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The District and Its Residents
District
4 is a diverse planning area located in the
Northeast corner of Florida with a mixture of urban and rural counties. Of
the 1.57 million
people living in the district, more than three-quarters live in two (Duval &
Volusia counties) of the seven counties. The racial composition in District 4
is slightly different to the state average, with 76.6 percent of the population
white and 19.7 percent black. The district has a younger population than the
state as a whole, with a higher percentage of children and a lower percentage
of elderly residents. Compared to
the state, District 4 has fewer persons and families living below the poverty
level
Source: Office of the Governor, July 1 , 1999
District 4 has a total of 5,117 licensed hospital beds, as reported in January,1999. The district has substantially more nursing homes beds per population 65 and older than the state. Home health visits are below the rate for the state. Overall, 11 percent of the states HMO enrollment is in District 4.
Populations employed to compute enrollment rates: Commercial = Total population minus age 65+ and Medicaid eligible; Medicaid = Medicaid eligible; Medicare = Population over age 64 minus Medicaid eligible over 64.
Sources: DOH Office of Florida Vital Statistics, AHCA Hospital Discharge Data CD, 1998, Office of the Governor population estimates for July 1, 1999, DOI HMO enrollment 2nd qtr. 1999, Florida Community Nursing Home Bed Need Projections, 10/99; AHCA Nursing Home Annual Report, 1998; AHCA Hospice & Medicare Certified Home Health Agencies Projections 7/30/99.
According
to the 1998 AHCA hospital
discharge data tapes, Managed Care had almost 20,000 more discharges than
Medicare in District 4 and is now the primary payor source for inpatient
hospital patients for both the district and the state, but Medicare is still the number one payor source when compared
to patient days and total charges.
The charts listed below show the 1998 discharges by payor source. Hospital Payors, 1998
The district continues to surpass state age-adjusted rates in all leading causes of death except motor vehicle crashes and HIV/AIDS. Mortality from HIV/AIDS is 31 percent below the state. Infant mortality follows the statewide pattern.
Source: Department of
Health, Office of Florida Vital
Statistics, 1994 1998
Source:
Department of Health, Florida Vital
Source:
Partnership 4, 12 and State of Florida 2000
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