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

Journal of Health Care for the Poor and Underserved

Volumn 18, Issue 3, 2007, Pages 567-589

  Ricketts III, Thomas C ^a   Goldsmith, Laurie J ^b   Holmes, George M ^c   Randolph, Randy ^c   Lee, Richard ^d   Taylor Jr , Donald H ^e   Ostermann, Jan ^e  

^a UNIVERSITY OF NORTH CAROLINA   (United States)

^b SIMON FRASER UNIVERSITY   (Canada)

^c Sheps Center

^d US Bureau of Primary Health Care   (United States)

^e DUKE UNIVERSITY   (United States)

Author keywords

Access; Health Professional Shortage Area; Medically Underserved Area; Primary care; Resource allocation; Underservice

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CHILD; CLASSIFICATION; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH SERVICE; HUMAN; INFANT; MALE; MIDDLE AGED; NEWBORN; POVERTY; PRESCHOOL CHILD; RESOURCE ALLOCATION; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

ADOLESCENT; ADULT; AGED; CHILD; CHILD, PRESCHOOL; FEMALE; HEALTH SERVICES; HEALTH SERVICES ACCESSIBILITY; HUMANS; INFANT; INFANT, NEWBORN; MALE; MEDICALLY UNDERSERVED AREA; MIDDLE AGED; POVERTY; RESOURCE ALLOCATION; UNITED STATES;

EID: 34848914856     PISSN: 10492089     EISSN: None     Source Type: Journal    
DOI: 10.1353/hpu.2007.0065     Document Type: Article

References (39)

1. Lee RI, Jones LW the fundamentals of good medical care. Chicago: University of Chicago Press, 1933.
2. Schonfeld HK, Falk IS, Lavietes PH, et al. The development of standards for the audit and planning of medical care: pathways among primary physicians and specialists for diagnosis and treatment. Med Care. 1968 Mar-Apr;6(2):101-14.
3. Davis K, Marshall R. Primary health care services for medically underserved populations In: Papers on the national health guideline: the priorities of Section 1502. (DHEW Publication No. (HRA) 77-641.) Washington, DC: U.S. Government Printing Office, 1977 Jan.
4. Wysong JA. The index of medical underservice: problems in meaning, measurement, and use. Health Serv Res. 1975 Summer;10(2):127-35.
5. Kleinman JC, Wilson RW. Are medically underserved areas medically underserved? Health Serv Res. 1977 Summer;12(2):147-62.
6. Kehrer BH, Wooldridge J, Szapiro N, eds. Mathematica Policy Research. Evaluation of health manpower shortage area criteria. (DHEW Publication No. (HRA) 80-20.) Rockville, MD: Health Resources Administration, Bureau of Health Professions, 1980 Apr.
7. General Accounting Office (GAO). Health care shortage areas: designations not a useful tool for directing resources to the underserved. (GAO/HEHS-95-200.) Washington, DC: GAO, 1995.
8. Wright RA, Andres TL, Davidson AJ. Finding the medically underserved: a need to revise the federal definition. J Health Care Poor Underserved. 1996 Nov;7(4):296-307.
9. Cooper RA. Perspectives on the physician workforce to the year 2020. JAMA. 1995 Nov 15;274(19):1534-43.
10. Lewin ME, Altman S, eds. Institute of Medicine, Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers. America's health care safety net, intact but endangered. Washington, DC: National Academies Press, 2000.
11. Anonymous. Designation of medically underserved populations and health professional shortage areas - HRSA. Proposed rules. Fed Regist. 1998 Sep 1;63(169):46537-55.
12. Goldsmith LJ, Ricketts TC. Proposed changes to designations of medically underserved populations and health professional shortage areas: effects on rural areas. J Rural Health. 1999 Winter;15(1):44-54.
13. Krieger N, Chen JT, Waterman PD, et al. Race/ethnicity, gender, and monitoring socioeconomic gradients in health: a comparison of area-based socioeconomic measures-the public health disparities geocoding project. Am J Public Health. 2003 Oct;93(10):1655-71.
14. Parchman ML, Culler S. Primary care physicians and avoidable hospitalizations. J Fam Pract. 1994 Aug;39(2):123-8.
15. Parchman ML, Culler SD. Preventable hospitalizations in primary care shortage areas. An analysis of vulnerable Medicare beneficiaries. Arch Fam Med. 1999 Nov-Dec;8(6):487-91.
16. Goodman DC, Fisher ES, Bubolz TA, et al. Benchmarking the US physician workforce. An alternative to needs-based or demand-based planning. JAMA. 1996; 276(22):1811-7. [See comments, published erratum appears in JAMA 1997 Mar 26;277(12):966.]
17. Woodwell DA. National Ambulatory Medical Care Survey: 1997 summary. Adv Data. 1999 May 20;(305):1-28.
18. Woodwell DA. National Ambulatory Medical Care Survey: 1998 Summary. Adv Data. 2000 Jul 15;(315):1-26.
19. Kehrer BH, Wooldridge J. An evaluation of criteria to designate urban health man-power shortage areas. Inquiry. 1983 Fall;20(3):264-75.
20. Andersen RM, Newman JF. Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc. 1973 Winter;51(1):95-124.
21. Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995 Mar;36(1):1-10.
22. Aday LA, Andersen R. Development of indices of access to medical care. Ann Arbor, MI: Health Administration Press, 1975.
23. Luo W. Using a GIS-based floating catchment method to assess areas with shortage of physicians. Health Place. 2004 Mar;10(1):1-11.
24. Guagliardo MF. Spatial accessibility of primary care: concepts, methods and challenges. Intl J Health Geogr. 2004 Feb 26;3(1):3.
25. Langford M, Higgs G. Measuring potential access to primary healthcare services: the influence of alternative spatial representations of population. Prof Geogr. 2006 Aug;58(3):294-306.
26. Fotheringham AS, Brunsdon C, Charlton M. Geographically weighted regression: the analysis of spatially varying relationships. Chichester, England: John Wiley & Sons, 2002.
27. Taylor DH, Ricketts TC, Kolimaga JT, et al. The measurement of underservice and provider shortage in the United States: a policy analysis. (Working Paper Number 34.) Chapel Hill, NC: Rural Health Research Program, Cecil G. Sheps Center for Health Services Research, University of North Carolina, 1994 Dec.
28. Berk ML, Schur CL, Cantor JC. Ability to obtain health care: recent estimates from the Robert Wood Johnson Foundation National Access to Care Study. Health Aff (Millwood). 1995 Fall;14(3):139-46.
29. Berk ML, Bernstein AB, Taylor AK. The use and availability of medical care in health manpower shortage areas. Inquiry. 1983 Winter;20(4):369-80.
30. Schur CL, Franco SJ. Access to health care. In: Ricketts TC, ed. Rural health in the United States. New York: Oxford University Press, 1999; 25-37.
31. Centers for Disease Control and Prevention (CDC). Community indicators and health-related quality of life. MMWR Morb Mortal Wkly Rep. 2000 Apr 7;49(13):281-5.
32. Robert SA. Neighborhood socioeconomic context and adult health. The mediating role of individual health behaviors and psychosocial factors. Ann N Y Acad Sci. 1999; 896:465-8.
33. Mansfield CJ, Wilson JL, Kobrinski EJ, et al. Premature mortality in the United States: the roles of geographic area, socioeconomic status, household type, and availability of medical care. Am J Public Health. 1999 Jun;89(6):893-8.
34. General Accounting Office. Public health: a health status indicator for targeting federal aid to states. (GAO/HEHS-97-13.) Washington, DC: GAO, 1996 Nov.
35. Matteson DW, Burr JA, Marshall JR. Infant mortality: a multi-level analysis of individual and community risk factors. Soc Sci Med. 1998 Dec;47(11):1841-54.
36. O'Campo P, Xue X, Wang MC, et al. Neighborhood risk factors for low birthweight in Baltimore: a multilevel analysis. Am J Public Health. 1997 Jul;87(7):1113-8.
37. Ricketts TC, Hart LG, Pirani M. How many rural doctors do we have? J Rural Health. 2000 Summer;16(3):198-207.
38. Robert SA, House JS. Socioeconomic inequalities in health: integrating individual-, community-, and societal-level theory and research. In: Albrecht GL, Fitzpatrick R, Scrimshaw S, eds. Handbook of social studies in health and medicine. London: Sage Publications, 2000; 115-35.
39. Kawachi I, Berkman LF. Neighborhoods and health. New York: Oxford University Press, 2003.