Historical Index of Medical Underservice scores

Benjamin Goldman filed this request with the Department of Health and Human Services of the United States of America.
Awaiting Acknowledgement


From: Benjamin Goldman

To Whom It May Concern:

Pursuant to the Freedom of Information Act, I hereby request the following records:

In 1978, the Department of Health, Education, and Welfare (DHEW), in accordance with Section 1302(7) of the Public Health Service Act, designated certain geographic areas and populations as medically underserved areas (MUAs). The designated areas were initially chosen based on an index of medical under service (IMU) score. The IMU score is computed for each county in the United States using the ratio of primary care physicians to population, infant mortality rate, percentage of the population over 65, and percentage of the population with family incomes below the poverty line. The procedure is described in detail beginning on page 40315 of the Federal Register Vol. 40 No. 170—Tuesday, September 2, 1975 (https://www.loc.gov/item/fr040170/).

Within DHEW, the Bureau of Community Health Services (BCHS) was responsible for designating the underserved areas. The University of Wisconsin Health Services Research GROUP (HSRG) worked jointly with BCHS to develop the score. An NIH document located at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071845/ describes the joint research by BCHS and HSRG that led to the development of the score.

An initial list of MUAs was developed using the IMU score procedure and sent to state Comprehensive Health Planning agencies. I am requesting the initial list that includes, for every county in the United States, the IMU score and each of the four components of the score described above.

The requested documents will be made available to the general public, and this request is not being made for commercial purposes.

In the event that there are fees, I would be grateful if you would inform me of the total charges in advance of fulfilling my request. I would prefer the request filled electronically, by e-mail attachment if available or CD-ROM if not.

Thank you in advance for your anticipated cooperation in this matter. I look forward to receiving your response to this request within 20 business days, as the statute requires.


Benjamin Goldman