Weigel Paula, Ullrich Fred, Mueller Keith
Rural Policy Brief. 2013 Nov 1(2013 15):1-4.
Key Findings. Twenty-five counties lost their sole community pharmacy between May 2006 and December 2010. Among these: (1) The average population density is 10.4 persons per square mile, compared to 87.4 for the United States. (2) The average population decreased by 1.6% between 2000 and 2010. Excluding the largest county, the average decrease was 2.4%. (3) The population age 65 years and older increased 5.4% between 2000 and 2010. Excluding the largest county, the 65-and-older population increased 2.1%. (4) The average change in the percentage of persons in poverty increased by 0.6 points between 2000 and 2010, from 15.5% to 16.1%, compared to a 4.0 point increase (11.3% to 15.3%) for the United States. (5) The average percentage of people younger than 65 years without health insurance was 24.6% in 2010, compared to 16.2% for the United States. (6) Nineteen of the 25 counties were designated "whole county" Health Professional Shortage Areas (HPSAs), meaning there was a shortage of primary medical care physicians across the entire county. (7) The average number of active doctors per 1,000 persons was 0.44, compared to 2.86 for the United States. Six of the 25 counties (24%) had no active MDs or DOs in 2010.
主要发现。在2006年5月至2010年12月期间,有25个县失去了其唯一的社区药房。在这些县中:(1)平均人口密度为每平方英里10.4人,而美国为87.4人。(2)2000年至2010年期间,平均人口减少了1.6%。排除最大的县,平均减少率为2.4%。(3)2000年至2010年期间,65岁及以上人口增长了5.4%。排除最大的县,65岁及以上人口增长了2.1%。(4)2000年至2010年期间,贫困人口百分比的平均变化增加了0.6个百分点,从15.5%增至16.1%,而美国增加了4.0个百分点(从11.3%增至15.3%)。(5)2010年,65岁以下无医疗保险人群的平均百分比为24.6%,而美国为16.2%。(6)25个县中有19个被指定为“全县”卫生专业人员短缺地区(HPSA),这意味着全县缺乏初级医疗保健医生。(7)每1000人活跃医生的平均数量为0.44人,而美国为2.86人。2010年,25个县中有6个(24%)没有活跃的医学博士或 osteopathic 医生。