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National Healthcare Disparities Report, 2003

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Racial and Ethnic Differences in Timeliness

Measure Racial Difference[1] Ethnic Difference[2]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Usual Source of Care[3]
People who have a specific source of ongoing care Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population Data are collected but do not meet criteria for statistical reliability Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
People in fair or poor health who have a specific source of ongoing care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of 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 receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
People with a hospital, emergency room, or clinic as source of ongoing care Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Patient Perceptions of Their Care
Families that experience difficulties or delays in obtaining health care or do not receive needed care[4] Selected population receives better quality care than the comparison population Selected population and comparison population receive about same quality of health care4 Data are collected but do not meet criteria for statistical reliability   Selected population receives better quality care than the comparison population Selected population receives worse quality care than the comparison population
Families that experience difficulties or delays in obtaining health care due to financial or insurance reasons4 Selected population and comparison population receive about same quality of 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 receive about same quality of health care Selected population receives worse quality care than the comparison population
People always can get appointment for routine care as soon as wanted[5] Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population5 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population
People always can get care for illness or injury as soon as wanted5 Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability5 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population
Difficulty Getting Care
People who usually wait >30 minutes before seeing provider4 Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care4 Data are collected but do not meet criteria for statistical reliability   Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Emergent/urgent emergency department visits with wait >=1 hour[6] Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care6 Data are collected but do not meet criteria for statistical reliability      
Semi-urgent/non-urgent emergency department visits with wait >=1 hour6 Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care6 Data are collected but do not meet criteria for statistical reliability      
Emergency department visits in which the patient left without being seen6 Selected population receives worse quality care than the comparison population Data are collected but do not meet criteria for statistical reliability6 Data are collected but do not meet criteria for statistical reliability      
Key to Quality of Health Care Tables
Selected population and comparison population receive about same quality of health care: Selected population and comparison population receive about same quality of health care
Selected population receives better quality care than the comparison population: Selected population receives better quality care than the comparison population
Selected population receives worse quality care than the comparison population: Selected population receives worse quality care 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: 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, 1999-2000. 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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