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National Healthcare Disparities Report, 2003

Access to Health Care Measures

Patients' Perceptions

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Patient-Provider Communication
Percent of persons with provider who generally listens and gives needed information about health and health care.
Percent of persons with provider who usually asks about medications and treatments other doctors may give.
Percent of adults whose providers always listened carefully to them.
Percent of adults whose providers always explained things in a way they could understand.
Percent of adults whose providers always showed respect for what they had to say.
Adults with one or more indicators of poor communication at their last visit.
Patient-Provider Relationship
Percent of persons not very satisfied with quality of care received from provider.
Percent of persons confident in provider's ability to help when they have a medical problem.
Percent of adults whose providers always spend enough time with them.
Percent of adults who rate their health care in the past year as < 6 on a scale from 0 to 10.
Percent of adults who rate their health care in the past year as 7-8 on a scale from 0 to 10.
Percent of adults who rate their health care in the past year as 9-10 on a scale from 0 to 10.
Adults not treated with a great deal of dignity and respect.
Adults not involved as much as wanted in decision-making.
Adults with not as much time as wanted with doctor.
Adults with incident in past two years when they did not follow doctor's advice.
Adults who got sick or had a family member get sick due to doctor or hospital mistake.
Cultural Competency
Adults who believe they would have gotten better care if different race/ethnicity.
Adults who felt treated with disrespect because of race/ethnicity.
Adults who do not strongly agree that doctor understands their background and values.
Health Information
Adults who do not find prescription bottle very easy to understand.
Adults who do not find information from doctor's office very easy to understand.
Adults who do not use Web for health information.
Adults who do not use printed material for health information.
Adults who do not call their doctor for health information


Patient-Provider Communication

Measure Title

Percent of persons with provider who generally listens and gives needed information about health and health 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 with provider who generally listens and gives needed information about health and health 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 a usual source of care.

Numerator

U.S. population (civilian, noninstitutionalized) who reported to have a usual source of care who subsequently reported that their provider generally listens to them and gives them the information needed about health and health care.

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Patient-Provider Communication

Measure Title

Percent of persons with provider who usually asks about medications and treatments other doctors may give.

Measure Source

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

Tables

Percent of persons with provider who usually asks about medications and treatments other doctors may give, 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 a usual source of care.

Numerator

U.S. population (civilian, noninstitutionalized) who reported to have a usual source of care who subsequently reported that their provider usually asks about prescription medications and treatments other doctors may give them.

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Patient-Provider Communication

Measure Title

Percent of adults whose providers always listened carefully to them.

Measure Source

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

Tables

Percent of adults whose providers always listened carefully to them, 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 had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

Adult U.S. population (18 years of age and older, civilian, noninstitutionalized) who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently reported that their providers always listened carefully to them.

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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Patient-Provider Communication

Measure Title

Percent of adults whose providers always explained things in a way they could understand.

Measure Source

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

Tables

Percent of adults whose providers always explained things in a way they could understand, 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 had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

Adult U.S. population (18 years of age and older, civilian, noninstitutionalized) who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently reported that their providers always explained things in a way they could understand.

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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Patient-Provider Communication

Measure Title

Percent of adults whose providers always showed respect for what they had to say.

Measure Source

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

Tables

Percent of adults whose providers always showed respect for what they had to say, 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 had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

Adult U.S. population (18 years of age and older, civilian, noninstitutionalized) who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently reported that their providers always showed respect for what they had to say.

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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Patient-Provider Communication

Measure Title

Adults with one or more indicators of poor communication at their last visit.

Measure Source

The Commonwealth Fund.

Tables

Adults with one or more indicators of poor communication at their last visit, 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 had visited a doctor or clinic or been admitted to the hospital in the last two years.

Numerator

Number of persons who answered yes to one or more indicators of poor communication.

Comments

The three indicators of poor communication were the following: felt doctor did not listen; did not understand everything the doctor said; had questions about care but did not ask. Data are weighted to be nationally representative, and standard errors reflect complex survey design.


Patient-Provider Relationship

Measure Title

Percent of persons not very satisfied with quality of care received from 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 not satisfied with quality of care received from 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) who reported to have a usual source of care.

Numerator

U.S. population (civilian, noninstitutionalized) who reported to have a usual source of care who subsequently reported that they are not very satisfied with the quality of care received from the provider.

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Patient-Provider Relationship

Measure Title

Percent of persons confident in provider's ability to help when they have a medical problem.

Measure Source

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

Tables

Percent of persons confident in provider's ability to help when they have a medical problem, 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 a usual source of care.

Numerator

U.S. population (civilian, noninstitutionalized) who reported to have a usual source of care who subsequently reported that they are confident in the provider's ability to help when they have a medical problem.

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Patient-Provider Relationship

Measure Title

Percent of adults whose providers always spend enough time with them.

Measure Source

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

Tables

Percent of adults whose providers always spend enough time with them, 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 had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

Adult U.S. population (18 years of age and older, civilian, noninstitutionalized) who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently reported that their providers always spend enough time with them.

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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Patient-Provider Relationship

Measure Title

Percent of adults who rate their health care in the past year as <6 on a scale from 0 to 10.

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 rate their health care in the past year as <6 on a scale from 0 to 10, 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 had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

Adult U.S. population (18 years of age and older, civilian, noninstitutionalized) who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently rated their health care in the past year as <6 on a scale from 0 to 10.

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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Patient-Provider Relationship

Measure Title

Percent of adults who rate their health care in the past year as 7-8 on a scale from 0 to 10.

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 rate their health care in the past year as 7-8 on a scale from 0 to 10, 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 had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

Adult U.S. population (18 years of age and older, civilian, noninstitutionalized) who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently rated their health care in the past year as 7-8 on a scale from 0 to 10.

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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Patient-Provider Relationship

Measure Title

Percent of adults who rate their health care in the past year as 9-10 on a scale from 0 to 10.

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 rate their health care in the past year as 9-10 on a scale from 0 to 10, 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 had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

Adult U.S. population (18 years of age and older, civilian, noninstitutionalized) who had at least one visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently rated their health care in the past year as 9-10 on a scale from 0 to 10.

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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Patient-Provider Relationship

Measure Title

Adults not treated with a great deal of dignity and respect.

Measure Source

The Commonwealth Fund.

Tables

Adults not treated with a great deal of dignity and respect, United States, 2001, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

The Commonwealth Fund.

Denominator

Adults age 18 years and over who had visited a doctor or clinic or been admitted to the hospital in the last two years.

Numerator

Number of persons who report feeling the doctor did not treat them with a great deal of respect and dignity.

Comments

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

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Patient-Provider Relationship

Measure Title

Adults not involved as much as wanted in decision-making.

Measure Source

The Commonwealth Fund.

Tables

Adults not involved as much as wanted in decision-making, 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 had visited a doctor or clinic or been admitted to the hospital in the last two years.

Numerator

Number of persons who report not feeling involved in decisions about care as much as wanted.

Comments

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

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Patient-Provider Relationship

Measure Title

Adults with not as much time as wanted with doctor.

Measure Source

The Commonwealth Fund.

Tables

Adults with not as much time as wanted with doctor, 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 had visited a doctor or clinic or been admitted to the hospital in the last two years.

Numerator

Number of persons who report the doctor did not spend as much time with them as they wanted.

Comments

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

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Patient-Provider Relationship

Measure Title

Adults with incident in past two years when they did not follow doctor's advice.

Measure Source

The Commonwealth Fund.

Tables

Adults with incident in past two years when they did not follow doctor's advice, 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 had visited a doctor or clinic or been admitted to the hospital in the last two years..

Numerator

Number of persons who report an incidence in the last two years when they did not follow the doctor's advice or treatment plan, get a recommended test or see a referred doctor.

Comments

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

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Patient-Provider Relationship

Measure Title

Adults who got sick or had a family member get sick due to doctor or hospital mistake.

Measure Source

The Commonwealth Fund.

Tables

Adults who got sick or had a family member get sick due to doctor or hospital mistake, 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 had gotten sick or worse or had a family member get sick or worse after a visit to a doctor's office or hospital.

Numerator

Number of persons who believe they got sick or worse due to a mistake at the doctor's office or hospital.

Comments

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

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Cultural Competency

Measure Title

Adults who believe they would have gotten better care if different race/ethnicity.

Measure Source

The Commonwealth Fund.

Tables

Adults who believe they would have gotten better care if different race/ethnicity, 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 believe there was a time they would have gotten better medical care if they had belonged to a different race or ethnic group.

Comments

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

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Cultural Competency

Measure Title

Adults who felt treated with disrespect because of race/ethnicity.

Measure Source

The Commonwealth Fund.

Tables

Adults who felt treated with disrespect because of race/ethnicity, 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 had visited a doctor or clinic or been admitted to the hospital in the last two years.

Numerator

Number of persons who felt the doctor or medical staff judged them unfairly or treated them with disrespect because of their race or ethnic background.

Comments

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

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Cultural Competency

Measure Title

Adults who do not strongly agree that doctor understands their background and values.

Measure Source

The Commonwealth Fund.

Tables

Adults who do not strongly agree that doctor understands their background and values, 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 do not strongly agree that their doctor understands their background and values.

Comments

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

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Health Information

Measure Title

Adults who do not find prescription bottle very easy to understand.

Measure Source

The Commonwealth Fund.

Tables

Adults who do not find prescription bottle very easy to understand, 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 felt the instructions on a prescription bottle about how to take a medicine were not very easy to understand.

Comments

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

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Health Information

Measure Title

Adults who do not find information from doctor's office very easy to understand.

Measure Source

The Commonwealth Fund.

Tables

Adults who do not find information from doctor's office very easy to understand, 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 found it very easy to read and understand the information or booklets obtained from the doctor's office.

Comments

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

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Health Information

Measure Title

Adults who do not use Web for health information.

Measure Source

The Commonwealth Fund.

Tables

Adults who do not use Web for health information, 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 they do not go at all to the World Wide Web or the Internet for information about health and medicine.

Comments

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

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Health Information

Measure Title

Adults who do not use printed material for health information.

Measure Source

The Commonwealth Fund.

Tables

Adults who do not use printed material for health information, 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 they do not at all look through books or other printed information for information about health and medicine.

Comments

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

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Health Information

Measure Title

Adults who do not call their doctor for health information

Measure Source

The Commonwealth Fund.

Tables

Adults who do not call their doctor for health information, 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 do not at all call a doctor or other health care provider for information about health and medicine.

Comments

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


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2003 National Healthcare Disparities Report

 

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