Redesigning the Health System / Increasing Access to Primary Care Providers

Redesigning the Health System / Increasing Access to Primary Care Providers2022-02-10T11:19:07-08:00

In the next decade, California will need an additional 4,100 primary care providers to meet projected demand.1

Although insurance provides access to care, it does not ensure that everyone receives appropriate or high-quality care at the right time.2 An estimated 7 million Californians live in provider shortage areas, with shortfalls in access to primary, dental or mental healthcare providers.3 The shortage of health professionals impacts access to care, causing a significant delay in obtaining timely health services and resulting in barriers which negatively affect health outcomes. Access to comprehensive and quality healthcare services is important for physical, social, mental health, and overall quality of life.4 Access to care also promotes preventative measures, managing disease, and reducing unnecessary disability and premature death.4

This indicator tracks access to primary care providers based on the ratio of health professionals to population size. A primary care shortage area is defined as having a population greater than 2,000 per provider.

Access to Primary Care Providers

In 2018 (baseline year), 44.8% of Californians had insufficient access to a primary care provider (more than 2000 People per 1 Provider). The most recent rate available is 44.8 (2018). The target is to be determined (TBD) for this indicator.

More Data about Access to Primary Care Providers



Current Rate




Indicator Highlights

Data Snapshot: Trends & Disparities

Percent of Population Without Sufficient Access to Care
(More than 2000 People per 1 Provider), by County

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Population per Primary Care Physician FTE (Lower is Better), by Medical Service Study Area

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Indicator Name: Access to Primary Care

Indicator Description: Ratio of primary care physician full time equivalent (FTE) to the civilian population in each Medical Service Study Area (MSSA). State indicator is the percent of MSSAs with a provider ratio worse than 2,000:1.

Data Limitations: Provider ratios should not be compared across shortage designations. Each designation includes, excludes, and weights providers according to different methodologies. Access to primary care is defined by physician FTE and does not consider other primary care related disciplines.

Indicator Source: Office of Statewide Health Planning & Development

Indicator Calculation Methodology: Primary care physician counts from the 2018 National Provider Identifier file matched with FTE estimates from survey responses collected at the time of license renewal. Population estimates from the 2016 U.S. Census Bureau 5-Year estimate.

Data Collection Methodology: Providers with no survey data are assumed to be 1 FTE. When providers have mutiple practice locations, their FTE is split evenly amongst the locations.

Program URL Link:

Reporting Cycle: Annually

Reporting Lag: 1-year

1. Healthforce Center at the University of California, San Francisco. California’s Primary Care Workforce, 2017.

2.California Health and Human Services Open Data Portal

3. California Future Health Workforce Commission, Meeting the Demand for Health: Fact Sheet on California’s Looming Workforce Crisis, 2019.

4. Starfield, Barbara et al. “Contribution of primary care to health systems and health.” The Milbank quarterly 83,3 (2005): 457-502. doi:10.1111/j.1468-0009.2005.00409.x;

5. Healthforce Center at the University of California, San Francisco. California’s Current and Future Behavioral Health Workforce 2018.

6.Kaiser Family Foundation;,%22sort%22:%22asc%22%7D

7. California Future Health Workforce Commission, Meeting the Demand for Health, 2019.

Stories & Solutions

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