Physician Incentives and HPSAs
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Questions and Answers

What was the issue faced by a county that was about to lose its HPSA status?

  • Had inadequate healthcare facilities
  • Didn't meet the required population criteria
  • Lacked enough physicians
  • Employed too many physicians (correct)

    • According to Quinney, what should incentives ideally do in the context of healthcare provision?

  • Reward the provision of more care (correct)
  • Encourage physicians to leave rural areas
  • Punish the provision of more care
  • Have no impact on healthcare decisions

    • Why is it difficult to quantify the public health infrastructure in different states?

  • States have varying organizational structures (correct)
  • States have different public health priorities
  • Funding is insufficient in all states
  • Public health departments lack skilled personnel

    • What did Meit highlight as a major challenge for public health infrastructure in rural communities?

    <p>Inadequate funding</p> Signup and view all the answers

    What specific public health activities are mentioned as at risk due to a lack of 'boots on the ground' in communities?

    <p>Disease surveillance and outbreak control</p> Signup and view all the answers

    How does Meit describe the current trend in funding for small rural health departments?

    <p>'Struggling' with tighter funding</p> Signup and view all the answers

    What are the dominant payers in rural communities?

    <p>Medicare, Medicaid, and Children’s Health Insurance Program</p> Signup and view all the answers

    How do changes to Medicare and Medicaid affect rural providers?

    <p>They have a disproportionate effect on rural providers' ability to provide care</p> Signup and view all the answers

    What is a common challenge faced by many rural areas in terms of healthcare providers?

    <p>Provider shortages</p> Signup and view all the answers

    How does the Office of Management and Budget (OMB) define rural areas?

    <p>Based on counties</p> Signup and view all the answers

    What percentage of the U.S. population is identified as living in rural areas according to OMB's definition?

    <p>17%</p> Signup and view all the answers

    What differentiates the issues faced by rural areas in the deep South from those in Maine?

    <p>Geographical factors and demographics</p> Signup and view all the answers

    What is the physician-to-population ratio in metropolitan areas compared to nonmetropolitan areas?

    <p>7.9 per 10,000 people in metropolitan areas and 5.5 per 10,000 people in nonmetropolitan areas</p> Signup and view all the answers

    How do the disparities in physician availability change when nurse practitioners and physician assistants are included?

    <p>11.6 versus 16.2 per 10,000 people</p> Signup and view all the answers

    How many nonmetropolitan counties have no mental health practitioner according to Morris?

    <p>200</p> Signup and view all the answers

    What is the ratio of dentists to population in nonmetropolitan areas?

    <p>3.6 per 10,000 people</p> Signup and view all the answers

    How many percent of nonmetropolitan counties have no mental health practitioner?

    <p>17%</p> Signup and view all the answers

    What is the most striking shortage mentioned by Morris regarding rural communities?

    <p>Mental health providers</p> Signup and view all the answers

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