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National Healthcare Disparities Report, 2003

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Access to Health Care Measures

Entry into the Health Care System


Health Insurance Coverage
Persons under age 65 with health insurance.
Persons under age 65 with public health insurance only
Persons under age 65 with any private health insurance.
Persons age 65 and over with any private health insurance.
Percent of persons under age 65 who were uninsured all year.
Percent of persons under age 65 who were uninsured for any period of time during the year.
Percent of persons under age 65 with any period of public insurance during the year.
Usual Source of Care
Persons who have a specific source of ongoing care.
Persons in fair or poor health who have a specific source of ongoing care.
Persons with a hospital, emergency room or clinic as source of ongoing care.
Adults with a community health center as source of ongoing care.
Percent of persons without a usual source of care who indicate a financial or insurance reason for not having a source of care.
Percent of persons who have a usual primary care provider.
Persons who report very little or no choice in source of care.
Adults who have not had their regular doctor for more than 5 years.
Unmet Need
Percent of families that experience difficulties or delays in obtaining health care or do not receive needed care.
Percent of families that experience difficulties or delays in obtaining health care due to financial or insurance reasons.
Percent of families that did not receive a doctor's care or prescription medications because the family needed the money.
Percent of families not very satisfied that they can get health care if they need it.
Percent of adults who can always get appointments for routine care as soon as wanted.
Percent of adults who can always get care for illness or injury as soon as wanted.


Health Insurance Coverage

Measure Title

Persons under age 65 with health insurance.

Measure Source

Healthy People 2010, measure 1-1.

Tables

Persons under age 65 with health insurance, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Health Interview Survey.

Denominator

U.S. civilian populations under age 65 years.

Numerator

Number persons under age 65 years who report coverage by any type of public or private health insurance.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

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Health Insurance Coverage

Measure Title

Persons under age 65 with public health insurance only.

Measure Source

National Center for Health Statistics (NCHS).

Tables

Persons under age 65 with public health insurance only, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Health Interview Survey.

Denominator

U.S. civilian populations under age 65 years.

Numerator

Number persons under age 65 years who report coverage by public health insurance only.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

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Health Insurance Coverage

Measure Title

Persons under age 65 with any private health insurance.

Measure Source

National Center for Health Statistics (NCHS).

Tables

Persons under age 65 with any private health insurance, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Health Interview Survey.

Denominator

U.S. civilian populations under age 65 years.

Numerator

Number persons under age 65 years who report coverage by private health insurance only.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

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Health Insurance Coverage

Measure Title

Persons age 65 and over with any private health insurance.

Measure Source

National Center for Health Statistics (NCHS).

Tables

Persons age 65 and over with any private health insurance, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Health Interview Survey.

Denominator

U.S. civilian populations age 65 years and over.

Numerator

Number persons age 65 years and over who report coverage by any private health insurance.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

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Health Insurance Coverage

Measure Title

Percent of persons under age 65 who were uninsured all year.

Measure Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Tables

Percent of persons under age 65 who were uninsured all year, United States, 1999, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Denominator

U.S. population under age 65 years (civilian, noninstitutionalized).

Numerator

U.S. population under age 65 years (civilian, noninstitutionalized) who reported no private or public health insurance coverage at any time during the year

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Health Insurance Coverage

Measure Title

Percent of persons under age 65 who were uninsured for any period of time during the year.

Measure Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Tables

Percent of persons under age 65 who were uninsured for any period of time during the year, United States, 1999, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Denominator

U.S. population under age 65 years (civilian, noninstitutionalized).

Numerator

U.S. population under age 65 (civilian, noninstitutionalized) years who reported they had no public or private health insurance coverage some time during the year.

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Health Insurance Coverage

Measure Title

Percent of persons under age 65 with any period of public insurance during the year.

Measure Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Tables

Percent of persons under age 65 with any period of public insurance during the past year, United States, 1999, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Denominator

U.S. population under age 65 years (civilian, noninstitutionalized).

Numerator

U.S. population under age 65 years (civilian, noninstitutionalized) who reported they had public health insurance coverage some time during the past year.

Comments

Public insurance includes Medicare, Medicaid, and other public programs which provide hospital/physician coverage.


Usual Source of Care

Measure Title

Persons who have a specific source of ongoing care.

Measure Source

Healthy People 2010, measure 1-4.

Tables

Persons who have a specific source of ongoing care, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Health Interview Survey.

Denominator

U.S. civilian population, 2000.

Numerator

Number of persons who report having a specific source of primary care.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

A specific source of primary care includes urgent care/walk-in clinic, doctor's office, clinic, health center facility, hospital outpatient clinic, HMO/PPO, military or other VA healthcare, some other place. A hospital emergency room is not included as a specific source of primary care.

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Usual Source of Care

Measure Title

Persons in fair or poor health who have a specific source of ongoing care.

Measure Source

National Center for Health Statistics (NCHS).

Tables

Persons in fair or poor health who have a specific source of ongoing care, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Health Interview Survey.

Denominator

Number of persons who report fair or poor health.

Numerator

Number of persons who report fair or poor health and having a specific source of primary care.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

A specific source of primary care includes urgent care/walk-in clinic, doctor's office, clinic, health center facility, hospital outpatient clinic, HMO/PPO, military or other VA healthcare, some other place. A hospital emergency room is not included as a specific source of primary care.

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Usual Source of Care

Measure Title

Persons with a hospital, emergency room or clinic as source of ongoing care.

Measure Source

National Center for Health Statistics (NCHS).

Tables

Persons with a hospital, emergency room or clinic as source of ongoing care, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Health Interview Survey.

Denominator

U.S. civilian population, 2000.

Numerator

Number of persons who report a hospital, emergency room or clinic as source of primary care.

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, refer to Part A, Section 5 of Tracking Healthy People 2010.

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Usual Source of Care

Measure Title

Adults with a community health center as source of ongoing care.

Measure Source

The Commonwealth Fund.

Tables

Adults with a community health center as source of ongoing care, United States, 2001, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

The Commonwealth Fund 2001 Health Care Quality Survey.

Denominator

Adults age 18 years and over.

Numerator

Number of persons who report going to a community health center or other public clinic when sick or in need of health care.

Comments

Data are weighted to be nationally representative, and standard errors reflect complex survey design.

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Usual Source of Care

Measure Title

Percent of persons without a usual source of care who indicate a financial or insurance reason for not having a source of care.

Measure Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Tables

Percent of persons without a usual source of care who indicate a financial or insurance reason for not having a source of care, United States, 1999, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Denominator

U.S. population (civilian, noninstitutionalized) who reported to have no usual source of care.

Numerator

U.S. population (civilian, noninstitutionalized) who indicated financial or insurance reasons for not having a usual source of care.

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Usual Source of Care

Measure Title

Percent of persons who have a usual primary care provider.

Measure Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Tables

Percent of persons who have a usual primary care provider, United States, 1999, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Denominator

U.S. population (civilian, noninstitutionalized).

Numerator

U.S. population (civilian, noninstitutionalized) who were determined to have a usual primary care provider.

Comments

Person is determined to have had a primary care provider if their usual source of care's setting was either a physician's office or a hospital (setting other than an emergency room) and they reported to go to this usual source of care for new health problems, preventive health services, and physician referrals.

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Usual Source of Care

Measure Title

Persons who report very little or no choice in source of care.

Measure Source

The Commonwealth Fund.

Tables

Adults who report very little or no choice in source of care, United States, 2001, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

The Commonwealth Fund 2001 Health Care Quality Survey.

Denominator

Number of persons age 18 years and over.

Numerator

Number of persons who report very little or no choice in where to go for medical care.

Comments

Data are weighted to be nationally representative, and standard errors reflect complex survey design.

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Usual Source of Care

Measure Title

Adults who have not had their regular doctor for more than 5 years.

Measure Source

The Commonwealth Fund.

Tables

Adults who have had a regular doctor for more than 5 years, United States, 2001, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

The Commonwealth Fund 2001 Health Care Quality Survey.

Denominator

Adults age 18 years and over who have a regular doctor or other health care professional.

Numerator

Number of persons who have not had their regular doctor or other health care professional for more than 5 years.

Comments

Data are weighted to be nationally representative, and standard errors reflect complex survey design.

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Unmet Need

Measure Title

Percent of families that experience difficulties or delays in obtaining health care or do not receive needed care.

Measure Source

Healthy People 2010, measure 1-6.

Tables

Percent of families that experience difficulties or delays in obtaining health care or do not receive needed care, United States, 1999, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Denominator

Number of U.S. families.

Numerator

Number of U.S. families who reported having at least one member experience difficulties or delays in obtaining health care or do not receive needed care.

Comments

Race, ethnicity, family income, and education characteristics are those of the family reference person and are used to characterize the entire family unit.

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Unmet Need

Measure Title

Percent of families that experience difficulties or delays in obtaining health care due to financial or insurance reasons.

Measure Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Tables

Percent of families that experience difficulties or delays in obtaining health care due to financial or insurance reasons, United States, 1999, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey.

Denominator

Number of U.S. families.

Numerator

Number of U.S. families who reported having at least one member experience difficulties or delays in obtaining health care because they 1) could not afford it, 2) their insurance company would not approve/cover/pay for it, 3) their insurance company required a referral they could not get, 4) the doctor refused the family's insurance plan, or 5) it was too expensive to get to the site for care.

Comments

Race, ethnicity, family income, and education characteristics are those of the family reference person and are used to characterize the entire family unit

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Unmet Need

Measure Title

Percent of families that did not receive a doctor's care or prescription medications because the family needed the money.

Measure Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey .

Tables

Percent of families that did not receive a doctor's care or prescription medications because the family needed the money, United States, 1999, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey .

Denominator

Number of U.S. families.

Numerator

Number of U.S. families who reported having at least one member who did not receive a doctor's care or prescription medications because the family needed the money.

Comments

Race, ethnicity, family income, and education characteristics are those of the family reference person and are used to characterize the entire family unit.

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Unmet Need

Measure Title

Percent of families not very satisfied that they can get health care if they need it.

Measure Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey .

Tables

Percent of families not very satisfied that they can get health care if they need it, United States, 1999, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey .

Denominator

Number of U.S. families.

Numerator

Number of U.S. families who reported they were not very satisfied that they can get health care if they need it.

Comments

Race, ethnicity, family income, and education characteristics are those of the family reference person and are used to characterize the entire family unit.

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Unmet Need

Measure Title

Percent of adults who can always get appointments for routine care as soon as wanted.

Measure Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey .

Tables

Percent of adults who can always get appointments for routine care as soon as wanted, United States, 2000, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey .

Denominator

Adult U.S. population (18 years of age and older, civilian, noninstitutionalized) who reported that, during the previous 12 months, they had made an appointment with a doctor or other health provider for regular or routine health care.

Numerator

Adult U.S. population (18 years of age and older, civilian, noninstitutionalized) who reported that, during the previous 12 months, they had made an appointment with a doctor or other health provider for regular or routine health care who subsequently reported that they always got an appointment for regular or routine health care as soon as they wanted.

Comments

Tables report data from the MEPS 2000 Self-Administered Questionnaire (SAQ). Go to the MEPS entry in the Data Source section of this appendix for more information on the SAQ.

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Unmet Need

Measure Title

Percent of adults who can always get care for illness or injury as soon as wanted.

Measure Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey .

Tables

Percent of adults who can always get care for illness or injury as soon as wanted, United States, 2000, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality (AHRQ), Medical Expenditure Panel Survey .

Denominator

Adult U.S. population (18 years of age and older, civilian, noninstitutionalized) who reported that they, during the previous 12 months, had an illness or injury that needed care right away from a doctor's office, clinic, or emergency room.

Numerator

Adult U.S. population (18 years of age and older, civilian, noninstitutionalized) who reported that they, during the previous 12 months, had an illness or injury that needed care right away from a doctor's office, clinic, or emergency room who subsequently reported that they always got the care as soon as they wanted.

Comments

Tables report data from the MEPS 2000 Self-Administered Questionnaire (SAQ). Go to the MEPS entry in the Data Source section of this appendix for more information on the SAQ.


Return to Appendix C: Measure Specifications
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2003 National Healthcare Disparities Report

 

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