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Related Experiment Videos

Current approaches to shortage area designation.

R C Lee1

  • 1Bureau of Health Care Delivery and Assistance, Health Resources and Services Administration, Rockville, MD 20857.

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|January 1, 1991
PubMed
Summary

This review examines criteria for identifying health professional shortage areas (HPSAs) and medically underserved populations. Existing criteria effectively screen areas needing attention for primary care and other health services.

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Area of Science:

  • Health Services Research
  • Rural Health
  • Healthcare Policy

Background:

  • Identifying areas with health workforce shortages is crucial for equitable resource allocation.
  • Various federal and state programs rely on designated shortage or underserved areas.

Purpose of the Study:

  • To review indicators and criteria used for designating health professional shortage areas (HPSAs) and medically underserved populations.
  • To assess the utility of existing criteria in identifying areas with health services needs.

Main Methods:

  • Review of existing indicators and criteria for defining shortage and underserved areas.
  • Analysis of how these criteria inform eligibility for federal and state health programs.

Main Results:

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  • The paper details criteria for identifying shortages of primary care physicians, dentists, psychiatrists, and nurses.
  • It covers criteria for medically underserved populations, high migrant impact areas, and areas of greatest need.
  • Existing criteria serve as a foundational screen for identifying areas requiring further attention.

Conclusions:

  • Current shortage and underservice criteria provide a valuable initial screen for health needs.
  • Refinements could improve identification of rural needs, optimal staffing mixes, and priority setting.
  • These criteria are a necessary, though not exhaustive, component of defining health service adequacy.