The Importance
of the Health Care Sector
on the Economy
of Atoka County, Oklahoma
By
Gerald A. Doeksen, Regents Professor and Extension Economist
Cheryl F. St.Clair, Assistant Extension Specialist
Fred C. Eilrich, Assistant Extension Sprcialist
Oklahoma State University
and
Val Schott, Director
Oklahoma Office of Rural Health
The Economic Impact of the
Health Sector on XYZ County
What's the Economic Potential for
Health Care in Your Community
Health Services Promote Job Growth
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Table 1
Services that Impact Rural Development
Type of Growth
Services Important
to Attract Growth
Industrial and Business
Health and Education
Retirees
Health and Safety
Table 2
National Health Expenditures and Employment Data
1970-2001
Per Capita
Expenditures
($$)
Expenditures
as a Percent
of GDP
Employment
in Health Sector
(000 Jobs)
73.1
$ 348
7.0
3,052
1980
245.8
1,067
8.8
5,278
7.3%
1990
695.6
2,738
12.0
7,814
4.8%
1996
1,038.0
3,842
13.3
9,478
2.7%
1997
1,093.9
4,011
13.2
9,703
2.4%
1998
1,149.8
4,177
13.1
9,852
1.5%
1999
1,215.6
4,377
13.1
9,977
1.3%
2000
1,299.5
4,637
13.2
10,096
1.2%
2001
1,423.8
5,039
14.0
10,344
2.5%
Year
1970
Total
Expenditures
( $$Billions)
$
Annual
Increase in
Employment
Table 3
Estimated Potential Primary Care Expenditure
For Atoka County, Oklahoma 20011
U.S. Per
Health Services
Hospital Care
Professional Services
Physician/Clinical Services
Dental Services
Other Prof. Services
Other Prof. Health Care
Home Health Care
Nursing Home Care
Prescription Drugs
Other Medical Products
Gov’t Administration and
Net Cost of Insurance
Gov’t Public Health Activities
Investment (Research)
TOTALS
Percent
Primary
Capita
Primary
Care
Care
Atoka County
Potential
Per Capita
Expenditures
$1,580
61%
$964
$13,379,356
1,099
228
151
147
127
351
502
187
75%
75%
75%
75%
100%
100%
75%
75%
824
171
113
110
127
351
377
140
11,436,296
2,373,309
1,568,327
1,526,690
1,762,633
4,871,529
5,232,383
1,943,060
328
175
164
$5,039
0%
50%
0%
65%
0
88
0
$3,265
0
1,221,352
0
$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
Population by Race (2000)
White
Black
American Indian1
Other2
Two or more races3
Hispanic4
Atoka County
10,528
814
1,578
114
845
196
County %
75.9
5.9
11.4
0.8
6.1
1.4
State %
76.2
7.6
7.9
3.8
4.5
5.2
(Continued) Table 4
Selected Demographic Data
Selected Item
Population by Age (2000)
0-9
10-19
20-24
25-34
35-44
45-54
55-59
60-64
65-74
75-84
85+
Atoka County
1,710
1,899
806
1,817
2,218
1,915
779
685
1,089
703
258
County %
12.3
13.7
5.8
13.1
16.0
13.8
5.6
4.9
7.8
5.1
1.9
State %
13.9
15.1
7.2
13.1
15.2
13.1
5.0
4.1
7.0
4.5
1.7
Table 5
Economic Indicators for Atoka County, the
State of Oklahoma and the Nation
Indicator
Total Personal Income (01)1
Per Capita Income (01)
Employment (01)
Unemployment (01)
Unemployment Rate (01)
Poverty Rate (98)1
Transfer Dollars (01)1
Transfer Dollars as % of
Total Personal Income (01)
County
State
Nation
$214,113,453
$84,049,891,783
$8,541,068,616,916
$15,394
$24,145
$29,985
4,800
201
4.0%
27.0%
1,601,917
63,507
3.8%
16.1%
NA
NA
4.8%
12.7%
$54,287,802
$13,107,079,560
$1,116,837,268,785
25.4%
15.6%
13.1%
Table 6
Personal Income Data for Atoka County, The State of
Oklahoma, and the Nation 2000 & 2001
County
County
Total
% of
Source
($000)
Total
Total Personal Income (01)
$214,113,453
Earnings by Place of Residence (01) $131,499,242 66.2
Transfer Payments (01)
$54,287,802 23.1
Total Earnings (01)
Wages and Salaries (01)
Proprietor’s Income (01)
Other Labor Income (01)
Transfer Payments (00)
Retirement and Disability (00)
Medical Payments (00)
Other (00)
State
% of
Total
Nation
% of
Total
70.6
15.0
72.4
13.1
$119,826,712
$75,008,848
$34,331,682
$10,486,182
62.6
28.7
8.8
74.1
16.3
9.6
79.5
11.7
8.8
$52,334,000
$20,485,000
$18,060,000
$13,789,000
36.0
34.4
26.3
43.0
35.7
21.4
39.7
39.5
20.7
Figure 1.
Employment by Sector for Atoka County
Manufacturing
6.4%
Transportation
5.0%
Health Services
6.2%
Ag Services
(Other)
2.4%
Farm Employment
20.9%
Government
22.0%
Mining
1.1%
Services (except
Health)
11.4%
Retail Trade
15.5%
Finance, Ins. &
Real Estate
2.6%
Wholesale Trade
2.2%
Construction
4.3%
Table 7
Availability of Selected Medical Providers - Atoka County
Provider
Hospitals (98,99)
Licensed Hospital Beds
Staffed Hospital Beds
Geriatric Day Services (99)
Number Licensed
Total Persons Served
New Referrals
Estimated Need- Persons Age 65+
Nursing Homes
Beds (98)
Health Service Practitioners:
M.D.'s (00)
D.O.'s (00)
Primary Care Physicians (00)1
COGME4,5 Midpoint (00)
Physician Assistants (99)
Dentists (98)
Emergency Medical Technicians (99):
First Responders
EMT Basics & Intermediates
Paramedics
County
Number
County
Rate / 1,000
State
Rate / 1,000
15
15
1.1
1.1
NA
NA
0
0
0
26
NA
NA
NA
NA
709
761
402
5699
192
200
164
3
2
5
10
3
3
0.22
0.14
0.36
5
0.22
0.22
1.43
0.28
0.70
-1
0.12
0.44
2
13
3
0.14
0.94
0.22
0.22
0.62
0.34
Table 8
Heath Status and Health Indicators for
Atoka County and the State of Oklahoma
Status of Indicator
County
Number
Hospital Admissions/Occupancy Rate (%)
Medicare Enrollment (99):
Aged (65 and over)
Disabled (Under 65)
Medicaid Enrollment (00):
Medicaid Eligible
Medicaid Served
Medicare Discharges (98,99)
Medicaid Discharges (98,99)
TAN-F Recipients (00)
Adult Recipients
Child Recipients
Food Stamps (persons) (00)
Infant Mortality (95-99)
Births to Teens (97-99)
Child Abuse Cases Confirmed (00)
Children Receiving
Medicaid Ages 0-17 (00)
County
Percent/Rate
State
Percent/Rate
764
59.5
n/a
1,821
332
13.3
2.4
14.7
2.0
2,434
2,274
398
59
148
25
123
1,523
7
11.0
50
17.7
93.4
53.1
7.9
1.1
0.2
3.8
11.0
8.7
38.6
15.3
12.6
92.7
n/a
n/a
1.0
0.3
3.0
7.4
8.2
32.2
15.0
1,412
43.6
30.0
Inputs
$
Figure 2.
Overview of
Community
Economic
System
$
Products
Basic
Industry
Labor
$
$
Inputs
Goods &
Services
Households
$
$
Services
$
Table 9a
Atoka County Health Sector Impact
on Employment
Health Sectors
Hospitals
Medical Professionals
Nursing &
Protective Care
Other Medical &
Health Services
Pharmacies
TOTALS
IMPLAN
Type III
Employment Multiplier Impact
120
54
1.64
1.63
197
88
149
1.44
219
63
16
1.52
1.42
96
23
402
623
(Continued) Table 9b
Atoka County Health Sector Impact
on Income
Health Sectors
Hospitals
Medical Professionals
Nursing & Protective Care
Other Hlth & Med Svcs
Pharmacy
TOTALS
Income
IMPLAN
Type III
Multiplier
Impact
$2,406,564
$1,951,000
$1,806,000
$1,195,000
$425,753
1.53
1.30
1.56
1.45
1.60
$3,682,043
$2,750,910
$2,925,720
$1,637,150
$736,553
$7,784,317
$11,732,376
(Continued) Table 9c
Atoka County Health Sector Impact
on Retail Sales and Sales Tax Collections
Health Sectors
Hospital
Medical Professionals
Nursing & Protective Care
Other Hlth & Med Svcs
Pharmacy
TOTALS
Retail
Sales
1 Cent
Sales Tax
Collection
$1,489,936
$1,023,904
$1,137,368
$699,511
$275,003
$14,899
$10,239
$11,374
$6,995
$2,750
$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