Interactive: Primary Care Workforce Shortages 2001-2011

Being a family doctor in Texas isn't easy. Treating the state's poorest residents can be even harder. A 2010 survey shows that fewer physicians are taking new Medicaid patients because of low reimbursement rates. At the same time, the state must face the prospect of adding millions more Texans to Medicaid by 2014, when the Affordable Care Act mandates that nearly all residents sign up for insurance. That means access to primary care will be critical.

But there is a trend developing statewide that isn't likely to be addressed or fixed anytime soon: Over the last 10 years, Texas’ population has grown rapidly, but the state isn't producing enough doctors to treat Texans' health problems. (See the Tribune's reporting on legislative cuts to graduate medical education programs.)

Tom Banning, CEO of the Texas Academy of Family Physicians, said it's important for Texans to pay attention to access issues because "care delayed is essentially care denied. People who put off going to see the doctor end up in much more severe or acute problems if they're not addressed early on. Which not only costs the system more money, but it impacts significantly the well-being of that patient."

This interactive tracks the number of primary care doctors available to treat the population, per 100,000 individuals. You can search the trends by county. Note the population density in urban areas as opposed to rural areas.

Banning says the charts below (and this companion interactive tracking Medicaid expenditures) provide a snapshot of the areas that will face access problems for Medicaid patients in 2014 unless more doctors are trained and willing to participate in Medicaid.

Population, Primary Care Physicians, Physicians per 100,000 Residents by County, 2011
County Population Primary Care Physicians Physicians/100,000 Residents
Harris County 4,176,561 3,306 79.2
Anderson County 58,092 41 70.6
Andrews County 14,413 9 62.4
Angelina County 85,631 68 79.4
Aransas County 28,050 8 28.5
Archer County 9,555 1 10.5
Armstrong County 2,293 0 0
Atascosa County 46,605 20 42.9
Austin County 29,283 9 30.7
Bailey County 6,297 6 95.3
Bandera County 21,635 1 4.6
Bastrop County 84,458 29 34.3
Baylor County 3,986 6 150.5
Bee County 34,229 18 52.6
Bell County 296,667 279 94
Bexar County 1,660,689 1,346 81.1
Blanco County 10,573 4 37.8
Borden County 770 0 0
Bosque County 17,866 6 33.6
Bowie County 93,227 89 95.5
Brazoria County 327,763 145 44.2
Brazos County 177,942 185 104
Brewster County 9,527 4 42
Briscoe County 1,867 0 0
Brooks County 7,837 3 38.3
Brown County 40,084 33 82.3
Burleson County 18,915 4 21.1
Burnet County 49,102 34 69.2
Caldwell County 39,415 27 68.5
Calhoun County 23,500 16 68.1
Callahan County 14,687 3 20.4
Cameron County 425,569 245 57.6
Camp County 13,611 11 80.8
Carson County 6,781 0 0
Cass County 30,615 13 42.5
Castro County 7,292 3 41.1
Chambers County 36,872 7 19
Cherokee County 50,348 31 61.6
Childress County 7,949 9 113.2
Clay County 11,228 4 35.6
Cochran County 3,454 2 57.9
Coke County 3,929 1 25.5
Coleman County 8,904 2 22.5
Collin County 884,317 722 81.6
Collingsworth County 3,141 2 63.7
Colorado County 22,442 16 71.3
Comal County 126,145 71 56.3
Comanche County 14,308 11 76.9
Concho County 3,824 2 52.3
Cooke County 41,279 22 53.3
Coryell County 81,691 15 18.4
Cottle County 1,875 0 0
Crane County 4,331 2 46.2
Crockett County 4,621 1 21.6
Crosby County 6,471 1 15.5
Culberson County 2,685 1 37.2
Dallam County 6,802 0 0
Dallas County 2,460,277 2,065 83.9
Dawson County 14,751 5 33.9
De Witt County 20,617 10 48.5
Deaf Smith County 20,704 8 38.6
Delta County 5,317 0 0
Denton County 737,854 382 51.8
Dickens County 2,786 0 0
Dimmit County 9,688 6 61.9
Donley County 3,873 1 25.8
Duval County 11,932 0 0
Eastland County 18,836 13 69
Ector County 134,087 86 64.1
Edwards County 2,216 1 45.1
El Paso County 782,541 383 48.9
Ellis County 165,095 72 43.6
Erath County 40,189 27 67.2
Falls County 18,762 6 32
Fannin County 35,140 10 28.5
Fayette County 25,631 16 62.4
Fisher County 4,146 3 72.4
Floyd County 6,833 7 102.4
Foard County 1,577 0 0
Fort Bend County 604,687 348 57.6
Franklin County 11,109 6 54
Freestone County 20,702 10 48.3
Frio County 18,095 9 49.7
Gaines County 16,670 5 30
Galveston County 298,791 166 55.6
Garza County 5,280 1 18.9
Gillespie County 26,445 35 132.4
Glasscock County 1,534 0 0
Goliad County 7,781 1 12.9
Gonzales County 20,544 12 58.4
Gray County 22,879 16 69.9
Grayson County 121,968 91 74.6
Gregg County 124,477 128 102.8
Grimes County 26,699 11 41.2
Guadalupe County 133,722 45 33.7
Hale County 37,136 20 53.9
Hall County 3,842 0 0
Hamilton County 9,019 9 99.8
Hansford County 5,219 3 57.5
Hardeman County 4,601 4 86.9
Hardin County 52,467 13 24.8
Harrison County 68,196 31 45.5
Hartley County 5,836 5 85.7
Haskell County 5,886 2 34
Hays County 171,682 92 53.6
Hemphill County 3,616 4 110.6
Henderson County 82,195 44 53.5
Hidalgo County 817,533 458 56
Hill County 37,480 16 42.7
Hockley County 23,917 12 50.2
Hood County 56,151 34 60.6
Hopkins County 34,842 18 51.7
Houston County 24,643 9 36.5
Howard County 33,487 19 56.7
Hudspeth County 3,854 0 0
Hunt County 91,250 48 52.6
Hutchinson County 23,474 11 46.9
Irion County 1,825 0 0
Jack County 9,104 5 54.9
Jackson County 15,447 2 12.9
Jasper County 35,839 22 61.4
Jeff Davis County 2,921 1 34.2
Jefferson County 242,356 197 81.3
Jim Hogg County 5,509 1 18.2
Jim Wells County 42,742 21 49.1
Johnson County 174,549 60 34.4
Jones County 20,766 10 48.2
Karnes County 16,968 4 23.6
Kaufman County 111,955 50 44.7
Kendall County 36,706 30 81.7
Kenedy County 475 0 0
Kent County 857 0 0
Kerr County 47,170 49 103.9
Kimble County 4,811 2 41.6
King County 377 0 0
Kinney County 3,447 1 29
Kleberg County 31,853 14 44
Knox County 4,251 3 70.6
La Salle County 6,011 2 33.3
Lamar County 50,457 42 83.2
Lamb County 15,666 3 19.1
Lampasas County 23,120 11 47.6
Lavaca County 19,616 12 61.2
Lee County 18,369 4 21.8
Leon County 17,109 5 29.2
Liberty County 83,061 33 39.7
Limestone County 23,511 16 68.1
Lipscomb County 3,174 0 0
Live Oak County 12,395 0 0
Llano County 19,580 11 56.2
Loving County 65 0 0
Lubbock County 269,648 231 85.7
Lynn County 5,878 3 51
Madison County 14,660 7 47.7
Marion County 11,018 2 18.2
Martin County 5,368 3 55.9
Mason County 3,847 0 0
Matagorda County 38,883 25 64.3
Maverick County 55,968 20 35.7
McCulloch County 8,724 4 45.9
McLennan County 236,186 187 79.2
McMullen County 882 0 0
Medina County 46,249 14 30.3
Menard County 2,443 1 40.9
Midland County 131,349 88 67
Milam County 26,678 11 41.2
Mills County 5,585 3 53.7
Mitchell County 9,803 3 30.6
Montague County 20,340 6 29.5
Montgomery County 498,672 346 69.4
Moore County 21,176 10 47.2
Morris County 13,559 4 29.5
Motley County 1,416 1 70.6
Nacogdoches County 64,815 63 97.2
Navarro County 52,374 20 38.2
Newton County 14,828 5 33.7
Nolan County 14,275 11 77.1
Nueces County 324,915 292 89.9
Ochiltree County 10,087 5 49.6
Oldham County 2,340 0 0
Orange County 84,765 25 29.5
Palo Pinto County 29,914 14 46.8
Panola County 24,217 8 33
Parker County 121,772 46 37.8
Parmer County 10,244 4 39
Pecos County 17,905 7 39.1
Polk County 50,892 23 45.2
Potter County 127,716 138 108.1
Presidio County 8,792 4 45.5
Rains County 11,138 1 9
Randall County 121,738 32 26.3
Reagan County 3,101 2 64.5
Real County 3,383 0 0
Red River County 14,400 3 20.8
Reeves County 10,862 8 73.7
Refugio County 7,044 2 28.4
Roberts County 954 0 0
Robertson County 16,982 3 17.7
Rockwall County 91,069 61 67
Runnels County 11,793 5 42.4
Rusk County 50,284 23 45.7
Sabine County 10,869 3 27.6
San Augustine County 9,635 3 31.1
San Jacinto County 28,714 2 7
San Patricio County 71,094 19 26.7
San Saba County 6,416 1 15.6
Schleicher County 3,223 1 31
Scurry County 17,264 9 52.1
Shackelford County 3,480 2 57.5
Shelby County 26,737 8 29.9
Sherman County 3,378 0 0
Smith County 210,929 224 106.2
Somervell County 8,803 11 125
Starr County 68,749 17 24.7
Stephens County 10,313 6 58.2
Sterling County 1,477 0 0
Stonewall County 1,632 2 122.5
Sutton County 4,679 3 64.1
Swisher County 8,189 3 36.6
Tarrant County 1,872,095 1,401 74.8
Taylor County 131,663 112 85.1
Terrell County 1,108 0 0
Terry County 11,400 6 52.6
Throckmorton County 1,887 1 53
Titus County 32,432 23 70.9
Tom Green County 103,640 98 94.6
Travis County 1,011,063 975 96.4
Trinity County 15,297 3 19.6
Tyler County 22,222 10 45
Upshur County 38,561 15 38.9
Upton County 3,131 1 31.9
Uvalde County 28,047 16 57
Val Verde County 50,499 23 45.5
Van Zandt County 54,189 10 18.5
Victoria County 89,589 88 98.2
Walker County 65,113 43 66
Waller County 43,241 3 6.9
Ward County 9,804 5 51
Washington County 33,806 23 68
Webb County 263,985 106 40.2
Wharton County 44,008 27 61.4
Wheeler County 5,130 5 97.5
Wichita County 127,247 112 88
Wilbarger County 15,333 8 52.2
Willacy County 22,191 8 36.1
Williamson County 458,392 348 75.9
Wilson County 46,979 13 27.7
Winkler County 6,506 0 0
Wise County 62,974 37 58.8
Wood County 45,678 21 46
Yoakum County 8,362 4 47.8
Young County 18,722 14 74.8
Zapata County 15,608 2 12.8
Zavala County 12,959 5 38.6

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