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Social policy implications of physician shortage areas in Missouri

Bibliographic Data

ID11036342
AuthorsLanis L Hicks (0000-0002-9874-8097, corresponding author)
Year1984
Volume74
Issue12
Pages1316-1321
Publication date1984-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.74.12.1316
PMID6507682
OpenAlexW2135372934
LanguageEN
Citations received6
References cited2

A model is used to identify counties in Missouri in which the supply of physician services is inadequate to serve the resident population. In the model, a formula is used to assess the gap between the physician services available in a county and the visits which would be required to serve the residents. Incorporated in the model are adjustments for the age and specialty of the physicians and the age and sex of the population. The model is applied to 1976 and 1981 data in order to analyze the changes which have occurred within the state during that time. The results show that in spite of a 34 per cent increase in the number of physicians practicing in Missouri between 1976 and 1981, 24 of the 115 counties in the state experienced a decrease in their ability to serve their resident populations adequately. Of these 24 counties, 23 had populations of less than 25,000 and 12 had populations of less than 10,000. A factor magnifying the underservice problem is the sharp increase in the proportion of older physicians located in small, rural counties. In 1981, 47 per cent of the primary care physicians located in counties with less than 10,000 people were aged 60 and over, compared to 34 per cent in 1976. This portends major problems in the future in obtaining replacements

Economic shortage · Environmental health · Family medicine · Government (linguistics) · Physician supply · Population · Primary care · Sociology · Specialty · Demography · Global Health Workforce Issues · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes · Gerontology

  • Domains of Medical Practice

    Kenneth F Ferraro, Tammy Southerland•Journal of Health and Social…•1989

  • Availability and Accessibility of Rural Health Care

    Open Access•Lanis L Hicks•The Journal of Rural Health•1990

  • Distributional change in physician manpower, United States, 1963-80

    Charles Mcconnel, C E McConnel et al.•American Journal of Public Health•1986

  • The 'trickle-down' theory--is that any way to make policy

    P P Budetti•American Journal of Public Health•1984

  • Notes from a Fertile Field

    Hugh H Tilson•American Journal of Public Health•1984

  • Does the Geographic Distribution of Physicians Reflect Market Failure

    Open Access•J R Barnett, John Barnett•Environment and Planning A…•1993

Unique citing works6
Citations per year0,14
Citation span1984 - 1993 (10)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5

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