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National Healthcare Disparities Report, 2003

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Socioeconomic Differences in Entry into the Health Care System

Measure Income Difference[1] Educational Difference[2] Insurance Difference[3]
  <100% 100-199% 200-399% <HS HS Grad Uninsured
People, ages <65, with health insurance4 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 public health insurance only4 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 insurance4 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 insurance4 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 has worse access than the comparison population  
People uninsured all year5 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 with any period of uninsurance during the year5 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 with any period of public insurance during the year5> 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  
Usual Source of Care
People who have a specific source of ongoing 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 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 in fair or poor health who have a specific source of ongoing 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 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 hospital, emergency room, or clinic as source of ongoing 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 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 care6 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 without a usual source of care who indicate a financial or insurance reason for not having a source of care5 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 who have a usual primary care provider5 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
Adults who report very little or no choice in source of care6> 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 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 years6 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 and comparison population have about the same access to health care
Measure Income Difference7 Educational Difference8 Insurance Difference9
  <100% 100-199% 200-399% <HS HS Grad Uninsured
Patient Perceptions of Their Care
Families that experience difficulties or delays in obtaining health care or do not receive needed care10 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 and comparison population have about the same access to health care Selected population has worse access than the comparison population
Families that experience difficulties or delays due to financial or insurance reasons4 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 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
Families that did not receive a doctor's care or prescription medications because the family needed the money4 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
Families not very satisfied that they can get health care if they need it4 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 who can always get appointments for routine care as soon as wanted11 Selected population has better 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 better 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
People who can always get care for illness or injury as soon as wanted5 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 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: NHIS, 2000.

[5] Source: MEPS, 1999.

[6] Source: Commonwealth Fund Health Care Quality Survey, 2001.

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

[8] Compared with persons with any college education.

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

[10] Source: MEPS, 1999.

[11] Source: MEPS, 2000.

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