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Health Professional Shortage Areas Problems Remain With Primary Care Shortage Area Designation System
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Book Synopsis Health Professional Shortage Areas: Problems Remain with Primary Care Shortage Area Designation System by :
Download or read book Health Professional Shortage Areas: Problems Remain with Primary Care Shortage Area Designation System written by and published by DIANE Publishing. This book was released on with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Professional Shortage Areas by :
Download or read book Health Professional Shortage Areas written by and published by Nova Publishers. This book was released on 2008 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book identifies over 5,500 HPSAs designated throughout the United States as of September 2005; multiple federal programs relied on these designations to allocate resources or provide benefits. We estimated that slightly more than half of the HPSAs were designated for geographic areas or population groups, and these geographic and population-group HPSAs were located in all 50 states and the District of Columbia. Facility HPSAs, which accounted for slightly less than half of the total number of HPSAs, were also located in every state and the District of Columbia. In fiscal year 2005, more than 30 federal programs-including programs administered by HRSA, CMS, and federal agencies outside of HHS-relied on HPSA designations and, in some cases, HPSA scores, to allocate resources or provide benefits. These included NHSC programs that award scholarships or educational loan repayment to students and health professionals in exchange for a commitment to practice in HPSAs for at least 2 years. Other programs relying on HPSA designations to allocate resources or provide benefits included programs that pay physicians bonus payments for services provided to Medicare beneficiaries in geographic HPSAs and programs that waive certain requirements for foreign physicians if they agree to practice in HPSAs or other underserved areas of the United States. The use of the HPSA designation by numerous federal programs to allocate resources or provide benefits is an incentive for obtaining and retaining a HPSA designation.
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781976357343 Total Pages :66 pages Book Rating :4.3/5 (573 download)
Book Synopsis Health Professional Shortage Areas by : United States Government Accountability Office
Download or read book Health Professional Shortage Areas written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-09-13 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: To identify areas facing shortages of health care providers, HHS relies on its health professional shortage area (HPSA) designation system. HHS designates geographic, population-group, and facility HPSAs. HHS also gives each HPSA a score to rank its need for providers relative to other HPSAs. The Health Care Safety Net Amendments of 2002 required GAO to report on the HPSA designation system. GAO reviewed (1) the number and location of HPSAs and federal programs that use HPSA designations to allocate resources or provide benefits, (2) available research on HPSA designation criteria and methodology, and (3) the impact of a 2002 provision that automatically designates federally qualified health centers and certain rural health clinics as facility HPSAs. GAO obtained and analyzed HHS's data on primary care HPSA designations as of September 2005 and January 2006 and identified reports on HPSA criteria and methodology through a literature search of peer-reviewed journals and other reports published since 1995.
Book Synopsis Health Professional Shortage Areas by :
Download or read book Health Professional Shortage Areas written by and published by . This book was released on 2006 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Care Shortage Areas by : DIANE Publishing Company
Download or read book Health Care Shortage Areas written by DIANE Publishing Company and published by DIANE Publishing. This book was released on 1996-07 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discusses how the Department of Health & Human Services' systems for identifying health care shortage areas are currently used to target resources to the underserved, & Department proposals to combine these systems. Includes recommendations to Congress that could result in a better match of federal program resources to needy communities, & eliminate funding where there is not a demonstrated need for federal assistance. Charts, tables & graphs.
Book Synopsis Health Care Shortage Areas by : U S Government Accountability Office (G
Download or read book Health Care Shortage Areas written by U S Government Accountability Office (G and published by BiblioGov. This book was released on 2013-06 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: GAO reviewed the Department of Health and Human Services' (HHS) systems for identifying geographical areas where access to medical care is limited, focusing on: (1) how well the systems identify areas with primary care shortages; (2) how well the systems target federal funding to the underserved; and (3) whether the HHS proposal to combine the systems would lead to improvements. GAO found that: (1) the two HHS systems do not reliably identify areas with primary care shortages or help target federal resources to the underserved; (2) the systems have widespread data and methodology problems which severely limit their ability to pinpoint needy areas; (3) both systems tend to overstate the need for additional primary care providers because they do not consider all of the categories of providers already in place; (4) the Health Professional Shortage Area System (HPSA) does not consider the extent to which available resources are being used; (5) the Medically Underserved Area System (MUA) is limited in its ability to identify underserved areas and populations; (6) neither system identifies the specific subpopulations that have difficulty obtaining medical care; (7) while the systems can sometimes accurately identify needy areas, they do not provide the necessary data to determine which programs are best suited to those areas; (8) the proposed consolidation and streamlining of the systems is not likely to solve system problems, since the underlying causes of the problems have not been addressed; (9) it may be more cost-effective to modify individual programs and application processes to identify where needs exist and the appropriate program to meet those needs and to target resources better; and (10) HHS officials believe that they need to maintain a national shortage designation system to monitor primary care access, but HHS has another initiative under way that could serve those purposes.
Book Synopsis Progress and problems in improving the availability of primary care providers in underserved areas by : United States. General Accounting Office
Download or read book Progress and problems in improving the availability of primary care providers in underserved areas written by United States. General Accounting Office and published by . This book was released on 1978 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Resources and Services Administration by : Cynthia A. Bascetta
Download or read book Health Resources and Services Administration written by Cynthia A. Bascetta and published by DIANE Publishing. This book was released on 2009-02 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health centers funded through grants under the Health Center Program -- managed by the Health Resources and Services Admin. (HRSA), an agency in the Dept. of Health and Human Services -- provide comprehensive primary care services for the medically underserved. HRSA provides funding for training and technical assistance (TA) and cooperative agreement recipients to assist grant applicants. This report examined: (1) to what extent medically underserved areas lacked health center sites in 2006 and 2007; and (2) HRSA¿s oversight of training and TA cooperative agreement recipients¿ assistance to grant applicants and its provision of written feedback provided to unsuccessful applicants. Includes recommendations. Charts and tables.
Book Synopsis FCC Record by : United States. Federal Communications Commission
Download or read book FCC Record written by United States. Federal Communications Commission and published by . This book was released on 2010 with total page 836 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Improving Access to Oral Health Care for Vulnerable and Underserved Populations by : National Research Council
Download or read book Improving Access to Oral Health Care for Vulnerable and Underserved Populations written by National Research Council and published by National Academies Press. This book was released on 2012-01-22 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Access to oral health care is essential to promoting and maintaining overall health and well-being, yet only half of the population visits a dentist each year. Poor and minority children are less likely to have access to oral health care than are their nonpoor and nonminority peers. Older adults, people who live in rural areas, and disabled individuals, uniformly confront access barriers, regardless of their financial resources. The consequences of these disparities in access to oral health care can lead to a number of conditions including malnutrition, childhood speech problems, infections, diabetes, heart disease, and premature births. Improving Access to Oral Health Care for Vulnerable and Underserved Populations examines the scope and consequences of inadequate access to oral health services in the United States and recommends ways to combat the economic, structural, geographic, and cultural factors that prevent access to regular, quality care. The report suggests changing funding and reimbursement for dental care; expanding the oral health work force by training doctors, nurses, and other nondental professionals to recognize risk for oral diseases; and revamping regulatory, educational, and administrative practices. It also recommends changes to incorporate oral health care into overall health care. These recommendations support the creation of a diverse workforce that is competent, compensated, and authorized to serve vulnerable and underserved populations across the life cycle. The recommendations provided in Improving Access to Oral Health Care for Vulnerable and Underserved Populations will help direct the efforts of federal, state, and local government agencies; policy makers; health professionals in all fields; private and public health organizations; licensing and accreditation bodies; educational institutions; health care researchers; and philanthropic and advocacy organizations.
Book Synopsis Landscapes of Care by : Thurka Sangaramoorthy
Download or read book Landscapes of Care written by Thurka Sangaramoorthy and published by UNC Press Books. This book was released on 2023-04-25 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: This insightful work on rural health in the United States examines the ways immigrants, mainly from Latin America and the Caribbean, navigate the health care system in the United States. Since 1990, immigration to the United States has risen sharply, and rural areas have seen the highest increases. Thurka Sangaramoorthy reveals that that the corporatization of health care delivery and immigration policies are deeply connected in rural America. Drawing from fieldwork that centers on Maryland's sparsely populated Eastern Shore, Sangaramoorthy shows how longstanding issues of precarity among rural health systems along with the exclusionary logics of immigration have mutually fashioned a "landscape of care" in which shared conditions of physical suffering and emotional anxiety among immigrants and rural residents generate powerful forms of regional vitality and social inclusion. Sangaramoorthy connects the Eastern Shore and its immigrant populations to many other places around the world that are struggling with the challenges of global migration, rural precarity, and health governance. Her extensive ethnographic and policy research shows the personal stories behind health inequity data and helps to give readers a human entry point into the enormous challenges of immigration and rural health.
Book Synopsis Progress in Spatial Analysis by : Antonio Páez
Download or read book Progress in Spatial Analysis written by Antonio Páez and published by Springer Science & Business Media. This book was released on 2009-10-30 with total page 499 pages. Available in PDF, EPUB and Kindle. Book excerpt: Space is increasingly recognized as a legitimate factor that influences many processes and conceptual frameworks, including notions of spatial coherence and spatial heterogeneity that have been demonstrated to provide substance to both theory and explanation. The potential and relevance of spatial analysis is increasingly understood by an expanding sphere of cogent disciplines that have adopted the tools of spatial analysis. This book brings together major new developments in spatial analysis techniques, including spatial statistics, econometrics, and spatial visualization, and applications to fields such as regional studies, transportation and land use, political and economic geography, population and health. Establishing connections to existing and emerging lines of research, the book also serves as a survey of the field of spatial analysis and its links with related areas.
Book Synopsis Handbook of Minority Aging by : Tamara A. Baker
Download or read book Handbook of Minority Aging written by Tamara A. Baker and published by Springer Publishing Company. This book was released on 2013-07-28 with total page 590 pages. Available in PDF, EPUB and Kindle. Book excerpt: The array of topics covered is amazing, making this book a valuable, significant resource for many disciplines...This multidisciplinary review of the literature on minority aging presents the scholarship related to public health and 'social, behavioral, and biological concerns' of aged minorities like no other publication. Graduate students will certainly be well-served by this book, as would faculty teaching aging at both undergraduate and graduate levels...Highly recommended."--Choice: Current Reviews for Academic Libraries Öwhile practitioners of gerontology, family medicine, and any professional involved in the care of the elderly will find some practical guidance in the second part of the book, it will really earn a place on the bookshelf of anyone and everyone with an interest in US sociology and the development of public policy for the elderly. With the general aging of the population and the book's accentuation of current issues, this outstanding review will become an indispensable tool.Healthy Aging Research This text provides up-to-date, multidisciplinary, and comprehensive information about aging among diverse racial and ethnic populations in the United States. It is the only book to focus on paramount public health issues as they relate to older minority Americans, and addresses social, behavioral, and biological concerns for this population. The text distills the most important advances in the science of minority aging and incorporates the evidence of scholars in gerontology, anthropology, psychology, public health, sociology, social work, biology, medicine, and nursing. Additionally, the book incorporates the work of both established and emerging scholars to provide the broadest possible knowledge base on the needs of and concerns for this rapidly growing population. Chapters focus on subject areas that are recognized as being critical in understanding the well being of minority elders. These include sociology (Medicare, SES, work and retirement, social networks, context/neighborhood, ethnography, gender, demographics), psychology (cognition, stress, mental health, personality, sexuality, religion, neuroscience, discrimination), medicine/nursing/public health (mortality and morbidity, disability, health disparities, long-term care, genetics, dietary issues, health interventions, physical functioning), social work (caregiving, housing, social services, end-of-life care), and many other topics. The book focuses on the needs of four major ethnic groups: Asian/Pacific Islander, Hispanic/Latino, African American, and Native American. Key Features: Provides current, comprehensive information about minority aging through a multidisciplinary lens Integrates information from scholars in gerontology, anthropology, psychology, public health, sociology, social work, biology, medicine, and nursing Emphasizes the principal public health issues concerning minority elders Offers "one-stop shopping" regarding the development of a substantial knowledge base about minority aging Includes recent progressive research pertaining to the social, cultural, psychological and health needs of elderly minority adults in the US
Book Synopsis Conflicts of Conscience in Health Care by : Holly Fernandez Lynch
Download or read book Conflicts of Conscience in Health Care written by Holly Fernandez Lynch and published by MIT Press. This book was released on 2010-08-13 with total page 363 pages. Available in PDF, EPUB and Kindle. Book excerpt: A balanced proposal that protects both a patient's access to care and a physician's ability to refuse to provide certain services for reasons of conscience. Physicians in the United States who refuse to perform a variety of legally permissible medical services because of their own moral objections are often protected by “conscience clauses.” These laws, on the books in nearly every state since the legalization of abortion by Roe v. Wade, shield physicians and other health professionals from such potential consequences of refusal as liability and dismissal. While some praise conscience clauses as protecting important freedoms, opponents, concerned with patient access to care, argue that professional refusals should be tolerated only when they are based on valid medical grounds. In Conflicts of Conscience in Health Care, Holly Fernandez Lynch finds a way around the polarizing rhetoric associated with this issue by proposing a compromise that protects both a patient's access to care and a physician's ability to refuse. This focus on compromise is crucial, as new uses of medical technology expand the controversy beyond abortion and contraception to reach an increasing number of doctors and patients. Lynch argues that doctor-patient matching on the basis of personal moral values would eliminate, or at least minimize, many conflicts of conscience, and suggests that state licensing boards facilitate this goal. Licensing boards would be responsible for balancing the interests of doctors and patients by ensuring a sufficient number of willing physicians such that no physician's refusal leaves a patient entirely without access to desired medical services. This proposed solution, Lynch argues, accommodates patients' freedoms while leaving important room in the profession for individuals who find some of the capabilities of medical technology to be ethically objectionable.
Book Synopsis Health Care Shortage Designations by : Eileen Salinsky
Download or read book Health Care Shortage Designations written by Eileen Salinsky and published by . This book was released on 2010 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: A wide variety of federal programs designed to improve access to health care services rely on specific criteria to designate areas and populations eligible for funding and other types of aid. Two related yet distinct designations, the Health Professional Shortage Area (HPSA) and the Medically Underserved Area (MUA), are most commonly used to identify underserved people or places. This background paper reviews the methodologies currently utilized in these designations, identifies the federal programs that use these designations to allocate resources, describes proposals that have been advanced to consolidate and improve these designations, and discusses key issues and challenges for future effort.
Book Synopsis Geographic Adjustment in Medicare Payment by : Institute of Medicine
Download or read book Geographic Adjustment in Medicare Payment written by Institute of Medicine and published by National Academies Press. This book was released on 2012-10-31 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare, the world's single largest health insurance program, covers more than 47 million Americans. Although it is a national program, it adjusts payments to hospitals and health care practitioners according to the geographic location in which they provide service, acknowledging that the cost of doing business varies around the country. Under the adjustment systems, payments in high-cost areas are increased relative to the national average, and payments in low-cost areas are reduced. In July 2010, the Department of Health and Human Services, which oversees Medicare, commissioned the IOM to conduct a two-part study to recommend corrections of inaccuracies and inequities in geographic adjustments to Medicare payments. The first report examined the data sources and methods used to adjust payments, and recommended a number of changes. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency applies the first report's recommendations in order to determine their potential effect on Medicare payments to hospitals and clinical practitioners. This report also offers recommendations to improve access to efficient and appropriate levels of care. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency expresses the importance of ensuring the availability of a sufficient health care workforce to serve all beneficiaries, regardless of where they live.
Book Synopsis Nevada Primary Care Health Professional Shortage Areas (HPSA). by : Nevada. Primary Care Development Center
Download or read book Nevada Primary Care Health Professional Shortage Areas (HPSA). written by Nevada. Primary Care Development Center and published by . This book was released on 1995 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: