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Identifying geographic areas and ethnic communities that are underserved

      Imagine you are a state-level health policy maker interested in health care access. You want to identify geographic areas and ethnic communities that are underserved to be able to correct problems and ensure fair access. You can only use archival data for your study. What data do you need for your study? What variables will you use? Do you expect any difficulties in obtaining those data? Why or why not? What kind of design would you use? Why? What parametric and nonparametric statistical tests can you use to obtain the information you need? Explain.  
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Sample Solution

For my study, the primary data I need to identify underserved geographic areas and ethnic communities would include demographic information related to ethnicity and health access. For this purpose, I could obtain census data from the U.S. Census Bureau which includes variables such as population size, age structure, gender composition, income levels, poverty rate, educational attainment level ,and racial/ethnic characteristics . Additionally, I could also acquire additional data sets from various government agencies such as Centers for Disease Control (CDC) and Health Resources Services Administration (HRSA) that provide more detailed information about healthcare utilization at the county or state level. In terms of the variables used in my study , I would focus on gathering statistics regarding health insurance coverage rates , access to adequate medical care facilities , availability of culturally competent services , prevalence of chronic diseases among different populations , usage patterns for preventive services like vaccinations , and any disparities existing between different groups within a region . By analyzing these types of metrics alongside one another it should be possible to get an accurate picture of which areas are being underserved with regards to healthcare resources. Overall then, by having access to relevant archival datasets along with understanding what type of variables are most essential for measuring health access equity across different regions and demographics it should be possible obtain meaningful insights into how best target policies towards ensuring fair accessibility throughout one’s jurisdiction.
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