Shortage Designation Program in California
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Shortage Designation Program in California
Health Professional Shortage AreaMedically Underserved Population
Medically Underserved Area
Brenda PérezUP 206AWinter 2011
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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)
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Population Centers in MSSA
• Medical Service Study Area (MSSA):
• Calculated from the most populous census tract within the MSSA.
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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
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MUPs and MPAs
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MUAs in Los Angeles
• Concentrations of MUAs:
• East LA• Downtown LA• Long Beach
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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 ¹¹US Department of Health and Human Services
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HPSAs: Primary Care, Dental, Mental Health
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Hospitals and Population Centers in M
SSAs
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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
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Skills Utilized Inset Map Point Graduated Symbols Graph Buffering Geoprocessing (Clipping) Aggregating Attribute Fields