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Shortage Designation Program in California. Health Professional Shortage Area Medically Underserved Population Medically Underserved Area. Brenda Pérez UP 206A Winter 2011. Shortage Designation Program. Federal program under the Health Resources and Services Administration
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Shortage Designation Program in California Health Professional Shortage Area Medically Underserved Population Medically Underserved Area Brenda PérezUP 206AWinter 2011
Shortage Designation Program • Federal program under the Health Resources and Services Administration • Develop shortage designation criteria to determine: • Health Professional Shortage Area (HPSA) • Medically Underserved Area (MUA) • Medically Underserved Population (MUP) • Approximately one third of Californians live in a designated HPSA, MUP or MUA.¹ ¹ CA Office of Statewide Planning and Development (OSHPD)
Population Centers in MSSA Medical Service Study Area (MSSA): Calculated from the most populous census tract within the MSSA.
What is a MUP/MUA?¹ • Based on the Index of Medical Underservice • Medically Underserved Areas (MUA): • Areas in which residents have a shortage of personal health services. • Medically Underserved Populations (MUP): • Populations who face barriers to health care. ¹US Department of Health and Human Services
MuAs in Los Angeles Concentrations of MUAs: East LA Downtown LA Long Beach
What is a HSPA? • Health Professional Shortage Areas (HPSAs) • HPSAs may be designated as having a shortage of primary medical care, dental or mental health providers. They may be urban or rural areas, population groups or medical or other public facilities. • Scoring based on: • Population-to-Primary Care Physician Ratio • Percent of the Population with Incomes below 100% of the Poverty level • Infant Mortality Rate or Low Birth Weight Rate • Travel Time or Distance to nearest available source of care ¹ ¹US Department of Health and Human Services
Findings and Further Questions • Large regional disparities • Health professionals have a large presence in the San Francisco and Los Angeles areas • Incentives for health professionals to relocate do not seem to be working • Possible infrastructure challenges: • Lack of hospitals in rural areas • Lack of access to specialized care
Skills Utilized • Inset Map • Point Graduated Symbols • Graph • Buffering • Geoprocessing (Clipping) • Aggregating Attribute Fields