as am an ler a i o i s s t a o r e r g G L P lat allo Lin c Cu C Har tew am Mar or Cr ack Ba Wa ma ou L eph ch u lam d R f er Un alh lum ing nom Ben am L kam Gill erm he f Y l s C W h c s t M J l o a i U D K oo Je M C as ul Sh W la Jo De St T C H M W n go e r O Range: 12 – 48 total jobs per physician; State average: 25 jobs per physician Percent of Physician-Contributed Jobs in Labor Market Statewide – 11% (Range 2% - 12%) Wasco – 12% Coos – 12% Jackson – 10% Multnomah – 10% Deschutes – 9% Lane – 9% Douglas – 9% Josephine – 9% Klamath – 9% Gross Domestic Product (GDP) is a basic measure of overall economic output Physician Contribution to GDP Statewide: $17.1 billion (11% of state’s GDP) Multnomah: $4.2 billion` Washington: $1.48 billion Lane: $1.17 billion Marion: $1.07 billion Clackamas: $868.2 million Ba G ke r Cl ra a n Li tso t n p M col ar n i Lao n De k sc Po e hu lk t Coes Ti L os lla a Ja mone o Docks k ugo n Culas W rr a y W a s C sco hi r oo Umng t k on a t H i Kl a rnlla am ey M Jo o ath M se rr o ul ph w t n in o e Ho Bema Cl od ntoh ac R n k a iv e m r W Un as Jea llo ion ff w M er s a a o Yalhe n m ur Co L hill lu in G mb n S h illia ia W er mm* he a el n er * 2008 $millions Per Physician Contribution to County GDP $3.0 $2.5 $2.0 $1.5 $1.0 $0.5 $0.0 Contribution by physicians and physician-related employment to state and local taxes includes taxes paid on employee compensation, indirect business taxes, taxes paid by households, and taxes paid by corporations Contribution to State and Local Taxes Statewide: $1.46 billion Multnomah: $261.7 million Washington: $124.4 million Lane: $86.6 million Marion: $77.79 million Clackamas: $57.7 million G Cl ra a t nt Basop Li ke n De co r sc Poln h l M ute k a s Ti Lrio n lla a C W o moke a s lum ok hi b ng ia t Lao n Ja Cu ne ck rry so C Um o n o W atil s l HoKlaa sc a od ma o t M Riv h Do e Jo o urr owr se gl p a Be hins Hanto e r n Crney U oo Cl Y n i k a a o M ck mh n ul am ill tn W omas Jea llo ah f w M fer s a al o he n G Li u r W illia nn Shh ee m* er ler m * an State and Local Tax Contributions per Physician (2008$) $180,000 $160,000 $140,000 $120,000 $100,000 $80,000 $60,000 $40,000 $20,000 $0 Physicians create jobs. Investments in the physician workforce payoff. The absence or loss of a physician has an effect on the county economy. Health care access and a healthy local economy are outcomes of the local health care infrastructure. Physician recruitment and retention, then, are the obligation of the community. Health and economic wellness Health and economic wellness Community We welcome your feedback Thank you! Contact: [email protected] www.oregonhwi.org