Van Zandt County

Low Income Primary Care Access

 

Summary of Information:

Low Income Population:  20,328 (at or below 200% FPL, 1998)

Total practicing primary care physicians:  11      

Regular full time equivalency:  9.1

Full time equivalents serving the low-income population:  1.1

Ratio of low-income population to low-income FTE:  18,480:1

Considered a shortage of providers:  Yes, currently designated

as whole-county HPSA.

Physicians accepting new patients:  91%

Physicians accepting new patients who have Medicaid coverage:  77%

Physicians who can provide interpretation for non-English speaking patients:  44%

Languages interpreted:  Spanish

 

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

“Health care is expensive.”

“Not enough doctors, and too few are taking new patients.”

“Hospital is small, due to funding can’t offer enough services. There is limited access to specialists, lack of money to be earned by physicians.”

“Don’t have Americaid in Van Zandt County-no one accepts it, it’s for people who don’t qualify for

 Medicaid and don’t have insurance. Also transportation is a barrier.”

“Economy. Financial—lack of money, lack of insurance, Mexicans are usually brought to the doctor     by the people they work for, who translate for them.”


“No insurance and no money.”

“Money, and not accepting insurance.”

“Transportation.”

“None” -- response given by two physician offices.

 

Are there additional barriers for the low-income population?

“Prescription medications are very expensive.”

“Finding a doctor who will treat someone who is low-income.”

“Lack of money, can’t afford care.”

“No insurance, no money.”

“No” -- response give by five physician offices.


Community Input:

All obstetrical care is out of the county, so access for prenatal care is a problem.  Language is a barrier for an increasing percentage of the county population.

 

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