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Monitoring the Health Care Safety Net

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Book 1: A Data Book for Metropolitan Areas

By John Billings, J.D. and Robin M. Weinick, Ph.D.

A Joint Initiative of the Agency for Healthcare Research and Quality and the Health Resources and Services Administration


In response to a recommendation from the Institute of Medicine, the Agency for Healthcare Research and Quality and the Health Resources and Services Administration are leading an effort to monitor the status of the health care safety net. This initiative consists of a broad range of local area measures related to safety net providers and the populations they serve (select for Fact Sheet).

One of the challenges in monitoring the Nation's health care safety net is that safety net services are provided in a myriad of different configurations, largely at the local level. Book 1. Data for Metropolitan Areas presents data from 90 metropolitan areas in 30 States and the District of Columbia, including 354 counties and 171 cities. The data describe the health care safety net where 80 percent of Americans with family incomes below the Federal poverty line live.

For data from all 1,818 counties in these States (nonmetropolitan and metropolitan counties), go to Book 2. Data for States and Counties.

Select to download the print version of Book 1. Data for Metropolitan Areas (PDF File, 8 MB). PDF Help. An online query tool and electronic versions of the data are available.


Contents

Book 1. Data for Metropolitan Areas

Safety Net Measures in this Data Book, their Definitions, and Data Sources
Key to Abbreviations

Part 1

Chapter 1: Introduction
Chapter 2: Place Matters
Chapter 3: Demand for Safety Net Services
Chapter 4: Financial Support for Safety Net Services
Chapter 5: Safety Net Structure and Health System Context
Chapter 6: Community Context
Chapter 7: Outcomes and Safety Net Performance
Chapter 8: Where to Find Additional Information

Part 2

Demand for Safety Net Services
Financial Support for Safety Net Services
Structure of the Safety Net—Inpatient Care
Structure of the Safety Net—Concentration and Distribution of Inpatient Uncompensated Care and Medicaid Discharges
Structure of the Safety Net—Ambulatory Care
Health Care Delivery System
Community Context—Population
Community Context—Race/Ethnicity
Community Context—Indices of Racial and Economic Separation
Community Context—Immigrant Population
Community Context—Economy
Community Context—Living Arrangements, Housing, Education, and Crime
Access-Related Outcome Measures—Preventable/Avoidable Hospitalizations (Ambulatory Care Sensitive Conditions)
Access-Related Outcome Measures—Births
Access-Related Outcome Measures—Survey-Based Reported Barriers to Access

Part 3

Appendix A: Technical Information
   Table A-1: Safety Net Measures in this Data Book, their Definitions, and Data Sources
   Table A-2: Ambulatory Care Sensitive (ACS) Conditions
   Table A-3: Metropolitan Statistical Areas With Counties Excluded
   Table A-4: New England Counties
Appendix B: Key Terms and Concepts
Acknowledgments and Internet Citation

Current as of August 2003
AHRQ Publication No. 03-0025

 

The information on this page is archived and provided for reference purposes only.

 

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