1. 2013 LATINO HEALTH PROMOTION SUMMIT Health Workforce Impact on Achieving Health Equity Howard J. Eng, MS, DrPH, RPh Assistant Professor and Director, Southwest Border Rural Health Research Center Center for Rural Health Mel and Enid Zuckerman College of Public Health February 16, 2013 Sponsored by © 2013, Center for Rural Health

2. 2013 LATINO HEALTH PROMOTION SUMMIT Presentation Overview Health Workforce - Health Services - Health Equity Relationship Workforce Equity Arizona Rural and Urban Selected Workforce Trends National Percentage Enrollments for Four Health Professional Programs by Race and Hispanic Origin: 2006-07 AHSC Four Health Professional Colleges Multi-Year Enrollment Percentages, by Race and Hispanic Origin

3. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Workforce – Health Services – Health Equity Relationship Health Outcomes (Equity) Health Services Health Workforce

4. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Workforce Equity Geography Workforce Demographic Health Sector Practice Setting

5. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Workforce Equity Geography** –Rural (Remoteness, Reservations, and U.S. Mexico Border) –Urban (Inner City) Workforce Demographic** –Race/Ethnicity –Gender (Sex) Health Sector –Private Market –Public Funded (Medicaid, Medicare, DOD, VA, and IHS) Practice Setting –Primary Care –Specialties

6. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Center for Rural Health Workforce Trend Analysis http://crh.arizona.edu/publications/studies-reports/workforce-study

7. Arizona Health Workforce for Selected Professions: 2000-2010 Source: Arizona Rural Health Workforce Trend Analysis: 2007-2010 Note: Pharmacy Technicians were not certified until 2004. © 2013, Center for Rural Health

8. Health Professionals Examined Physicians –Primary Care Physician –Physician Specialists Nurses –Registered Nurses –Nurse Practitioner Pharmacists Public Health 2013 LATINO HEALTH PROMOTION SUMMIT © 2013, Center for Rural Health

9. 2013 LATINO HEALTH PROMOTION SUMMIT

10. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Trend of All Physicians (MD and DO) per 100,000 Population in Arizona and by Four Rural-Urban Classifications (RUCA): 2000 to 2010 Source: Arizona Rural Health Workforce Trend Analysis: 2007-2010

11. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Trend of Primary Care Physicians (MDs and DOs) per 100,000 Population in Arizona and by Four Rural-Urban Classifications (RUCA): 2000 to 2010 Source: Arizona Rural Health Workforce Trend Analysis: 2007-2010

12. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Trend of Specialist Physicians (MDs and DOs) per 100,000 Population in Arizona and by Four Rural-Urban Classifications (RUCA): 2000 to 2010 Source: Arizona Rural Health Workforce Trend Analysis: 2007-2010

13. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Trend of Registered Nurses (RNs) per 100,000 Population in Arizona and by Four Rural-Urban Classifications (RUCA): 2000 to 2010 Source: Arizona Rural Health Workforce Trend Analysis: 2007-2010

14. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Trend of Nurse Practitioners (NPs) per 100,000 Population in Arizona and by Four Rural-Urban Classifications (RUCA): 2000 to 2010 Source: Arizona Rural Health Workforce Trend Analysis: 2007-2010

15. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Trend of Pharmacists per 100,000 Population in Arizona and by Four Rural-Urban Classifications (RUCA): 2000 to 2010 Source: Arizona Rural Health Workforce Trend Analysis: 2007-2010

16. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT National Health Professional Program Enrollments

17. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT National Percentage Enrollments for Four Health Professional Programs by Race and Hispanic Origin: 2006-07 Source: Health, United States, 2009, Table 113

18. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Arizona Health Sciences Center Four Colleges

19. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT AHSC Colleges of Medicine and Nursing Six-Year Enrollment Percentages, by Race and Hispanic Origin: 2006-07 to 2011-12 Medical Student Enrollment Nursing Student Enrollment Source: University of Arizona College of Medicine Others include: Not specified and non-resident alien Source: University of Arizona College of Nursing Others include: Unknown and 2 or more races Note: 2011-12 transitioned the second degree

20. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT AHSC Colleges of Pharmacy and Public Health Six-Year Enrollment Percentages, by Race and Hispanic Origin: 2006-07 to 2011-12 Pharmacy Student Enrollment MPH Student Enrollment Source: University of Arizona College of Pharmacy Others include: foreign students and other classifications Note: Fall data used for academic year percentages. Source: University of Arizona College of Public Health Others include: 2 or more races, race unknown, and international students

21. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Acknowledgements Arizona Rural Health Workforce Trend Analysis Report –Dr. Joe Tabor (PI) –Arizona Health Education Center Four AHSC Health Professional Colleges –Ms. JoAnn di Filippo, College of Medicine –Mr. Thomas Dickson, College of Nursing –Ms. Sandra Rogers, College of Pharmacy –Ms. Christopher Tisch, College of Public Health

22. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Thank You! Questions?

23. © 2013, Center for Rural Health 2013 LATINO HEALTH PROMOTION SUMMIT Contact Information Howard J. Eng, MS, DrPH, RPh Director Southwest Border Rural Health Research Center Center for Rural Health Mel and Enid Zuckerman College of Public Health P.O. Box 245177 1295 N. Martin Ave. Tucson, Arizona 85724 hjeng@email.arizona.edu (520) 626-5840