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HEALTH RESOURCES - Under-Served Areas1
Primary Care Health Professional Shortage Areas: Primary Care Health Professional Shortage Areas are federal designations of geographic areas with less than one physician for every 3,500 residents, and in which primary care professionals in contiguous areas are over-utilized, excessively distant, or inaccessible. Shortage areas in Maui County include Hana/Ha'iku, Lana'i, and Moloka'i. Hawai'i County shortage areas include Puna, Ka'u and Hamakua. Honolulu County shortage areas include Kalihi-Palama and Kalihi Valley. The entire island of Kaua'i is a shortage area. Many of these areas are considered to have unusually high needs, based on the poverty status of the population.

Dental Health Professional Shortage Areas: All of Hawai'i County is considered a Dental Health Professional Shortage Area, as are the islands of Maui, Kaua'i and Ni'ihau. Kalihi Palama and Kalihi Valley on O'ahu are designated a Dental Health Professional Shortage Area.

Mental Health Professional Shortage Areas: All of Hawai'i County is considered a Mental Health Professional Shortage Area, except Hilo and Kona. Waimea on Kaua'i, Hana on Maui, Moloka'i, and Kalihi Palama and Kalihi Valley on O'ahu are designated Mental Health Professional Shortage Areas.

Medically Under-Served Populations (MUP): The term medically under-served population refers to an urban or rural area that is designated by the federal government as having a shortage of personal health services and populations groups characterized by either economic barriers (low-income or Medicaid-eligible population) or cultural and/or linguistic barriers to receiving primary care, or those without medical insurance. The islands of Kaua'i, Maui, and the Big Island, as well as the Kalihi Palama, Waikiki and Waimanalo areas of O'ahu, have Medically Under-Served Population designations.2

Medically Under-Served Areas (MUA): These areas are geographic locales in which a high proportion of the population is below 100 percent of the poverty line, is elderly, exhibits a high infant mortality rate, and has a relatively low ratio of primary care physicians per 1,000 population. Designated Medically Under-Served Areas in Hawai'i include the island of Moloka'i, Kalihi Valley, Ko'olau Loa, and Wai'anae on O'ahu.


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