Texas State Health Plan: 1993-94 Page: 3
214 p.View a full description of this report.
Extracted Text
The following text was automatically extracted from the image on this page using optical character recognition software:
high costs, lack of small business coverage, costs
of liability coverage, and Medicaid
reimbursement. Problems of the delivery system
addressed were the need for "one stop services,"
lack of transportation, cost of medicines, and
referrals between rural and urban counties.
Shortages of primary health care providers and
training of additional personnel, fear of litigation
for providing care to the uninsured, and refusal of
physicians to accept new Medicaid patients were
addressed. Major recommendations from the
meeting included expansion of the roles of the
school nurse, physician assistant, and nurse
practitioner; development of additional primary
care residency slots in medical schools; and
establishment of medical teams traveling in mobile
vans to provide care to underserved areas.
KILGORE January 23, 1992
The Kilgore focus meeting exhibited a strong rural
concentration. Medicaid issues discussed included
reimbursement rates and refusal of physicians to
accept new Medicaid patients; care for individuals
and families slightly above the eligibility standard;
and gaps in coverage such as sight, hearing and
dental examinations and devices, and durable
medical equipment. The problem of teenage
pregnancies led to recommendations for increased
time for teacher counseling concerning health
behaviors, sex education in the schools, and a
legislative mandate to require sex education in the
schools. The need for immunization of pre-school
children led to recommendations that free vaccines
be provided physicians and reducing fees at public
clinics. Problems of the health delivery system
addressed included the need for referral sources
for children and teenagers, access to clinics for
preschool and day care children, additional trained
midwives, transportation services and in-home
services. The problem of recruitment and
retention of primary care physicians in rural areas
led to recommendations for increased primary
care residency slots, third year medical school
rotation to rural primary care, student loan
repayment programs, and recruitment of rural area
residents to medical school.EL PASO January 28, 1992
El Paso attendees were particularly concerned
about border health issues and the cost of
providing treatment to an impoverished region. In
addition because El Paso is so remote,
transportation for patients to primary as well as
tertiary care was a major concern. Finally, El
Paso sees so many children with special health
care needs that this issue was also noted.
HOUSTON January 30, 1992
There was a strong emphasis on the lack of a
comprehensive-coordinated system of primary care
and the growing number of area residents
(estimated at 700,000) without insurance or other
financial resources for health care. Overcrowding
in emergency rooms and lack of referral
resources, confusion caused by multiple agencies
and varying eligibility policies and the difficulty in
applying for and receiving social security
disability status were mentioned as serious
problems affecting access to care. It was noted
that the goal of the eligibility screening process
has become that of finding someone else to pay
for health care. Also cited was the difficulty
women face in maintaining health insurance due to
maternity leave, death of spouse and divorce and
the lack of research on women's health issues.
The lack of meaningful comprehensive health
education in schools, attributable in part to
administrators' fears, was seen as an important
problem. It was suggested that prevention efforts
must recognize the importance of individual
responsibility and basic cultural values in building
support for healthful living and reducing the need
for health services. Also mentioned was the need
for funding to support regional "umbrella" health
planning, and the lack of adequate outcomes data
for employers and other health care payors to
evaluate health interventions.
MIDLAND January 31, 1992
In Midland the main concerns were about the lack
of primary care physicians and dental care to
serve the rural communities. Other concerns3
Upcoming Pages
Here’s what’s next.
Search Inside
This report can be searched. Note: Results may vary based on the legibility of text within the document.
Tools / Downloads
Get a copy of this page or view the extracted text.
Citing and Sharing
Basic information for referencing this web page. We also provide extended guidance on usage rights, references, copying or embedding.
Reference the current page of this Report.
Texas. Statewide Health Coordinating Council. Texas State Health Plan: 1993-94, report, 1992; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1586367/m1/21/: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.