Document type: DU ETD
Collection: Geology Theses  
Title Rural vs. Rural: Characterizing the Variable Access to Primary Care in Non-Metropolitan Colorado
Author(s) Alonzo, Michael
School/Department Department of Geography
Institution University of Denver
Degree Type Master's
Degree Name M.A.
Type of Resource text
Degree Date 2007 June
Digital Origin reformatted digital
Rights Statement All Rights Reserved
Reason for Restrictions No restrictions
Type of Restriction No restrictions
Keyword(s) Geography
Genre Dissertations, Academic
Abstract There is significant research focusing on variation in access to primary care between urban and rural areas. There is little work however, focusing on the disparities among types of rural communities. This thesis regionally evaluates the variability of care supply and demand in non-metropolitan Colorado. A mixed methods approach is used to determine which areas of the state have better or worse access to primary care as measured by doctor to population ratios and the presence of federal designations of under service. Provider survey responses give further insight into who is serving the state's disparate regions and which factors of place are important in their locational decision making. The Great Plains and southern Colorado are faring worst in terms of access to primary care. The areas that are underserved throughout the state tend to be non-mountainous, poorer, ethnically Hispanic, and comprised of older residents. Younger and women practitioners are more likely to be practicing in these areas as are members of the National Health Services Corps. However, low levels of satisfaction among practitioners in underserved areas lead to unlikely retention. Respondents statewide highly ranked place factors associated with achieving a work-life balance, professional collaboration, and the natural environment surrounding their community. Nevertheless, there are differences in the demographics and values of providers practicing in Colorado's mountains and those in the plains. It is important for health care policy makers to consider the variation in community types even within a state in order to appropriately match each with physicians intent on staying.
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du_mas_2007_Alonzo.pdf   du_mas_2007_Alonzo.pdf application/pdf 104.10MB 0

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Created: Wed, 21 Sep 2011, 13:17:59 UTC by John Adams . Detailed History