Panola County

Low Income Primary Care Access

 

 

Summary of Information:

Low Income Population:  10,698 (at or below 200% FPL, 1998)

Total practicing primary care physicians:  6

Regular full time equivalency:  5.2

Full time equivalents serving the low-income population:  2

Ratio of low-income population to low-income FTE:  5,349:1

Considered a shortage of providers:  Yes, currently designated as whole-county HPSA.

Physicians accepting new patients:  86%

Physicians accepting new patients who have Medicaid coverage:  86%

Physicians who can provide interpretation for non-English speaking patients:  43%

Languages interpreted:  Spanish

 

What are the barriers to health care for people in your county?

“I don’t think there are any.”

“HMOs. Our doctor will not see patients on an HMO.”

“Transportation. Lack of indigent health care. We need to hire a mid-level provider to see all of the walk-in patients. Lack of providers.”

“Ignorance, lack of providers for private pay/indigent patients.”

“We do have an indigent care program.”

“No barriers.”

Are there additional barriers for the low-income population?

“The hospital is very expensive for outpatient services for the private paying patient.”

“Price of medications is too high for the low-income population.”

“Prices of health care.”

“No” --  response given by three physician offices.

Community Input:

Adolescent births are significantly higher than the state average.  Additionally, there is a lack of prenatal care and a lack of access to prenatal care.

 

Prepared by Community Health Provider Resources, Texas Department of Health, as part of The Robert Wood Johnson Foundation East Texas Rural Access Program; Spring 2001