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This study examined the degree to which persistence of primary care HPSA designation in rural counties was associated with lower population socioeconomic status and deficiencies in access to health care services. It used a 5-level classification of rural counties and their partial-vs. whole-county persistence of primary care HPSA designation to stratify rural populations by socioeconomic status, race/ethnicity, primary care supply, health insurance uptake and access to needed health care services. Those U.S. rural counties that were persistently designated as whole-county HPSAs were found to have much lower socioeconomic status, and adults residing in these counties reported substantial financial obstacles to obtaining needed health care services. Rural counties that were persistently designated as whole-county HPSAs also faced severe provider shortages, and adults residing in these locations were less likely to have a regular primary care provider. The ability to identify persistence and extent of HPSA designation may be a valuable tool in selecting counties with higher levels of need.
Contact information:
Mark Doescher, MD, MSPH
University of Washington WWAMI Rural Health Research Center
Phone: 206-616-9207
mdoesche@u.washington.edu
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