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National Healthcare Disparities Report, 2003

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Basic Access
Persons who report that they have a usual source of medical care, by place of care
Families that experience difficulties or delays in obtaining health care or do not receive needed care
Getting Appointments for Care
Adults who can always get appointments for routine care as soon as wanted
Adults who can always get care for illness or injury as soon as wanted
Waiting Time
Emergency Department Visits: Patients with waiting time to be seen by physician greater than or equal to one hour (presented separately for emergent/urgent and semi-urgent/non-urgent visits)
Emergency Department Visits: Patients who left without being seen


Basic Access

Measure Title

Percent of persons who report that they have a usual source of medical care, by place of care.

Measure Source

Healthy People 2010, measure 1-4.

Tables

Percent of persons who report that they have a usual source of medical care, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Percent of persons who report that their usual source of medical care is hospital/outpatient clinic/ER, United States, 2000, by

  • Race
  • Ethnicity
  • Family income

Percent of persons with fair to poor health who report that they have a usual source of medical 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. population (civilian, non-institutionalized), 2000.

U.S. population (civilian, non-institutionalized) with fair to poor health status, 2000.

Numerator

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

Number of persons who report that their usual source of medical care is hospital/outpatient clinic/ER.

Number of persons with fair to poor health status report that they have a usual source of medical care, United States, 2000.

Comments

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.

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

This objective is one of the measures used to track the Access to Health Care Leading Health Indicator.

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Basic Access

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.

This table reports 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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Getting Appointments for Care

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

Table reports 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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Getting Appointments for Care

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

Table reports 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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Waiting Time

Measure Title

ED visits: Percent of patients with waiting time to be seen by physician greater than or equal to one hour (presented separately for emergent/urgent and semi-urgent/non-urgent visits).

Measure Source

National Center for Health Statistics.

Tables

Percent emergent/urgent ED visits with wait time greater than or equal to one hour, United States, 1999-2000, by

  • Race

Percent semi-urgent/non-urgent ED visits with wait time greater than or equal to one hour, United States, 1999-2000, by

  • Race

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Hospital Ambulatory Medical Care Survey.

Denominator

Visits to the Emergency Departments(ED) and outpatient departments of noninstitutional general and short-stay hospitals, exclusive of Federal, military, and Veterans Administration hospitals, located in the 50 States and the District of Columbia.

Numerator

ED visits with wait time one hour or more for emergent/urgent care or for semi-urgent or non-urgent care.

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Waiting Time

Measure Title

ED visits: Percent of patients who left without being seen.

Measure Source

National Center for Health Statistics.

Tables

Percent ED visits left before being seen, United States, 1999-2000, by

  • Race

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Hospital Ambulatory Medical Care Survey.

Denominator

Patients who visited hospital emergency departments (ED) located in the 50 States and the District of Columbia.

Numerator

Patients with a Visit Disposition of "Left before being seen" on the NHAMCS Emergency Department Patient Record Form.


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2003 National Healthcare Disparities Report

 

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