2023 Data Update: The North Carolina Health Professions Data System

By Connor Sullivan, Catherine Moore

Oct 4, 2024

The North Carolina Health Professions Data System (HPDS) represents a longstanding collaborative relationship between Sheps Health Workforce NC and North Carolina (NC) licensure boards, dating back to 1979.

With funding from NC AHEC, the HPDS team collects, cleans, analyzes, and disseminates annual licensure data on demographic, practice, and geographic characteristics of 21 NC health professions.

The NC Health Supply Data Dashboard has recently been updated with 2023 data.

Select findings from 2023 review:

  • The physician workforce increased 22% (from 22,414 to 27,410) between 2013 and 2023, while the NC population grew 10.6% (from 9,804,787 to 10,842,949). Taken together, the ratio of physicians to NC population grew from 22.9 per 10,000 population (10k) to 25.3 per 10k.

  • Specialties with the top percentage growth between 2013 and 2023 include Hospitalist, Neurology, Infectious Disease, Physical Medicine Rehabilitation, and Emergency Medicine (Figure 2).

    • The hospitalist workforce experienced the greatest percentage growth during the period, increasing 98.6% (from 759 to 1,507). The ratio of hospitalists to NC population grew from 0.8 to 1.4 per 10k.

    • Neurology, Infectious Disease, Physical Medicine Rehabilitation, and Emergency Medicine specialties all grew approximately 50% (range 46.4%-51.6%):

      • Neurology increased 51.6% (from 378 to 573). The ratio of neurologists to NC population increased from 0.4 to 0.5 per 10k.

      • The infectious disease physician workforce increased 49.7% (from 175 to 262). The ratio of infectious disease physicians to NC population experienced a small increase, from 0.18 to 0.24 per 10k.

      • The physical medicine rehabilitation workforce increased 49.2% (from 118 to 176). The ratio of physical medicine rehabilitation physicians to NC population experienced a small increase, from 0.12 to 0.16 per 10K.

      • The emergency medicine workforce increased 46.4% (from 1,113 to 1,629). The ratio of emergency medicine physicians to NC population grew from 1.1 to 1.5 per 10k.

Figure 1. North Carolina Physician Specialties with the Greatest Percentage Growth, 2013-2023

A line chart of the top five physician specialties' percentage growth from 2013 to 2023. The five specialties depicted include Hospitalist, Neurology, Infectious Disease, Physical Medicine Rehabilitation, and Emergency Medicine. The hospitalist workforce experienced the greatest percentage growth during the period, increasing 98.6% (from 759 to 1,507). Neurology, Infectious Disease, Physical Medicine Rehabilitation, and Emergency Medicine specialties all grew approximately 50% (range 46.4%-51.6%).

Note: Data are visualized as a continuous line from 2013 to 2023, while natural fluctuations occur in the data.

  • The LPN workforce underwent a steady decrease in the rate of LPNs per 10K population since 2000: decreasing from 21.7 LPNs per 10K population in 2000 to 16.0 LPNs per 10K population in 2023. The total number of active LPNs in NC decreased each year between 2019-2021(a loss of approximately 1,500 LPNs during the period), but growth resumed in 2023 to 17,362 active LPNs (Figure 2).

Figure 2. North Carolina Licensed Practical Nurses, 2000-2023

A line chart of the headcount of licensed practical nurses (LPNs) from 2000 to 2023. The LPN headcount began at approximately 18,000 and decreased to approximately 17,000 between 2002 to 2007, before remaining relatively stable at approximately 18,000 until growing to a peak of approximately 19,000 in 2018. The total number of active LPNs in NC decreased each year between 2019-2021(a loss of approximately 1,500 LPNs during the period), but growth resumed in 2023 to 17,362 active LPNs.

Note: Licensed practical nurse (LPN).

  • The ratio of dental hygienists (n = 6,631) to dentists (n = 6,075) in NC has decreased steadily since its peak of 1.26 dental hygienists to dentists in 2011, with a ratio of 1.09 dental hygienists to dentists noted in 2023. (Figure 3).

Figure 3. Ratio of Active North Carolina Dental Hygienists to Active Dentists, 2000-2023

A line chart of the ratio of dental hygienists to dentists from 2000 to 2023. The ratio of dental hygienists to dentists remained relatively stable at approximately 1.2 from 2000 until growing to a peak of 1.26 in 2011. The ratio of dental hygienists (n = 6,631) to dentists (n = 6,075) in NC has decreased steadily since its peak of 1.26 dental hygienists to dentists in 2011, with a ratio of 1.09 dental hygienists to dentists in 2023.

Funding & Acknowledgements
The HPDS is maintained by the Program on Health Workforce Research and Policy at the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill, in collaboration with the North Carolina Area Health Education Centers Program (AHEC), and the state’s independent health professional licensing boards. Ongoing financial support is provided by the NC AHEC Program Office. Although the NC HPDS maintains the data system, the data remain the property of their respective licensing board. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by NC AHEC. To learn more about NC AHEC please visit: https://www.ncahec.net.

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