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National Healthcare Disparities Report, 2003

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Socioeconomic Differences in Health Care Utilization

Measure Income Difference[1] Educational Difference[2] Insurance Difference[3]
  <100% 100-199% 200-399% <HS HS Grad Uninsured
Overall Health Care Utilization[4]
People with office or outpatient visit Selected population receives less care than the comparison population Selected population receives less care than the comparison population Selected population receives less care than the comparison population Selected population receives less care than the comparison population Selected population receives less care than the comparison population Selected population receives less care than the comparison population
People with prescription medications Selected population receives less care than the comparison population Selected population receives less care than the comparison population Selected population receives less care than the comparison population Selected population receives less care than the comparison population Selected population and comparison population receive about same amount of health care Selected population receives less care than the comparison population
People with dental visit Selected population receives less care than the comparison population Selected population receives less care than the comparison population Selected population receives less care than the comparison population Selected population receives less care than the comparison population Selected population receives less care than the comparison population Selected population receives less care than the comparison population
People with emergency room visit Selected population receives more care than the comparison population Selected population receives more care than the comparison population Selected population receives more care than the comparison population Selected population receives more care than the comparison population Selected population receives more care than the comparison population Selected population and comparison population receive about same amount of health care
People with inpatient discharge Selected population receives more care than the comparison population Selected population receives more care than the comparison population Selected population receives more care than the comparison population Selected population receives more care than the comparison population Selected population receives more care than the comparison population Selected population receives less care than the comparison population
People with home health visit Selected population receives more care than the comparison population Selected population receives more care than the comparison population Selected population and comparison population receive about same amount of health care Selected population receives more care than the comparison population Selected population receives more care than the comparison population Data are collected but do not meet criteria for statistical reliability
Care in Doctor's Offices and Hospital Outpatient Departments[5]
Outpatient visits where patient was seen before in clinic or practice           Selected population and comparison population receive about same amount of health care
Outpatient visits where patient was seen by patient's primary care provider           Selected population receives less care than the comparison population
Outpatient visits where patient was seen for non-illness care           Selected population and comparison population receive about same amount of health care
Outpatient visits with counseling or education about diet and nutrition           Selected population receives less care than the comparison population
Outpatient visits with counseling or education about exercise           Selected population receives less care than the comparison population
Outpatient visits with counseling or education about tobacco use and exposure           Selected population and comparison population receive about same amount of health care
Outpatient visits where physician spent more than 30 minutes with patient           Selected population receives more care than the comparison population
Referred Care5
Outpatient visits where patient was referred by another physician or health plan           Selected population receives less care than the comparison population5
Outpatient visits where patient was referred to another physician           Selected population and comparison population receive about same amount of health care
Emergency Care5
Emergency department visits where patient was seen by intern/resident only           Selected population and comparison population receive about same amount of health care5
Measure Income Difference[6] Educational Difference[7] Insurance Difference[8]
  <100% 100-199% 200-399% <HS HS Grad Uninsured
Mental Health Care and Substance Abuse Treatment[9]
Adults who received mental health treatment or counseling in the past year       Selected population and comparison population receive about same amount of health care Selected population and comparison population receive about same amount of health care  
Adults who received outpatient mental health treatment or counseling       Selected population receives less care than the comparison population Selected population receives less care than the comparison population  
Adults who received prescription medications for mental health treatment       Selected population and comparison population receive about same amount of health care Selected population and comparison population receive about same amount of health care  
Adults who received inpatient mental health treatment or counseling       Selected population receives more care than the comparison population Selected population receives more care than the comparison population  
Adults with serious mental illness who received mental health treatment or counseling       Selected population receives less care than the comparison population Selected population and comparison population receive about same amount of health care  
People age 12 and older who received illicit drug or alcohol abuse treatment in the past year       Selected population receives more care than the comparison population Selected population receives more care than the comparison population  
People age 12 and older who needed treatment at a specialty facility for illicit drug use and who received such treatment in the past year       Selected population and comparison population receive about same amount of health care Selected population receives more care than the comparison population  
HIV Care[10]
HIV patients with 4+ ambulatory visits in the past year           Selected population receives less care than the comparison population5
HIV patients with CD4 <50 with 4+ ambulatory visits in the past year           Selected population receives less care than the comparison population5
HIV patients with inpatient hospitalization in the past year           Selected population receives less care than the comparison population5
HIV patients with CD4 <50 with inpatient hospitalization in the past year           Selected population receives less care than the comparison population5
Key to Quality of Health Care Tables
Selected population and comparison population receive about same amount of health care: Selected population and comparison population receive about same amount of health care
Selected population receives more care than the comparison population: Selected population receives more care than the comparison population
Selected population receives less care than the comparison population: Selected population receives less 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: MEPS, 1999.

[5] Source: NAMCS/NHAMCS, 1999-2000. This source did not collect information about income or education. Insurance contrast compares uninsured with persons with any private health insurance including all ages.

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

[7] Compared with persons with any college education.

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

[9] Source: NHSDA, 2001. Income and insurance Difference were not analyzed.

[10] Source: HIV Research Network, 2000. This source did not collect information about income or education. Because Ryan White covers HIV patients who otherwise would be uninsured, this insurance contrast compares HIV patients who are uninsured or have no coverage other than Ryan White with patients with private health insurance.

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