HIV Clinician Workforce Study

Publisher: Cambridge, MA: Mathematica Policy Research
May 31, 2013
Authors
Boyd Gilman, Ellen Bouchery, Kirsten Barrett, Samantha Stalley, Margaret Hargreaves, Cicely Thomas, Dean Miller, John McCauley, Paul Hogan, Sebastian Negrusa, Thomas Arnold, and Namrata Sen

Key Findings:

  • The study shows a currently small, but rapidly expanding shortage of HIV providers over the next few years.
  • Many clinicians did not identify themselves as providing medical care to patients diagnosed with HIV or AIDS and likely provide primary care or emergency medical services and then refer patients to HIV specialists.
  • Most HIV clinicians spend less than half of their overall patient care time treating patients with HIV. In addition, a small but important proportion of the diagnosed population receives sporadic care from providers who do not treat many HIV patients or who do not consider themselves HIV clinicians.
  • Without a significant increase in the supply of HIV providers in the next few years, future HIV patients may be less likely to receive care from clinicians who specialize in HIV care and treatment.
This study is the first large-scale effort to identify the number of HIV clinicians practicing in the United States, to characterize their workforce behavior, and to assess HIV workforce needs at the national and regional levels. It was designed to address concerns about a potential shortage of clinicians in the future.