Long term regional migration patterns of physicians over the course of their active practice careers

Abstract

This study looked at the net movement of clinically active primary care physicians across census regions between 1981 and 2003, and underscores the importance of performing specific regional analysis in large countries where socio-demographical and geographical heterogeneities can be observed. Overall, 13.2% CAPCP moved from one region to another over the 22 year period: the South and West regions benefited while the Midwest region was disadvantaged by the migration flow. Age is the major determinant of migrant CAPCP. Logistic and regression tree models also show that percentage of non-white population of the county of origin is a major determinant of migration.