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Lack Of Access To Health

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In Search of Healthcare
A simple internet search indicates that Hawai'i is one of the most beautiful places on earth. There are six major islands and over 1.4 million people living in Hawai'i. Approximately 70% of the population live on the island of Oahu (US Census Bureau 2017) and it is the heart of government and business. In 2017, the State hosted visitors totaling more than six times the population (Hawai'i Tourism Authority 2017). These visitors are doubtlessly delighted to visit Hawai'i and take part in any number of activities while being completely unaware of the danger they face. The beaches of Hawai'i are famous, drawing millions to their shores. These same beaches are also the most deadly in the United States. The …show more content…

Rosenthal et al (2015) reported the Council on Graduate Medical Education (COGME), in 1988, identified geographic maldistribution as an area of concern stating that it is “one of the most persistent characteristics of the American health care system”.
Hawai'i has a significant shortage of physicians, which is exacerbated by geographic maldistribution. The center for health care in the State is on the island of Oahu. Wikipedia (2017) reports the State of Hawai'i has 24 hospitals with 13 located on Oahu and the remaining 11 hospitals disbursed among the remaining 7 islands, with not all islands having an acute care hospital to serve its residents. Even the island of Oahu, more than half of the islands' hospitals are located in the city of Honolulu. The University of Hawai'i (Annual Report 2017) reports significant physician workforce shortages. A review of the report tables 4 through 7 provide evidence that overall, physician shortages are greater on the outer islands. These shortages cause residents, on outer islands, to travel to Oahu, or the mainland, for health care.
Causes of Maldistribution
Doctors are distributed unequally all over the United States. This seems true for nearly all industrialized nations Ono, et. Al

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