Brenda Pérez UP 206A Winter 2011

 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)

Medical Service Study Area (MSSA): Calculated from the most populous census tract within the MSSA.

 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

Concentrations of MUAs: East LA Downtown LA Long Beach

 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

 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

 Inset Map  Point Graduated Symbols  Graph  Buffering  Geoprocessing (Clipping)  Aggregating Attribute Fields