Health Care Shortage Areas


Book Description

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.










Health Care Shortage Areas


Book Description




The Future of the Nursing Workforce in the United States


Book Description

The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.




Health Professional Shortage Areas


Book Description

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.










Improving Access to Oral Health Care for Vulnerable and Underserved Populations


Book Description

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.