What factors create imbalance/maldistribution between primary and specialty physician care?

Submit a paper that explores the factors creating the imbalance/maldistribution between primary and specialty physician care. Be sure to include the following:

Specific measures that have been employed to address the problems.

A discussion of how effective these measures have been.

Your paper should be 4-5 pages in length and conform to CSU-Global Guide to Writing and APA Requirements (Links to an external site.)Links to an external site.. Include at least three scholarly references from peer-reviewed articles.


The term maldistribution is used to refer to the surplus or shortage of physicians in terms of either the number (geographic maldistribution) and/or the type of physicians (specialty maldistribution) necessary to maintain the health status of a defined population.

The Agency for Healthcare Research and Quality (2005) estimates that 20% of the U.S. population lives in rural areas; however, only 9% of physicians practice in these areas. The U.S. Health Resources and Services Administration (HRSA) uses shortage designation criteria that it developed to decide whether or not a geographic area or population group is a Health Professional Shortage Area (HPSA). For example, primary care HPSAs are based on a physician-to-population ratio of 1 provider for every 3,500 residents; that is, when there are 3,500 or more people per primary care physician, that area can be designated as a primary care HPSA. As of June 19, 2014, there were 6,100 designated primary care

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