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Identifying Clinic Facility needs in Los Angeles SPAs and MSSAs Brenda Pérez UP 206A Winter 2011
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LA County community clinics and health centers (clinics) target communities where care is needed but scarce and improve access to care for nearly a million individuals regardless of their insurance status or ability to pay. However, data suggests there is still a high unmet demand for services and that it will remain high after health reform implementation.
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MUA: Medically Underserved Area MUP: Medically Underserved Population 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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Service Planning Areas (SPAs): Eight in LA County for health care planning purposes. Each SPA is responsible for planning public health and clinical services according to the health needs of local communities:¹ Assess health needs of local communities Provide services through clinics and community partners Promote health & prevent disease Note: The eight SPAs were derived by selecting SPAs in the view from LA County and converting to shapefile ¹ Los Angeles County Department of Public Health
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POPULATION DENSITY UNDER 5 POPULATION DENSITY OVER 65
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100% BELOW FPL200% BELOW FPL
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LA County has the largest total number of uninsured residents in California, with 2.2 million nonelderly adults and children (24% of the total population) experiencing some period without health insurance in 2009. ¹ Clinics are a key source of care for these medically disenfranchised people. ¹ In LA County, 61% of all clinic patients are uninsured and 54% of health center patients are insured About 56% of clinic visits are by uninsured patients. ¹ California Health Interview Survey, 2009
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Health Care Facilities in LA: ¹ All: 2,155 Community Clinics: 275 Free Clinics:14 ¹ CA Office of Statewide Planning and Development (OSHPD)
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Need analyzed by: Population Density Population Below 100% FPL Population Below 200% FPL Population over 65 Population under 5 Population on Medicare Population Uninsured Community Health Clinic Locations Free Clinic Locations
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Average Nearest Neighbor H 0: Clinic need is randomly distributed Ratio: 2.04 Z-Score: 5.64 P-Value:.001 High/Low Clustering H 0: There is no spatial clustering of clinic need Z-Score: 7.44 P-Value:.001
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Inset Map Chart Geoprocessing Clipping Boundary Sub- Selections Point Graduated Symbols Hotspot Analysis Metadata Modeling Automate Race/Ethnicity graphics Original Data Insurance Status layers derived from CHIS source and rendered to shp files Measurement Tool Average Nearest Neighbor High/Low Clustering
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