| County
|
Rank
|
| Lewis
|
1
|
| Trimble
|
2
|
| Powell
|
3
|
| Owsley
|
4
|
| Casey
|
5
|
|
Lyon
|
6
|
|
Jackson
|
7
|
| Meade
|
8
|
| Hancock
|
9
|
| Ballard
|
10
|
| Lee
|
11
|
| Bullitt
|
12
|
| Todd
|
13
|
| Knott
|
14
|
|
Carlisle
|
15
|
| Carter
|
16
|
| Metcalfe
|
17
|
| Breathitt
|
18
|
| Russell
|
19
|
| Morgan
|
20
|
| Owen
|
21
|
| Clay
|
22
|
| Pendleton
|
23
|
| Wolfe
|
24
|
| Hart
|
25
|
| Magoffin
|
26
|
| Knox
|
27
|
| Webster
|
28
|
| Menifee
|
29
|
|
Livingston
|
30
|
| Hickman
|
31
|
|
Laurel
|
32
|
| Trigg
|
33
|
| Rockcastle
|
34
|
| Adair
|
35
|
|
Lincoln
|
36
|
| Bracken
|
37
|
|
Butler
|
38
|
| Crittenden
|
39
|
|
Ohio
|
40
|
| Edmonson
|
41
|
|
Clinton
|
42
|
| Elliott
|
43
|
| Nicholas
|
44
|
| Fleming
|
45
|
| Breckinridge
|
46
|
| McCreary
|
47
|
| Muhlenberg
|
48
|
|
Union
|
49
|
| Garrard
|
50
|
| Greenup
|
51
|
| Carroll
|
52
|
|
McLean
|
53
|
| Harlan
|
54
|
| Allen
|
55
|
|
Wayne
|
56
|
| Leslie
|
57
|
| Martin
|
58
|
| Robertson
|
59
|
|
Washington
|
60
|
|
Gallatin
|
61
|
| Spencer
|
62
|
| Whitley
|
63
|
|
Warren
|
64
|
|
Shelby
|
65
|
| Henry
|
66
|
|
Logan
|
67
|
| Letcher
|
68
|
| Mercer
|
69
|
| Pike
|
70
|
| Green
|
71
|
|
Oldham
|
72
|
| Scott
|
73
|
| Larue
|
74
|
| Christian
|
75
|
| Nelson
|
76
|
| Johnson
|
77
|
| Boyd
|
78
|
|
Caldwell
|
79
|
|
Montgomery
|
80
|
| Simpson
|
81
|
| Floyd
|
82
|
| Grant
|
83
|
|
Bell
|
84
|
|
Graves
|
85
|
| Perry
|
86
|
|
Cumberland
|
87
|
| Estill
|
88
|
|
Franklin
|
89
|
| Pulaski
|
90
|
|
Monroe
|
91
|
| Fayette
|
92
|
|
Madison
|
93
|
|
Marshall
|
94
|
|
Fulton
|
95
|
| Mason
|
96
|
| Boone
|
97
|
| Grayson
|
98
|
|
Bath
|
99
|
|
Marion
|
100
|
|
Lawrence
|
101
|
| Bourbon
|
102
|
| Barren
|
103
|
|
Clark
|
104
|
| Jessamine
|
105
|
|
Taylor
|
106
|
|
Jefferson
|
107
|
|
Anderson
|
108
|
|
Hopkins
|
109
|
| Daviess
|
110
|
|
Harrison
|
111
|
|
Campbell
|
112
|
| Calloway
|
113
|
|
Henderson
|
114
|
| Hardin
|
115
|
| Woodford
|
116
|
| Kenton
|
117
|
| Rowan
|
118
|
| Boyle
|
119
|
| McCracken
|
120
|
|
SSP II Ranks Counties for Health Care Development
Rationale
One hundred of Kentucky’s 120 counties are designated as “medically underserved areas” by the federal Health Resources Services Administration and Bureau for Primary Health Care.
Because the need for health care development is so pervasive in Kentucky, the KPCA developed a tool to prioritize among the many deserving communities.
The composite score, described below, is meant to be used in conjunction with other factors to guide health care development plans in the upcoming phase III of the Statewide Strategic Plan.
Methodology
The need for health care development was quantified by using county-specific
data estimating the numbers of unserved,
underserved and uninsured residents to create a
composite score for each county. The composite score was then used to rank counties from the highest to lowest need for health care development.
Results
County rankings are listed to the left.
More Information
For a complete discussion of the Statewide Strategic Plan Phase II, please
click
here.
Comments
We will be refining the Statewide Strategic Plan during Phase III and would welcome your comments.
Contact Andrea Adams to comment.
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data
The KPCA SSPII used data and methods developed by the Lewin Group for the National Association of Community Health Centers (NACHC) which were supplied to state primary care associations. These data are referred to as Reach 2000 and provide estimates of the number of county residents that are uninsured, unserved and/or underserved for the year 2000. The Reach 2000 estimates were projected to 2003 using several data sources.
For data used in the SSPII rankings, please click
here.
unserved
The Reach 2000 method for estimating the unserved is based on Health Professional Shortage Area (HPSA) status
and the number of full-time equivalent (FTE) primary care physicians practicing in the county.
Caculations:
One full-time primary care physician is expected to be able to care for 1500 patients.
Multiply the number of FTE primary care doctors by 1500 and subtract that number from the county population. The remainder is the number of unserved people in the county.
In 2003, 1,240,913 people living in 117 of Kentucky’s 120 counties were unserved for primary medical care – that’s 30% of the state’s population!
underserved
The Reach 2000 method for estimating the underserved is based on Medically Underserved Area (MUA) and/or Medically Underserved Population (MUP) status and the applicable portion of the designated county’s population.
In 2003, an estimated 1,168,138 residents living in 100 MUA/MUP-designated Kentucky counties were underserved – 28.3% of the state’s population.
composite score
The composite score is a weighted average of the percentages of unserved, underserved and uninsured residents of each county.
{(%unserved) + .75(%underserved) + .25(%uninsured)}/3
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