Projected Supply of and Demand for Oncologists and Radiation Oncologists Through 2025: An Aging, Better-Insured Population Will Result in Shortage

Yang, Wenya; Williams, James H.; Hogan, Paul; Bruinooge, Suanna S.; Rodriguez, Gladys; Kosty, Michael P.; Bajorin, Dean F.; Hanley, Amy; Muchow, Ashley N.; McMillan, Naya; Goldstein, Michael A.

doi:10.1200/jop.2013.001319

Cited by 204 publications

(135 citation statements)

References 8 publications

Supporting

Mentioning

133

Contrasting

Unclassified

Order By: Relevance

“…Currently, there are 14.5 million cancer survivors and by 2024, that number will increase to 19 million 6. In addition, as a result of the Affordable Care Act (ACA), millions of previously uninsured Americans now have insurance and access to health care increasing the demand for services 7.…”

Section: Introductionmentioning

confidence: 99%

“…The 2014 report revised an earlier 2010 workforce analysis that had projected a higher shortage of oncologists 8. Using an input–output model of oncology and radiation oncology services, ASCO estimates a 40% growth in demand by 2025, but only a 25% growth in physician supply in the same time period 7. Physician shortages in primary care have been addressed by utilizing nurse practitioners (NP) to fill the workforce gap 9, a similar model may succeed in oncology.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A scoping review of the nurse practitioner workforce in oncology

2016

View full text Add to dashboard Cite

The quality of cancer care may be compromised in the near future because of work force issues. Several factors will impact the oncology health provider work force: an aging population, an increase in the number of cancer survivors, and expansion of health care coverage for the previously uninsured. Between October 2014 and March 2015, an electronic literature search of English language articles was conducted using PubMed®, the Cumulative Index to Nursing and Allied Health Sciences (CINAHL®), Web of Science, Journal Storage (JSTOR®), Google Scholar, and SCOPUS®. Using the scoping review criteria, the research question was identified “How much care in oncology is provided by nurse practitioners (NPs)?” Key search terms were kept broad and included: “NP” AND “oncology” AND “workforce”. The literature was searched between 2005 and 2015, using the inclusion and exclusion criteria, 29 studies were identified, further review resulted in 10 relevant studies that met all criteria. Results demonstrated that NPs are utilized in both inpatient and outpatient settings, across all malignancy types and in a variety of roles. Academic institutions were strongly represented in all relevant studies, a finding that may reflect the Accreditation Council for Graduate Medical Education (ACGME) duty work hour limitations. There was no pattern associated with state scope of practice and NP representation in this scoping review. Many of the studies reviewed relied on subjective information, or represented a very small number of NPs. There is an obvious need for an objective analysis of the amount of care provided by oncology NPs.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A scoping review of the nurse practitioner workforce in oncology

2016

View full text Add to dashboard Cite

show abstract

“…However, the oncology workforce is not expected to keep up with the demand. 3,4 Further, the costs of cancer care continue to increase, outpacing the rise in the costs of care for non-cancer conditions, 3 and may begin to account for a greater share of total health care spending. 5 These factors contribute to a potential crisis in both access and costs, and characterize a cancer care system that is not sustainable.…”

mentioning

confidence: 99%

“…We review those recommendations and provide an overview of clinical, research and educational opportunities where general internists can take an expanded role. For a full list of recommendations, please see the report 4 (also available at: http://www.iom.edu/Reports/ 2013/Delivering-High-Quality-Cancer-Care-Charting-aNew-Course-for-a-System-in-Crisis.aspx). 1.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Institute of Medicine Recommendations for Improving the Quality of Cancer Care: What Do They Mean for the General Internist?

Nekhlyudov

Wenger

2014

J GEN INTERN MED

View full text Add to dashboard Cite

Association of Medicaid Expansion Under the Affordable Care Act With Insurance Status, Cancer Stage, and Timely Treatment Among Patients With Breast, Colon, and Lung Cancer

et al. 2020

View full text Add to dashboard Cite

IMPORTANCE The effect of the Patient Protection and Affordable Care Act's Medicaid expansion on cancer care delivery and outcomes is unknown. Patients with cancer are a high-risk group for whom treatment delays are particularly detrimental. OBJECTIVE To examine the association between Medicaid expansion and changes in insurance status, stage at diagnosis, and timely treatment among patients with incident breast, colon, and non-small cell lung cancer. DESIGN, SETTING, AND PARTICIPANTS This quasi-experimental, difference-indifferences (DID) cross-sectional study included nonelderly adults (aged 40-64 years) with a new diagnosis of invasive breast, colon, or non-small cell lung cancer from January 1, 2011, to December 31, 2016, in the National Cancer Database, a hospital-based registry capturing more than 70% of incident cancer diagnoses in the United States. Data were analyzed from March 8 to August 15, 2019.

show abstract

Projected Supply of and Demand for Oncologists and Radiation Oncologists Through 2025: An Aging, Better-Insured Population Will Result in Shortage

Cited by 204 publications

References 8 publications

A scoping review of the nurse practitioner workforce in oncology

A scoping review of the nurse practitioner workforce in oncology

Institute of Medicine Recommendations for Improving the Quality of Cancer Care: What Do They Mean for the General Internist?

Association of Medicaid Expansion Under the Affordable Care Act With Insurance Status, Cancer Stage, and Timely Treatment Among Patients With Breast, Colon, and Lung Cancer

Contact Info

Product

Resources

About