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March 12.2025
3 Minutes Read

The Decline of OB/GYNs: Understanding Why Practitioners Leave Restricted States

The Decline of OB/GYNs: Understanding Why Practitioners Leave Restricted States


Understanding the Workforce Shift in OB/GYNs

In the wake of the landmark Dobbs decision, there's been a notable surge in the movement of OB/GYN practitioners across the United States. This shift, evidenced by a study analyzing data from 2018 to 2024, highlights a worrying trend: states with strict abortion laws have seen a 4.2% decline in OB/GYN practitioners. This decline is a stark indicator of how healthcare professionals are responding to legislative changes that affect their practice autonomy.

Why Are OB/GYNs Relocating?

Jane M. Zhu, M.D., emphasizes that healthcare providers possess the ability to “vote with their feet.” Their exit from states imposing clinical restrictions not only reflects personal choices but has broader implications for access to care. This flight may worsen existing healthcare inequities, especially in states already struggling with high maternal mortality and morbidity rates. As a concierge medical practice owner, understanding these dynamics could help in attracting top talent and catering to a patient demographic that values holistic and unrestricted care.

The Broader Implications of Workforce Changes

Research indicates that while the overall supply of OB/GYN practitioners has grown across other states, the shrinking availability in restrictive states raises alarms about maternity deserts. These deserts can severely limit access to essential reproductive healthcare, making it increasingly difficult for women in these areas to receive the care they need. This situation is crucial not just for OB/GYNs, but for family practice physicians and concierge practitioners who may need to fill gaps in care.

What It Means for Concierge Medicine

For concierge medical practice owners, the implications are clear: re-evaluating how to maintain a patient-centered approach in the face of changing healthcare landscapes is essential. Patients are increasingly looking for practices that prioritize their well-being and autonomy. As an integral part of the solution, providers in concierge models can position themselves as advocates for patient-centric care amidst the current legislative climate.

Inspirational Voices in the Community

Many within the OB/GYN community express concern for the future of women's health services. The sentiment is echoed in surveys revealing that more than 80% of medical students and practicing physicians expressed a desire to avoid working in areas with restrictive laws. Broadway’s message is clear: a commitment to accessibility and patient trust will prove essential in attracting both patients and medical talent.

Actionable Insights for Growth

Here are effective strategies for concierge practice owners to navigate this evolving landscape of OB/GYN services:

  • Focus on Patient-Centric Care: Highlight your practice’s commitment to comprehensive care that respects autonomy.

  • Build Relationships: Engage with OB/GYN professionals and advocate for policies that support women’s healthcare.

  • Market Your Practice: Use digital marketing strategies to communicate your unique value proposition and attract healthcare professionals.

  • Educate Your Clients: Provide information about the state of women’s health services to empower your patient population.

By proactively addressing these considerations, you can not only solidify your standing in the community but also ensure essential services are available to those in need.


Final Thoughts: Advocate for Change

The downward trend in OB/GYN availability in restrictive states poses significant challenges. By understanding these dynamics and adapting your practice to an evolving patient landscape, you can make impactful strides in patient engagement and outcomes. It’s essential to continue advocating for comprehensive healthcare access and take decisive actions that align with your values as a care provider.

For more insights on how to further your practice’s impact and adapt to the current healthcare environment, stay informed and engaged in community advocacy.


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