Presentation on theme: "Identifying Clinic Facility needs in Los Angeles SPAs and MSSAs Brenda Pérez UP 206A Winter 2011."— Presentation transcript:
Identifying Clinic Facility needs in Los Angeles SPAs and MSSAs Brenda Pérez UP 206A Winter 2011
LA County community clinics and health centers (clinics) target communities where care is needed but scarce and improve access to care for nearly a million individuals regardless of their insurance status or ability to pay. However, data suggests there is still a high unmet demand for services and that it will remain high after health reform implementation.
MUA: Medically Underserved Area MUP: Medically Underserved Population Approximately one third of Californians live in a designated HPSA, MUP or MUA.¹ ¹ CA Office of Statewide Planning and Development (OSHPD)
Service Planning Areas (SPAs): Eight in LA County for health care planning purposes. Each SPA is responsible for planning public health and clinical services according to the health needs of local communities:¹ Assess health needs of local communities Provide services through clinics and community partners Promote health & prevent disease Note: The eight SPAs were derived by selecting SPAs in the view from LA County and converting to shapefile ¹ Los Angeles County Department of Public Health
LA County has the largest total number of uninsured residents in California, with 2.2 million nonelderly adults and children (24% of the total population) experiencing some period without health insurance in 2009. ¹ Clinics are a key source of care for these medically disenfranchised people. ¹ In LA County, 61% of all clinic patients are uninsured and 54% of health center patients are insured About 56% of clinic visits are by uninsured patients. ¹ California Health Interview Survey, 2009
Health Care Facilities in LA: ¹ All: 2,155 Community Clinics: 275 Free Clinics:14 ¹ CA Office of Statewide Planning and Development (OSHPD)
Need analyzed by: Population Density Population Below 100% FPL Population Below 200% FPL Population over 65 Population under 5 Population on Medicare Population Uninsured Community Health Clinic Locations Free Clinic Locations
Average Nearest Neighbor H 0: Clinic need is randomly distributed Ratio: 2.04 Z-Score: 5.64 P-Value:.001 High/Low Clustering H 0: There is no spatial clustering of clinic need Z-Score: 7.44 P-Value:.001
Inset Map Chart Geoprocessing Clipping Boundary Sub- Selections Point Graduated Symbols Hotspot Analysis Metadata Modeling Automate Race/Ethnicity graphics Original Data Insurance Status layers derived from CHIS source and rendered to shp files Measurement Tool Average Nearest Neighbor High/Low Clustering
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