Journal of Health Care for the Poor and Underserved volume 18, issue 3, P567-589 2007 DOI: 10.1353/hpu.2007.0065 View full text
Thomas C. Ricketts, Laurie J. Goldsmith, George Mark. Holmes, Randy, M.R.P. Randolph, Richard. Lee, Donald H. Taylor, Jan. Ostermann

Abstract: 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 wa…

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