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Post by NCFC on Dec 13, 2012 14:28:03 GMT -7
[Question posed by Harvey Licht]
The four FAR levels present multiple ways of looking at distance to different size population centers. Previous frontier definitions have only looked at distance to the largest population centers and to actual locations of key services typically located in these larger centers, such as hospital-based specialty services. It is difficult to make assumptions about the availability of health services in smaller population centers in FAR levels 2-4. For federal program decision-making these levels of analysis may not be as useful as the FAR level 1 designation.
Would you recommend to ORHP and other federal programs that the FAR level 1 definition be the primary frontier designation to be used for program purposes? If not, where do you think that the other levels might be useful determining eligibility or priority for program investments?
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Post by NCFC on Dec 13, 2012 14:28:25 GMT -7
[Answered by John Cromartie]
What makes it valuable as a research tool is the flexibility. So to answer the question, it depends on what you’re looking at. Access to grocery stores happens at a very different geography than access to high-end medical care. People who are studying food deserts would probably be more inclined to use Level 4 than Level 1. That’s the value of this, and the levels we’ve chosen represent the full range of thresholds used by the most common rural-urban definitions. On the one hand you have 2500 which is used by the Census Bureau for rural, and at the other end you have 50,000 which is the BLM’s metro/non-metro threshold, so that explains the range.
For any given program you really need to think really hard about who it is you’re trying to target and which level works best.
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Post by NCFC on Dec 13, 2012 14:28:47 GMT -7
[Gary Hart] In the health care world, there’s the “golden hour” – 60 minutes – for emergency care. Most articles and research talk about 30 minutes to primary care. So we picked thresholds that we thought had a general meaning.
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