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National Healthcare Disparities Report, 2003

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Socioeconomic Differences in Timeliness

Measure Income Difference[1] Educational Difference[2] Insurance Difference[3]
  <100% 100-199% 200-399% <HS HS Grad Uninsured
Usual Source of Care[4]
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 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
People in fair or poor health 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 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
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 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 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[5] 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 Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population
Families that experience difficulties or delays due to financial or insurance reasons5 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 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
People always can get appointment for routine care as soon as wanted[6] Selected population receives better quality care than the comparison population 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 and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
People always can get care for illness or injury as soon as wanted6 Selected population receives worse quality care than the comparison population 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 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
Difficulty Getting Care
People who usually wait >30 minutes before seeing provider5 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 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[7]           Selected population and comparison population receive about same quality of health care
Semi-urgent/non-urgent emergency department visits with wait >=1 hour7           Selected population receives worse quality care than the comparison population
Emergency department visits in which the patient left without being seen7           Selected population receives worse quality care than the comparison population
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 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: MEPS, 2000.

[7] 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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