People in Medically Underserved Areas

In the United States, nearly 12% of people live in a "medically underserved area" ("MUA"), an area with reduced access to primary care physicians. (1) For some, access is reduced due to residence in a remote location, while for others it is due to the low number of primary care physicians in a non-remote area. One in five Americans have inadequate or no access to a primary care physician. (2) The lack of accessible health care services is particularly acute for poor and low-income people, who do not have the financial resources to travel to find health care and are often not accepted by physicians due to low Medicaid reimbursement rates. (3)

What percentage of people live in "medically underserved areas"?

Although state data regarding the percentage of women who live in underserved areas are not available, the state data for men and women overall are a useful proxy to assess women's access to primary care. No benchmark is available for this indicator, so it is ranked, not graded.

Data Source: People in Medically Underserved Areas (%), 2005

EXPLANATION:

The term "underserved" was developed by the Division of Shortage Designation within the U.S. Health Resources and Services Administration, Bureau of Primary Health Care, and indicates a population-to-practitioner ratio of greater than 2,000:1. The measure applies to both women and men, and assumes that in states where there are fewer practicing primary care physicians, there is reduced access to primary care services. "Practitioner" or "primary care physician" here means all allopathic (M.D.) or osteopathic (D.O.) practitioners who provide primary care services, and does not focus on their discipline or specialty. The measure is calculated based on Bureau of Primary Health Care data adjusted by the U.S. Bureau of the Census, Population Estimates.

SOURCE:

AARP, State Profiles: Reforming the Health Care System 2005 (Washington: AARP, 2005). The national figure calculated by AARP Public Policy Institute includes the 50 states and the District of Columbia.

  State Overall Data State Grade State Rank
ALABAMA 25.8%   49
ALASKA 14.0%   34
ARIZONA 13.5%   31
ARKANSAS 10.1%   22
CALIFORNIA 10.0%   20
COLORADO 10.2%   23
CONNECTICUT 6.3%   7
DELAWARE 8.0%   16
DISTRICT OF COLUMBIA 24.8%   48
FLORIDA 15.7%   40
GEORGIA 15.1%   37
HAWAII 4.4%   3
IDAHO 18.1%   41
ILLINOIS 13.2%   30
INDIANA 8.7%   17
IOWA 9.4%   19
KANSAS 15.3%   38
KENTUCKY 13.5%   31
LOUISIANA 21.1%   44
MAINE 7.3%   12
MARYLAND 6.5%   9
MASSACHUSETTS 5.1%   4
MICHIGAN 11.0%   25
MINNESOTA 7.6%   13
MISSISSIPPI 29.3%   51
MISSOURI 23.7%   46
MONTANA 20.4%   42
NEBRASKA 5.7%   5
NEVADA 14.1%   35
NEW HAMPSHIRE 5.9%   6
NEW JERSEY 2.8%   1
NEW MEXICO 27.6%   50
NEW YORK 10.0%   20
NORTH CAROLINA 7.8%   15
NORTH DAKOTA 20.8%   43
OHIO 7.2%   11
OKLAHOMA 15.6%   39
OREGON 6.9%   10
PENNSYLVANIA 6.3%   7
RHODE ISLAND 8.7%   17
SOUTH CAROLINA 15.0%   36
SOUTH DAKOTA 24.6%   47
TENNESSEE 11.6%   27
TEXAS 12.7%   28
UTAH 12.8%   29
VERMONT 3.6%   2
VIRGINIA 7.6%   13
WASHINGTON 11.3%   26
WEST VIRGINIA 13.8%   33
WISCONSIN 10.4%   24
WYOMING 22.8%   45
 
S (Satisfactory): 0  
S- (Satisfactory Minus): 0  
U (Unsatisfactory): 0  
F (Fail): 0  

1 AARP, Reforming the Health Care System: State Profiles, 2000 (Washington: AARP, 2000), 9.

2 National Association of Community Health Centers, Inc., Access Denied: A Look at America’s Medically Disenfranchised (Washington, D.C., March, 2007), 1-3, available at http://www.nachc.com/research/Files/Access_Denied42407.pdf.

3 Peter J. Cunningham and Jessica H. May, Medicaid Patients Increasingly Concentrated Among Physicians (Center for Studying Health System Change, August 2006) 2 and 6. Available at http://www.hschange.com/CONTENT/866/.