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Designating places and populations as medically underserved: a proposal for a new approach.

Publication ,  Journal Article
Ricketts, TC; Goldsmith, LJ; Holmes, GM; Randolph, RMRP; Lee, R; Taylor, DH; Ostermann, J
Published in: Journal of health care for the poor and underserved
August 2007

This article describes the development of a theory-based, data-driven replacement for the Health Professional Shortage Area (HPSA) and Medically Underserved Area (MUA) designation systems. Data describing utilization of primary medical care and the distribution of practitioners were used to develop estimates of the effects of demographic and community characteristics on use of primary medical care. A scoring system was developed that estimates each community's effective access to primary care. This approach was reviewed and contributed to by stakeholder groups. The proposed formula would designate over 90% of current geographic and low-income population HPSA designations. The scalability of the method allows for adjustment for local variations in need and was considered acceptable by stakeholder groups. A data-driven, theory-based metric to calculate relative need for geographic areas and geographically-bounded special populations can be developed and used. Its use, however, requires careful explanation to and support from affected groups.

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Published In

Journal of health care for the poor and underserved

DOI

EISSN

1548-6869

ISSN

1049-2089

Publication Date

August 2007

Volume

18

Issue

3

Start / End Page

567 / 589

Related Subject Headings

  • United States
  • Resource Allocation
  • Public Health
  • Poverty
  • Middle Aged
  • Medically Underserved Area
  • Male
  • Infant, Newborn
  • Infant
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ricketts, T. C., Goldsmith, L. J., Holmes, G. M., Randolph, R. M. R. P., Lee, R., Taylor, D. H., & Ostermann, J. (2007). Designating places and populations as medically underserved: a proposal for a new approach. Journal of Health Care for the Poor and Underserved, 18(3), 567–589. https://doi.org/10.1353/hpu.2007.0065
Ricketts, Thomas C., Laurie J. Goldsmith, George Mark Holmes, Randy M. R. P. Randolph, Richard Lee, Donald H. Taylor, and Jan Ostermann. “Designating places and populations as medically underserved: a proposal for a new approach.Journal of Health Care for the Poor and Underserved 18, no. 3 (August 2007): 567–89. https://doi.org/10.1353/hpu.2007.0065.
Ricketts TC, Goldsmith LJ, Holmes GM, Randolph RMRP, Lee R, Taylor DH, et al. Designating places and populations as medically underserved: a proposal for a new approach. Journal of health care for the poor and underserved. 2007 Aug;18(3):567–89.
Ricketts, Thomas C., et al. “Designating places and populations as medically underserved: a proposal for a new approach.Journal of Health Care for the Poor and Underserved, vol. 18, no. 3, Aug. 2007, pp. 567–89. Epmc, doi:10.1353/hpu.2007.0065.
Ricketts TC, Goldsmith LJ, Holmes GM, Randolph RMRP, Lee R, Taylor DH, Ostermann J. Designating places and populations as medically underserved: a proposal for a new approach. Journal of health care for the poor and underserved. 2007 Aug;18(3):567–589.
Journal cover image

Published In

Journal of health care for the poor and underserved

DOI

EISSN

1548-6869

ISSN

1049-2089

Publication Date

August 2007

Volume

18

Issue

3

Start / End Page

567 / 589

Related Subject Headings

  • United States
  • Resource Allocation
  • Public Health
  • Poverty
  • Middle Aged
  • Medically Underserved Area
  • Male
  • Infant, Newborn
  • Infant
  • Humans