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Bravo says the COVID-19 pandemic burnout among doctors exacerbated the shortage, driving some doctors to cut hours or leave the workforce. The American Medical Association expects a wave of retirements too ? a significant portion of the physician workforce is nearing the retirement age.
Hawaii was ranked 51st for physician opportunity and competition and 43rd for its medical environment, which includes metrics such as hospital safety and the cost of malpractice insurance. It also has the second-to-lowest average annual salary for physicians when adjusted for cost of living.
(b) Medical services rendered by the physician assistants may include, but are not limited to: (1) Obtaining patient histories and performing physical examinations; (2) Ordering, interpreting, or performing diagnostic and therapeutic procedures; (3) Formulating a diagnosis; (4) Developing and implementing a treatment ...
?That's something we can't fix immediately,? Uohara said, saying the shortage has been caused by several factors ? COVID-19, medical school debts, and the low pay for Hawaii doctors compared to other places on the mainland. ?If you practice in the state, you need to accept you will have less of an income,? Uohara said.
A variety of factors have led to this worsening shortage. The high cost and time commitment required to become a doctor, an aging population outpacing the number of doctors entering the field, and burnout stemming from long hours and understaffed facilities rank high among them.
Hawaii has the equivalent of 2,856 full-time doctors. But the state estimates it needs an additional 776 physicians to meet patient demand, ing to a 2022 annual report that tracks Hawaii's medical professional needs. The greatest shortage is in primary care, with 162 doctors needed across all islands.
Ing to the Hawaii Physician's Workforce Assessment Project, the state is short 776 physicians, with deficits in certain specialties (like pediatric pulmonology) as high as 75%. Additionally, the Hawaii State Center for Nursing estimates that the state has 300 to 400 fewer nurses than required to meet demand.