Translating Most Needed Health Access: Nebraska

Experiential Place and Health Access

Robert C. Bowman, M.D. rcbowman@atsu.edu

Nebraska has become more diverse in many ways and has developed inner city health access needs to go with longstanding rural health needs.

Most in need of rural health access – about 35% of the state’s population not within 75 miles of Lincoln or Omaha and also somewhat distant from I-80

Origins Expected to Result in Most Needed Rural Health Access – 2 times odds ratios rural practice

Origins Least Likely to Result in Most Needed Rural Health Access – 0.5 odds ratios of rural location

Career Choice of Family Medicine – Triples rural location for UNMC graduates as with other origins or medical schools or medical school types.

Career Choices with Lower Probability of Rural Location based on national data

Impact of Allopathic Public School – 1.3 times odds ratios, perhaps 1.5 times for the UNMC rural effort

Directions for Nebraska Moving Away from Health Access

Principles of Health Access Summary Points

Steps to Health Access

Basic Health Access Concepts To Review

The Basic Table - Taxonomy, Themes, and Theories Related to Experiential Place and the Principles of Health Access

Experiential Place and Health Access Considerations

The Counterproductive and Untrue Perspective of the Impossibility of Health Access

Nebraska: A Practical Application of Experiential Place and Workforce

Why Physician Workforce Needs New Tools (and a health access perspective)

Basic Health Access Index

Physician Workforce Studies

www.ruralmedicaleducation.org