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Primary Care Health Professional
Shortage Areas: Primary Care Health Professional
Shortage Areas are federal designations of geographic
areas with less than one physician for every 3,500 residents,
and in which primary care professionals in contiguous
areas are over-utilized, excessively distant, or inaccessible.
Shortage areas in Maui County include Hana/Ha'iku, Lana'i,
and Moloka'i. Hawai'i County shortage areas include Puna,
Ka'u and Hamakua. Honolulu County shortage areas include
Kalihi-Palama and Kalihi Valley. The entire island of
Kaua'i is a shortage area. Many of these areas are considered
to have unusually high needs, based on the poverty status
of the population.
Dental Health Professional Shortage Areas:
All of Hawai'i County is considered a Dental Health Professional
Shortage Area, as are the islands of Maui, Kaua'i and
Ni'ihau. Kalihi Palama and Kalihi Valley on O'ahu are
designated a Dental Health Professional Shortage Area.
Mental Health Professional Shortage Areas:
All of Hawai'i County is considered a Mental Health Professional
Shortage Area, except Hilo and Kona. Waimea on Kaua'i,
Hana on Maui, Moloka'i, and Kalihi Palama and Kalihi Valley
on O'ahu are designated Mental Health Professional Shortage
Areas.
Medically Under-Served Populations (MUP):
The term medically under-served population refers to an
urban or rural area that is designated by the federal
government as having a shortage of personal health services
and populations groups characterized by either economic
barriers (low-income or Medicaid-eligible population)
or cultural and/or linguistic barriers to receiving primary
care, or those without medical insurance. The islands
of Kaua'i, Maui, and the Big Island, as well as the Kalihi
Palama, Waikiki and Waimanalo areas of O'ahu, have Medically
Under-Served Population designations.2
Medically Under-Served Areas (MUA): These
areas are geographic locales in which a high proportion
of the population is below 100 percent of the poverty
line, is elderly, exhibits a high infant mortality rate,
and has a relatively low ratio of primary care physicians
per 1,000 population. Designated Medically Under-Served
Areas in Hawai'i include the island of Moloka'i, Kalihi
Valley, Ko'olau Loa, and Wai'anae on O'ahu.
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