|
The legislation set forth in Title VII,
Part D, of the Public Health Service Act
identified five programs, all with the
central mission of training and education,
and deemed to have the potential to support
linkages that can have positive impact
upon the quality and availability of health
care services to populations that have
traditionally been underserved or are
otherwise medically vulnerable. These
programs are as follows:
- Area Health Education Centers (Section
751);
- Health Education and Training Centers
(Section 752);
- Geriatric Education and Training Programs
(Section 753);
- Quentin N. Burdick Program for Rural
Interdisciplinary Training (Section
754); and
- Entities engaged in education and
training for the allied health professions
and other disciplines (Section 755).
Although these programs differ in detail,
they share common elements; each has the
potential for fostering the development
and application of interdisciplinary,
community-based linkages. This occurs
in areas where such linkages are most
urgently needed—on health care delivery
issues of greatest concern from a community
standpoint. They all provide training
in community settings for health professions
students, medical residents, and local
providers. In addition, they provide
key links between the academic health
institutions, federally qualified health
centers, and communities. They all are
an integral part of the health safety
net system.
Goals shared by all the programs include:
- Increasing the numbers of health
professionals who can function in an
interdisciplinary and multidisciplinary,
community-based setting, through the
training of students in the health professions,
education of faculty in academic health
centers, and continuing education for
health care practitioners;
- Promoting a redistribution of the
health care workforce to underserved
areas within our Nation; and
- Improving the health status of the
most vulnerable of our citizens by providing
them access to health care professionals
who are technically well-trained, culturally
competent in the care they provide,
responsive to the needs of the communities
in which they work, and comfortable
providing care as part of an interdisciplinary
team.
Characteristics
of Individual Programs
| Funding
Levels for the AHEC Program |
| FY
2002 |
$33,346,000 |
| FY
2003 |
$32,946,000 |
| FY
2004 |
$29,206,000 |
| FY
2005 |
$28,971,000 |
| FY
2006 |
$28,681,000 |
| FY
2007 |
0 |
The goals of the AHEC Program are to:
1) improve the recruitment, distribution,
supply, quality, and diversity of personnel
who provide health care services in underserved
rural and urban areas, or to populations
with demonstrated serious unmet health
care needs; 2) increase the number of
primary care physicians and other primary
care providers who provide services in
such areas and to such populations; and
3) increase health careers awareness among
individuals from underserved areas and
underrepresented populations.
To accomplish these goals, AHECs carry
out the following activities.
- Develop and support the community-based,
interdisciplinary training of health
professions students, particularly in
underserved rural and urban areas.
Exposing health professions students
to underserved communities increases
the likelihood that they will return
to these communities to practice.
- Provide continuing education and other
services that improve the quality of
community-based health care. Improving
the quality of care also enhances the
retention of providers in underserved
communities, particularly in federally
qualified community health centers.
- Recruit underrepresented minority
and disadvantaged students into the
health professions through a wide variety
of programs targeting elementary through
high school students. Minority and
disadvantaged students are grossly underrepresented
in the health professions. These students
are more likely to practice in underserved
communities upon completion of their
training.
- Facilitate and support practitioners,
facilities, and community-based organizations
in addressing critical local health
issues in a timely and efficient manner.
AHECs often focus on interdisciplinary
education in which multifaceted education
programs are developed and are implemented
at community-based training and service
delivery sites.
| AHEC
Program Outputs |
|
|
FY
2005
Actual |
FY
2006 Appropriation |
FY
2007 Estimate |
| Number
of medical students trained in community
sites in rural/underserved areas |
16,000 |
17,000 |
-- |
| Number.
of associated health professions students
trained in community sites in rural/underserved
areas |
14,000 |
20,000 |
-- |
| Number
of training linkages with community/migrant
health centers and other underserved
area sites |
1,000 |
1,500 |
-- |
| Number
of local providers who received continuing
education on women’s health, diabetes,
hypertension, obesity, health disparities,
cultural competence, and bioterrorism
response |
310,000 |
315,000 |
-- |
| Number
of elementary/high school students
receiving health career guidance and
information from the Kids into Health
Careers in the AHEC programs |
300,000 |
330,000 |
-- |
| Number
of minority/disadvantaged students
participating in a health career training
and/or academic enhancement experience |
36,000 |
42,000 |
-- |
| Number
of States with AHEC Programs |
46 |
46 |
-- |
Source: http://www.hrsa.gov/about/budgetjustification07/interdisciplinary.htm
| Funding
Levels for the HETC Program |
| FY
2002 |
$4,400,000 |
| FY
2003 |
$4,371,000 |
| FY
2004 |
$3,851,000 |
| FY
2005 |
$3,820,000 |
| FY
2006 |
0 |
The goals of the HETC Program are to:
1) improve the supply, distribution, quality,
and efficiency of personnel providing
health services in the United States along
the border of Mexico and in the State
of Florida; 2) improve the supply, distribution,
quality, and efficiency of personnel who
provide services in other urban and rural
areas, including frontier areas, of the
United States and health services to any
population group, including Hispanic individuals,
that has demonstrated serious unmet health
care needs; and 3) encourage health promotion
and disease prevention through public
education in the areas described above.
To accomplish these goals, HETCs carry
out the following activities.
- Conduct training and education programs
for health professions students in the
assigned service area.
- Conduct training in community-based
health education services, including
training to prepare community health
workers.
- Provide education and other services
to health professionals practicing in
the area.
| HETC
Program Outputs |
|
|
FY
2005
Actual |
FY
2006 Appropriation |
FY
2007 Estimate |
| Number
of minority/disadvantaged elementary/high
school students receiving a health
career experience |
7,500 |
-- |
-- |
| Number
of local residents trained as community
health workers |
600 |
-- |
-- |
| Number
of local providers or health professions
students receiving a public health
training experience at an underserved
area site |
300 |
-- |
-- |
| Number
of new health professions training
sites to be established in underserved
areas |
20 |
-- |
-- |
| Number
of health professions students trained
at new sites |
80 |
-- |
-- |
Source: http://www.hrsa.gov/about/budgetjustification07/interdisciplinary.htm
| Funding
Levels for the Geriatric Programs |
| FY
2002 |
$20,400,000 |
| FY
2003 |
$27,818,000 |
| FY
2004 |
$31,805,000 |
| FY
2005 |
$31,548,000 |
| FY
2006 |
0 |
The goal of the Geriatric Programs is
to improve the training of health professionals
in geriatrics, through three specifically-funded
programs.
- Geriatric Education Centers – are
dedicated to the interdisciplinary geriatric
education and training of all health
professionals.
- Geriatric Training for Physicians,
Dentists, and Behavioral/Mental Health
Professionals – ensure that physicians,
dentists, and behavioral/mental health
professionals become experts in geriatrics
in order to serve as faculty for other
trainees in their respective health
professions.
- Geriatric Academic Career Awards –
are designed to increase the teaching
of geriatrics in medical schools through
the development of junior faculty who
are committed to academic careers teaching
clinical geriatrics.
To accomplish these goals, grantees carry
out the following activities.
- Improve the training of health professionals
in geriatrics by providing geriatric
residencies, traineeships, or fellowships.
- Develop and disseminate curricula
to health professionals on the treatment
of health problems of the elderly.
- Support the training and retraining
of faculty to provide instruction in
geriatrics.
- Support continuing education of health
professionals who provide geriatric
care.
- Provide students with clinical training
in geriatrics in nursing homes, chronic
and acute disease hospitals, ambulatory
care centers, and senior centers.
| Geriatric
Program Outputs |
|
|
FY
2005 Actual |
FY
2006 Appropriation |
FY
2007 Estimate |
| Number
of health care providers receiving
training in geriatrics |
50,665 |
-- |
-- |
| Number
of GECs |
50 |
-- |
-- |
| Number
of dollars leveraged from other sources
by each dollar of Federal funding |
3 |
-- |
-- |
| Number
of geriatric fellowship trainees |
66 |
-- |
-- |
| Number
of GACAs |
104 |
-- |
-- |
| Number
of Patient Encounters |
8,554,951 |
-- |
-- |
Source: http://www.hrsa.gov/about/budgetjustification07/interdisciplinary.htm
| Funding
Levels for the Quentin N. Burdick
Program |
| FY
2002 |
$6,996,000 |
| FY
2003 |
$6,954,000 |
| FY
2004 |
$6,125,000 |
| FY
2005 |
$6,076,000 |
| FY
2006 |
-- |
The Quentin N. Burdick Program is designed
to support the interdisciplinary education
and training of health professional teams
to enter into practice and/or remain in
rural areas. Program goals are to: 1)
use new and innovative methods to train
health care professionals to provide services
in rural areas; 2) demonstrate and evaluate
innovative interdisciplinary methods and
models designed to provide access to cost-effective
comprehensive health care; 3) deliver
health care services to individuals residing
in rural areas; 4) enhance the amount
of relevant research conducted concerning
health care issues in rural areas; and
5) increase the recruitment and retention
of health care practitioners in rural
areas and make rural practice a more attractive
choice for health care practitioners.
To accomplish these goals, Quentin N.
Burdick Programs carry out the following
activities.
- Provide interdisciplinary learning
experiences for health professions students
designed to enhance their understanding
of the contribution that each discipline
brings to the solution of health problems.
- Conduct educational workshops and
activities in rural communities for
health professionals and residents.
- Provide information and awareness
activities for students, grades K-12,
concerning career opportunities in the
health professions.
| Quentin
N. Burdick Program Outputs |
|
|
FY
2005
Actual |
FY
2006 Appropriation |
FY
2007 Estimate |
| Number
of students and rural health care
providers trained in community interdisciplinary
rural settings |
831 |
-- |
-- |
| Number
of interdisciplinary rural clinical
training sites |
135 |
-- |
-- |
Percent
of program completers that will
work in rural areas |
50 |
-- |
-- |
Source: http://www.hrsa.gov/about/budgetjustification07/interdisciplinary.htm
| Funding
Levels for the Allied Health and Other
Disciplines Program |
| FY
2002 |
$9,495,000 |
| FY
2003 |
$11,922,000 |
| FY
2004 |
$11,849,000 |
| FY
2005 |
$11,753,000 |
| FY
2006 |
$3,960,000 |
| FY
2007 |
-- |
While the main intent of this section
addresses the allied health professions,
it also includes the education and training
of podiatric physicians, chiropractors,
and behavioral/mental health practitioners.
Podiatric medicine training grants are
used to support residency training programs
that encourage primary care, especially
for underserved, minority, and elderly
populations and for persons with AIDS.
Chiropractic demonstration grants help
to build collaborative efforts between
chiropractors and physicians for patient
care, and develop research protocols that
will significantly expand documented research
in the chiropractic field.
The Graduate Psychology Education Program
addresses the interrelatedness of behavior
and health and the critical need for integrated
health care services. The program aims
to train psychologists to work with underserved
populations, including children, the elderly,
victims of abuse and the chronically ill
or disabled. The program emphasizes an
integrated approach to health care services
that underscores the connection between
behavior and health.
Note: The FY 2006 budget for “Allied
Health and Other Disciplines” included
funds only for the Chiropractic Demonstration
Program and the Graduate Psychology Education
Program; the Allied Health Projects Program
and the Podiatric Program were not funded.
The goal for the Allied Health Program
is to increase the supply of allied health
professionals, which is accomplished by
supporting the following activities.
- Support programs training professionals,
especially those most needed by the
elderly.
- Develop and support programs that
enable the transition of baccalaureate
graduates into an allied health profession.
- Support programs linking academic
centers to rural clinical settings through
a community-based setting.
- Support career advancement training
programs for allied health professionals.
- Support programs that:
- provide clinical training sites
in underserved or rural communities;
- provide interdisciplinary training
to promote the effectiveness of
allied health professionals in geriatric
care;
- establish centers that apply
innovative models that link practice,
education, and research around the
allied health field; and
- provide financial assistance
to allied health students in fields
in which there is a demonstrated
shortage and who agree to practice
in a medically underserved community.
| Allied
Health and Other Disciplines Program
Outputs |
|
|
FY
2005
Actual |
FY
2006 Appropriation |
FY
2007 Estimate |
Allied
Health Number of graduates
Number of URM graduates
Percent of URM graduates
Number of graduates entering
practice in MUCs
Percent of graduates entering
practice in MUCs |
2,388
972
41
1,150
48 |
--
--
--
--
-- |
-- |
Graduate
Geropsychology
Number of Grantees |
7 |
– |
-- |
Graduate
Psychology
Number of Grantees |
20 |
20 |
-- |
Chiropractic
Demonstration Projects
Number of awards
Number of chiropractors
involved in research projects |
3
21 |
4
28 |
-- |
Podiatry
Number of Grantees |
2 |
-- |
-- |
Source: http://www.hrsa.gov/about/budgetjustification07/interdisciplinary.htm |
