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Shortage Designation Program in California. Health Professional Shortage Area Medically Underserved Population Medically Underserved Area. Brenda Pérez UP 206A Winter 2011. Shortage Designation Program. Federal program under the Health Resources and Services Administration

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Shortage designation program in california

Shortage Designation Program in California

Health Professional Shortage Area

Medically Underserved Population

Medically Underserved Area

Brenda PérezUP 206AWinter 2011


Shortage designation program
Shortage Designation Program

  • 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)


Population centers in mssa
Population Centers in MSSA

Medical Service Study Area (MSSA):

Calculated from the most populous census tract within the MSSA.


What is a mup mua
What is a MUP/MUA?¹

  • 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



Mua s in los angeles
MuAs in Los Angeles

Concentrations of MUAs:

East LA

Downtown LA

Long Beach


What is a hspa
What is a HSPA?

  • 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


Hpsas primary care dental mental health
HPSAs: Primary Care, Dental, Mental Health



Findings and further questions
Findings and Further Questions

  • 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


Skills utilized
Skills Utilized

  • Inset Map

  • Point Graduated Symbols

  • Graph

  • Buffering

  • Geoprocessing (Clipping)

  • Aggregating Attribute Fields


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