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National Healthcare Disparities Report, 2004

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Table 3.4a. Racial and Ethnic Differences in Health Care Utilization

Measure Racial Differencei Ethnic Differenceii
Black Asian NHOPI AI/AN >1 Race Hispanic
General Medical Care
People with an office or outpatient visit in the past yeariii iii  
People with a prescription medication in the past yeariii iii =  
People with a dental visit in the past yeariii iii  
People with an emergency room visit in the past yeariii iii  
People with an inpatient discharge in the past yeariii = iii =  
Outpatient visits per 100 populationiv =iv    
Emergency department visits per 100 populationiv iv    
Total hospitalizations per 100 populationv          
Nursing Home and Home Health Carevi
Medicare beneficiaries 65 and over with Medicare-covered home health care vi vi    
Medicare beneficiaries under 65 with Medicare-covered home health care vi       =
Medicare beneficiaries 65 and over with nursing home care in the past year =vi      
Medicare beneficiaries under 65 with nursing home care in the past year vi        
Avoidable Admissionsvii
Admissions for hypertension per 100,000 population 18 and older vii =vii    
Admissions for angina per 100,000 population 18 and older vii vii     =
Admissions for chronic obstructive pulmonary disease per 100,000 population 18 and older =vii vii    
Admissions for bacterial pneumonia per 100,000 population vii vii     =
Admissions for perforated appendix per 1,000 admissions with appendicitis vii =vii    

iCompared with whites.
iiCompared with non-Hispanic whites.
iiiSource: Substance A buse and Mental Health Services Administration, National Survey on Drug Use and Health, 2002.
ivSource: National Center for Health Statistics, National Hospital Discharge Survey, 2001. This source did not collect information for >1 race separately. Missing rates preclude analysis by ethnicity.
vSource: HIV Research Network, 2001. This source categorizes race/ethnicity ve ry differently from other sources. Race/ethnicity information is cat egorized as a single item: non-Hispanic white, non-Hispanic black, Hispanic, Asian or Pacific Islander, American Indian or Alaska Native. These contrasts compare each group with non-Hispanic whites.
Key: NHOPI=Native Hawaiian or Other Pacific Islander; AI/AN=American Indian or Alaska Native

Key to Symbols Used in Health Care Utilization Tables: (Note difference from other Access to Health Care Tables)::
=: Group and comparison group receive about same amount of health care.
↑Group receives more health care than the comparison group.
↓Group receives less health care than the comparison group.
Blank cell: Reliable estimate for group could not be made.

Table 3.4a. Racial and Ethnic Differences in Health Care Utilization (continued)

Measure Racial Differencei Ethnic Differenceii
Black Asian NHOPI AI/AN >1 Race Hispanic
Mental Health Care and Substance Abuse Treatmentiii
Adults who received mental health treatment or counseling in the past year   = =
Adults who received outpatient mental health treatment or counseling =   = =
Adults who received prescription medications for mental health treatment   = =
Adults who received inpatient mental health treatment or counseling         =
Adults with serious mental illness who received mental health treatment or counseling        
People age 12 and older who received illicit drug or alcohol abuse treatment in the past year       = =
People age 12 and older who needed treatment for illicit drug use and who received such treatment in the past year =         =
HIV Care
Hospitalizations for HIV per 10,000 populationiv          
HIV patients with 4 or more ambulatory visits in the past yearv ↑v =v =  
HIV patients with CD4 <0 with 4 or more ambulatory visits in the past yearv =v  v     =
HIV patients with an inpatient hospitalization in the past yearv ↑v =v =  
HIV patients with CD4 <50 with an inpatient hospitalization in the past yearv =v       =

Table 3.4b. Socioeconomic Differences in Health Care Utilization

Measure Income Differencei Educational Differenceii Insurance Differenceiii
<100% 100-199% 200-399% <HS HS Grad Uninsured
General Medical Careiv
People with an office or outpatient visit in the past year
People with a prescription medication in the past year =
People with a dental visit in the past year
People with an emergency room visit in the past year =
People with an inpatient discharge in the past year
Nursing Home and Home Health Carev
Medicare beneficiaries 65 and over with Medicare- covered home health care =      
Medicare beneficiaries 65 and over with nursing home care in past year =      
Mental Health Care and Substance Abuse Treatmentvi
Adults who received mental health treatment or counseling in the past year        
Adults who received outpatient mental health treatment or counseling        
Adults who received prescription medications for mental health treatment        
Adults who received inpatient mental health treatment or counseling        
Adults with serious mental illness who received mental health treatment or counseling        
People age 12 and older who received illicit drug or alcohol abuse treatment in the past year        
People age 12 and older who needed treatment for illicit drug use and who received such treatment in the past year        

iCompared with persons with fa m i ly incomes 400% of Federal pove rty threshold or above.
iiCompared with persons with any college education.
iiiCompared with persons under 65 with any private health insurance.
ivSource: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2001.
vSource: Medicare Current Beneficiary Survey, 2000. This source did not collect information on Asians and NHOPIs separately but in aggr egate as Asians or Pacific Islanders. This source did not collect information for >1 race.
viSource: Substance A buse and Mental Health Services Administration, National Survey on Drug Use and Health, 2002. Income and insurance disparities were not analyzed.
Key: HS=high school

Key to Symbols Used in Health Care Utilization Tables: (Note difference from other Access to Health Care Tables)::
=: Group and comparison group receive about same amount of health care.
↑Group receives more health care than the comparison group.
↓Group receives less health care than the comparison group.
Blank cell: Reliable estimate for group could not be made.

 

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