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Comprehensive Model for Assessing Healthcare Accessibility

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This model incorporates four key factors - Population, Health, Barriers, and Ability to Pay - to evaluate underserved areas based on weighted criteria. It includes expert and statistical weighting approaches, as well as identification of barriers like poverty and health disparities.

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Comprehensive Model for Assessing Healthcare Accessibility

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  1. Weighting for Model B • A • Four factors • Pop to prov 20% • Health 30% • Barriers 25% • Ability to pay 25% • B • Data support 3 factors • Pop to prov 20% • Health 47% • Barriers + Ability to pay 33%

  2. CURRENT MEDICALLY UNDERSERVED AREA/POPULATION CRITERIA • Components - Rational Service Area (RSA) • Criteria and Weighted Values - Percent of Population at 100% Poverty - Percent Population > 65 - Infant Mortality Rate - Primary care physicians per 1,000 Population • Index of Medical Underservice - Value must be < 62.0

  3. Draft MUA Models • A1 • Expert weighting • Choice of any 2 barriers • A2 • Expert weighting • Choice of 2 barriers, one from two buckets • B • Statistical weighting

  4. MUA A1 • P2P 20% • Health Status 30% • 50%SMR 70% + LBW or Diabprev 30% • 50%SDI (Pov 50%, Nonemployed 30%, Sing Parent HH 10%, <HS educ 10%) • Barriers 25% • Highest 2 factors, each 50% • Ability to Pay 25% • Pct Pop Uninsured & <400% poverty

  5. MUA A2 • P2P 20% • Health Status 30% • 50%SMR 70% + LBW or Diabprev 30% • 50%SDI (Pov 50%, Nonemployed 30%, Sing Parent HH 10%, <HS educ 10%) • Barriers 25% • 2 factors, pick 1 from each list each 50% (risk & direct) • Ability to Pay 25% • Pct Pop Uninsured & <400% poverty

  6. Barriers Buckets • Bucket 1 (risk) • LEP or Hispanic • Racial minority • Pop Density • & Disability • Bucket 2 (direct) • Amb Care Sensitive Conditions (Mcare) • % Pop no usual source of care

  7. MUA B • Factor analysis 3 components • Pop to Provider • Health Status • SMR, LBW, Diab, Amb Care Conditions for Medicare pop, SDI4 (%pop <pov, %pop not employed, % pop single parent, % pop <HS) • Barriers & Ability to Pay • % pop uninsured & <400% pov, % pop LEP, % pop racial minority

  8. MUA B • Final step is to rank all service areas based on these three factors and identify the worst quarter of the service areas

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