Lecture_1_Latino_Physician_Shortage

Lecture_1_Latino_Physician_Shortage - DAVID E....

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DAVID E. HAYES-BAUTISTA
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The Latino Physician Shortage
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California Latino Medical Association formed, 1997 Wanted to send invitation to join to all Latino physicians Medical license does not ask race/ethnicity How identify Latino physicians?
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Methodology: Surrogate Measures
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Surrogate Measures Use when can’t measure something directly Use elements highly associated
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All licensed MDs US Grad? Yes No Spanish surname? Decision Rule 1. ñ=n Decision Rule 2.Hyphenate name Yes No Latin America Yes No
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Spanish surname Code for hyphenated Undercounts Latina married to non-Latino Medical school in Latin America Include Brazil, Spain Except, Autonoma de Guadalajara Then, add Spanish surname filter US Medical Graduate International Medical Grad
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Latino Physicians 3,578 Latino Total Out of 74,345 licensed
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Latino as Percent of Physicians and Population, 1999 4.8% 95.2% Latino Non- Latino Physicians 30.4% 69.6% Population
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Population per Physician, Non Latino and Latino, California 1999 335 2,893 0 500 1,000 1,500 2,000 2,500 3,000 3,500 Non Latino Latino
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Population per Physician Ratios, Latin America (1991-1993) and Latino California (1999) 2893 2247 2156 1463 1351 1,210 1,161 907 902 877 749 720 673 644 605 593 585 364 268 226 0 500 1000 1500 2000 2500 3000 3500 Latino CA Nicaragua Bolivia Paraguay Honduras Guatemala El Salvador Peru Colombia Chile Costa Rica Brazil Ecuador DominicanR Venezuela Mexico Panama Argentina Uruguay Cuba
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Practice Patterns Influenced by Latino Presence in Medicine
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Not An Affirmative Action Issue Not need more Latino physicians Need more physicians willing to make two choices To learn to speak Spanish To practice in a heavily Latino area
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Percent of Physicians Who Speak Spanish, California, 2000 3.0% 68.4% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% Non-Latino Latino Source: 2000 PUMS
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Physician License Location, High Latino (40%+) Zip Code, Los Angeles, 1999 19.3% 39.9% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0% 50.0% Non Latino MD Latino MD
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Physicians Locate Outside of Latino Population Concentrations %Latino Doctors MD per 100,000 % Latino in city Beverly Hills Bell South Gate 2,023 MDs 28 MDs 19 MDs 5% Latino 90% Latino 91% Latino 2,000 1,000 50% 100%
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The Doctor Is Out TIME cover: The Doctor is Out . . . Picture of a lab coat without a person in it “Why so many patients are losing their doctors to the rising costs of malpractice
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Non-Latino Physicians who Practice in Shortage Area and Speak Spanish, Los Angeles, 2000 1.2 38.6 200 0 50 100 150 200 250 Spanish Shortage Start Source: CESLAC MD survey, 2000
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Latino Physicians who Practice in Shortage Area and Speak Spanish, Los Angeles, 2000 100.1 127 200 0 50 100 150 200 250 Spanish Shortage Start Source: CESLAC MD survey, 2000
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Latino Physician Supply for Parity, California 1998 3,578 27,309 30,887 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 Current Supply Shortage Needed for Parity
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in Medical School
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This note was uploaded on 04/19/2011 for the course LS 2 taught by Professor Pires during the Spring '08 term at UCLA.

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Lecture_1_Latino_Physician_Shortage - DAVID E....

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