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National Healthcare Disparities Report, 2003

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Socioeconomic Differences in Structural Barriers

Measure Income Difference[1] Educational Difference[2] Insurance Difference[3]
  <100% 100-199% 200-399% <HS HS Grad Uninsured
Difficulty Getting Care
People who usually use public transportation to get to provider[4] Selected population has worse access than the comparison population Selected population has worse access than the comparison population Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population
People with provider who has office hours nights or weekends4 Selected population has worse access than the comparison population Selected population has worse access than the comparison population Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population
People with difficulty getting appointments on short notice4 Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care
People with difficulty contacting provider over the telephone4 Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care
Adults without problems getting referral to a specialist in past year[5] Selected population has worse access than the comparison population Selected population has worse access than the comparison population Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population
People not very satisfied with professional staff at provider's office4 Selected population has worse access than the comparison population Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care Selected population and comparison population have about the same access to health care
People who usually wait >30 minutes before seeing provider4 Selected population has worse access than the comparison population Selected population has worse access than the comparison population Selected population has worse access than the comparison population Selected population has worse access than the comparison population Selected population has worse access than the comparison population Selected population has worse access than the comparison population
Emergent/urgent emergency department visits with wait >=1 hour[6]           Selected population and comparison population have about the same access to health care
Semi-urgent/non-urgent emergency department visits with wait >=1 hour5           Selected population has worse access than the comparison population
Emergency department visits in which the patient left without being seen5           Selected population has worse access than the comparison population
Key to Quality of Health Care Tables
Selected population and comparison population have about the same access to health care: Selected population and comparison population have about the same access to health care
Selected population has better access than the comparison population: Selected population has better access than the comparison population
Selected population has worse access than the comparison population: Selected population has worse access than the comparison population
Data are collected but do not meet criteria for statistical reliability: Data are collected but do not meet criteria for statistical reliability

[1] Compared with persons with family incomes 400% of federal poverty thresholds or above.

[2] Compared with persons with any college education.

[3] Compared with person under 65 with any private health insurance.

[4] Source: MEPS, 1999. This source did not collect information on Asians and NHOPIs separately but in aggregate as Asian or Pacific Islander. This source did not collect information for >1 race.

[5] Source: MEPS, 2000. This source did not collect information on Asians and NHOPIs separately but in aggregate as Asian or Pacific Islander. This source did not collect information for >1 race.

[6] Source: NHAMCS-ED, 2000. This source did not collect information on Asians and NHOPIs separately. This source did not collect information for >1 race or about income or education. Missing rates preclude analysis by ethnicity. Insurance contrast compares uninsured with persons with any private insurance including all ages.

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