the importance of the health care sector on the economy of atoka county, oklahoma by gerald a....
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The ImportanceThe Importanceof the Health Care Sectorof the Health Care Sector
on the Economyon the Economyof Atoka County, Oklahomaof Atoka County, Oklahoma
By
Gerald A. Doeksen, Regents Professor and Extension EconomistCheryl F. St.Clair, Assistant Extension Specialist
Fred C. Eilrich, Assistant Extension Sprcialist
Oklahoma State University
and
Val Schott, DirectorOklahoma Office of Rural Health
The Economic Impact of theHealth Sector on XYZ County
50 Miles toManaged Care
Hometown CountryHospital
Small Town, U
SA
Big City
Movement to Managed CareMovement to Managed Care
May Cause a By-Pass of Local Health CareMay Cause a By-Pass of Local Health Care
What's the Economic Potential forHealth Care in Your Community
Health Services Promote Job Growth
Health Services Foster Rural DevelopmentHealth Services Foster Rural Development
Health Services Attract RetireesHealth Services Attract Retirees
Table 1Services that Impact Rural Development
Services ImportantType of Growth to Attract Growth
Industrial and Business Health and Education
Retirees Health and Safety
Table 2National Health Expenditures and Employment Data
1970-2001
Total Per Capita Expenditures Employment Annual Expenditures Expenditures as a Percent in Health Sector Increase in
Year ( $$Billions) ($$) of GDP (000 Jobs) Employment
1970 $ 73.1 $ 348 7.0 3,052
1980 245.8 1,067 8.8 5,278 7.3%
1990 695.6 2,738 12.0 7,814 4.8%
1996 1,038.0 3,842 13.3 9,478 2.7%
1997 1,093.9 4,011 13.2 9,703 2.4%
1998 1,149.8 4,177 13.1 9,852 1.5%
1999 1,215.6 4,377 13.1 9,977 1.3% 2000 1,299.5 4,637 13.2 10,096 1.2%
2001 1,423.8 5,039 14.0 10,344 2.5%
Table 3Estimated Potential Primary Care Expenditure
For Atoka County, Oklahoma 20011
Percent Primary Atoka CountyU.S. Per Primary Care Potential
Health Services Capita Care Per Capita ExpendituresHospital Care $1,580 61% $964 $13,379,356
Professional Services
Physician/Clinical Services 1,099 75% 824 11,436,296
Dental Services 228 75% 171 2,373,309
Other Prof. Services 151 75% 113 1,568,327
Other Prof. Health Care 147 75% 110 1,526,690
Home Health Care 127 100% 127 1,762,633
Nursing Home Care 351 100% 351 4,871,529
Prescription Drugs 502 75% 377 5,232,383
Other Medical Products 187 75% 140 1,943,060
Gov’t Administration and
Net Cost of Insurance 328 0% 0 0
Gov’t Public Health Activities 175 50% 88 1,221,352
Investment (Research) 164 0% 0 0
TOTALS $5,039 65% $3,265 $45,314,935
Table 4 Selected Demographic Data for Atoka County and the
State of Oklahoma
Selected Item Atoka County County % State %
Population Growth (1980-90) 12,748-12,778 0.2% 4.0%
Population Growth (1990-00) 12,778-13,879 8.6% 9.7%
Population Growth (1980-00) 12,748-13,879 8.9% 14.1%
Population Projections: Year 2005 = 14,103 Year 2010 = 14,327 Year 2015 = 14,635
(Continued) Table 4 Selected Demographic Data
Selected Item Atoka County County % State %
Population by Race (2000)
White 10,528 75.9 76.2
Black 814 5.9 7.6
American Indian1 1,578 11.4 7.9
Other2 114 0.8 3.8
Two or more races3 845 6.1 4.5
Hispanic4 196 1.4 5.2
(Continued) Table 4 Selected Demographic Data
Selected Item Atoka County County % State %
Population by Age (2000)
0 - 9 1,710 12.3 13.9
10-19 1,899 13.7 15.1
20-24 806 5.8 7.2
25-34 1,817 13.1 13.1
35-44 2,218 16.0 15.2
45-54 1,915 13.8 13.1
55-59 779 5.6 5.0
60-64 685 4.9 4.1
65-74 1,089 7.8 7.0
75-84 703 5.1 4.5
85+ 258 1.9 1.7
Table 5Economic Indicators for Atoka County, the
State of Oklahoma and the Nation
Indicator County State Nation
Total Personal Income (01)1 $214,113,453 $84,049,891,783 $8,541,068,616,916
Per Capita Income (01) $15,394 $24,145 $29,985
Employment (01) 4,800 1,601,917 NA Unemployment (01) 201 63,507 NA
Unemployment Rate (01) 4.0% 3.8% 4.8%Poverty Rate (98)1 27.0% 16.1% 12.7%
Transfer Dollars (01)1 $54,287,802 $13,107,079,560 $1,116,837,268,785Transfer Dollars as % of Total Personal Income (01) 25.4% 15.6% 13.1%
Table 6Personal Income Data for Atoka County, The State of
Oklahoma, and the Nation 2000 & 2001
County County State Nation Total % of % of % of
Source ($000) Total Total TotalTotal Personal Income (01) $214,113,453
Earnings by Place of Residence (01)$131,499,242 66.2 70.6 72.4Transfer Payments (01) $54,287,802 23.1 15.0 13.1
Total Earnings (01) $119,826,712Wages and Salaries (01) $75,008,848 62.6 74.1 79.5Proprietor’s Income (01) $34,331,682 28.7 16.3 11.7Other Labor Income (01) $10,486,182 8.8 9.6 8.8
Transfer Payments (00) $52,334,000Retirement and Disability (00) $20,485,000 36.0 43.0 39.7Medical Payments (00) $18,060,000 34.4 35.7 39.5Other (00) $13,789,000 26.3 21.4 20.7
Figure 1.Employment by Sector for Atoka County
Government22.0%
Retail Trade15.5%
Mining1.1%
Farm Employment20.9%
Health Services6.2%
Transportation5.0%
Ag Services (Other)2.4%
Manufacturing6.4%
Construction4.3%
Wholesale Trade2.2%Finance, Ins. &
Real Estate2.6%
Services (except Health)11.4%
Table 7Availability of Selected Medical Providers - Atoka County
County County StateProvider Number Rate / 1,000 Rate / 1,000Hospitals (98,99)
Licensed Hospital Beds 15 1.1 NAStaffed Hospital Beds 15 1.1 NA
Geriatric Day Services (99)Number Licensed 0 NA 709Total Persons Served 0 NA 761New Referrals 0 NA 402Estimated Need- Persons Age 65+ 26 NA 5699
Nursing HomesBeds (98) 192 200 164
Health Service Practitioners:M.D.'s (00) 3 0.22 1.43D.O.'s (00) 2 0.14 0.28Primary Care Physicians (00)1 5 0.36 0.70COGME4,5 Midpoint (00) 10 5 -1Physician Assistants (99) 3 0.22 0.12Dentists (98) 3 0.22 0.44
Emergency Medical Technicians (99):First Responders 2 0.14 0.22EMT Basics & Intermediates 13 0.94 0.62Paramedics 3 0.22 0.34
Table 8Heath Status and Health Indicators for
Atoka County and the State of OklahomaCounty County State
Status of Indicator Number Percent/Rate Percent/Rate
Hospital Admissions/Occupancy Rate (%) 764 59.5 n/aMedicare Enrollment (99):
Aged (65 and over) 1,821 13.3 14.7Disabled (Under 65) 332 2.4 2.0
Medicaid Enrollment (00):Medicaid Eligible 2,434 17.7 12.6Medicaid Served 2,274 93.4 92.7
Medicare Discharges (98,99) 398 53.1 n/aMedicaid Discharges (98,99) 59 7.9 n/aTAN-F Recipients (00) 148 1.1 1.0
Adult Recipients 25 0.2 0.3Child Recipients 123 3.8 3.0
Food Stamps (persons) (00) 1,523 11.0 7.4Infant Mortality (95-99) 7 8.7 8.2Births to Teens (97-99) 11.0 38.6 32.2Child Abuse Cases Confirmed (00) 50 15.3 15.0Children Receiving
Medicaid Ages 0-17 (00) 1,412 43.6 30.0
Figure 2.Overview of Community Economic
System
Households
Industry
Basic
ServicesGoods &
$
Inputs
Products
Inputs
$ $
$
$
Services
$ $
Labor
Hospitals 120 1.64 197Medical Professionals 54 1.63 88Nursing & Protective Care 149 1.44 219Other Medical &
Health Services 63 1.52 96Pharmacies 16 1.42 23
TOTALS 402 623
Table 9aAtoka County Health Sector Impact
on Employment IMPLAN
Type III Health Sectors Employment Multiplier Impact
(Continued) Table 9bAtoka County Health Sector Impact
on Income
IMPLAN Type III
Health Sectors Income Multiplier Impact
Hospitals $2,406,564 1.53 $3,682,043Medical Professionals $1,951,000 1.30 $2,750,910Nursing & Protective Care $1,806,000 1.56 $2,925,720Other Hlth & Med Svcs $1,195,000 1.45 $1,637,150Pharmacy $425,753 1.60 $736,553
TOTALS $7,784,317 $11,732,376
(Continued) Table 9cAtoka County Health Sector Impact
on Retail Sales and Sales Tax Collections
1 Cent Retail Sales Tax
Health Sectors Sales Collection
Hospital $1,489,936 $14,899 Medical Professionals $1,023,904 $10,239 Nursing & Protective Care $1,137,368 $11,374 Other Hlth & Med Svcs $699,511 $6,995 Pharmacy $275,003 $2,750
TOTALS $4,625,722 $46,257
NEXT STEPS
If you, the local decision makers, wish to promote your health sector, here is how we can help you:
I. Strategic Health Planning
A. Where is the community now?
B. Where does the community want to go?
C. How will the community get there?
II. Feasibility Studies
Primary Care Physician
Obstetrics/Gynecology Physician
Pediatrician
Emergency Medical Services
(Basic and Advanced)
First Responder Systems
Outpatient Rehabilitation
Adult Day Services
Fire Protection
Solid Waste
Transportation Systems
Budget Studies Under Construction
Kidney Dialysis
Rural Health Clinics
Federally Qualified Health Centers
Primary Care Physician
Dentist
Pharmacies
Assisted Living Facilities
EMS
Add Others, as Requested