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National Healthcare Disparities Report, 2003

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Racial and Ethnic Differences in Entry into the Health Care System

Measure Racial Difference[1] Ethnic Difference[2]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Health Insurance Coverage
People, ages <65, with health insurance[3] 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 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 has worse access than the comparison population
People, ages <65, with public health insurance only3 Selected population has worse access than the comparison population Selected population and comparison population have about the same access to health care Data are collected but do not meet criteria for statistical reliability 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
People, ages <65, with any private health insurance3 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 Selected population has worse access than the comparison population
People, ages 65+, with any private health insurance3 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 Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population Selected population has worse access than the comparison population
People uninsured all year[4] Selected population has worse access than the comparison population Selected population and comparison population have about the same access to health care4 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
People with any period of uninsurance during the year4 Selected population has worse access than the comparison population Selected population and comparison population have about the same access to health care4 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
People with any period of public insurance during the year4 Selected population has worse access than the comparison population Selected population and comparison population have about the same access to health care4 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
Usual Source of Care
People who have a specific source of ongoing care3 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 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 Selected population has worse access than the comparison population
People in fair or poor health who have a specific source of ongoing care3 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 Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population Selected population has worse access than the comparison population
People with a hospital, emergency room, or clinic as source of ongoing care3 Selected population has worse access than the comparison population Selected population and comparison population have about the same access to health care Data are collected but do not meet criteria for statistical reliability 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
People with a community health center as source of ongoing care[5] 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 Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability   Selected population has worse access than the comparison population Selected population has worse access than the comparison population
People without a usual source of care who indicate a financial or insurance reason for not having a source of care4 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 care4 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population
People who have a usual primary care provider4 Selected population has worse access than the comparison population Selected population has worse access than the comparison population4 Selected population and comparison population have about the same access to health care   Selected population has worse access than the comparison population Selected population has worse access than the comparison population
Adults who report very little or no choice in source of care5 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 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
Adults who have not had their regular doctor for more than 5 years5 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 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
Measure Racial Difference[6] Ethnic Difference[7]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Patient Perceptions of Their Care
Families that experience difficulties or delays in obtaining health care or do not receive needed care[8] Selected population has better access than the comparison population Selected population and comparison population have about the same access to health care3 Data are collected but do not meet criteria for statistical reliability   Selected population has better access than the comparison population Selected population has worse access than the comparison population
Families that experience difficulties or delays in obtaining health care due to financial or insurance reasons3 Selected population and comparison population have about the same access to health care Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population
Families that did not receive a doctor's care or prescription medications because the family needed the money3 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 care3 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population
Families not very satisfied that they can get health care if they need it3 Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population3 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population
People who can always get appointments for routine care as soon as wanted[9] Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population4 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population have about the same access to health care Selected population has worse access than the comparison population
People who can always get care for illness or injury as soon as wanted4 Selected population and comparison population have about the same access to health care Data are collected but do not meet criteria for statistical reliability4 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population have about the same access to health care 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 whites.

[2] Compared with non-Hispanic whites.

[3] Source: NHIS, 2000.

[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: Commonwealth Fund Health Care Quality Survey, 2001. This source did not collect information for >1 race separately.

[6] Compared with whites.

[7] Compared with non-Hispanic whites.

[8] 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.

[9] 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.

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