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National Healthcare Disparities Report, 2005

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Timeliness of Primary Care: Adults

A patient's primary care provider should be the point of first contact for most illnesses and injuries. The ability of patients to receive illness and injury care in a timely fashion is a key element in a patient-focused health care system.

Figure 2.33. Adults age 18 and over who reported sometimes or never getting care for illness or injury as soon as wanted in the past year,by race, ethnicity, income, and education, 2002

Figure 2.33. Adults age 18 and over who reported sometimes or never getting care for illness or injury as soon as wanted in the past year,by race, ethnicity, income, and education, 2002

[D] Select for Full Text Description.

Source: Medical Expenditure Panel Survey, 2002.

Reference population: Civilian noninstitutionalized population age 18 and older.

  • The proportion of adults who reported sometimes or never getting care for illness or injury as soon as wanted was higher among Blacks and Asians compared with Whites; among Hispanics compared with non-Hispanic Whites; among poor, near poor, and middle income individuals compared with high income individuals; and among persons with less than a high school education compared with persons with some college (Figure 2.33).

Racial and ethnic minorities are disproportionately of lower socioeconomic status. To distinguish the effects of race, ethnicity, income, and education on timeliness of primary care, this measure is stratified by income and education level.

Figure 2.34. Adults who reported sometimes or never getting care for illness or injury as soon as wanted in the past year, by race (top) and ethnicity (bottom) stratified by income, 2002

Figure 2.34. Adults who reported sometimes or never getting care for illness or injury as soon as wanted in the past year, by race (top) and ethnicity (bottom) stratified by income, 2002

[D] Select for Full Text Description.

Figure 2.34. Adults who reported sometimes or never getting care for illness or injury as soon as wanted in the past year, by race (top) and ethnicity (bottom) stratified by income, 2002

[D] Select for Full Text Description.

Source: Medical Expenditure Panel Survey, 2002.

Reference population: Civilian noninstitutionalized population age 18 and older.

Figure 2.35. Adults who reported sometimes or never getting care for illness or injury as soon as wanted in the past year, by race (top) and ethnicity (bottom) stratified by education, 2002

Figure 2.35. Adults who reported sometimes or never getting care for illness or injury as soon as wanted in the past year, by race (top) and ethnicity (bottom) stratified by education, 2002

[D] Select for Full Text Description.

Figure 2.35. Adults who reported sometimes or never getting care for illness or injury as soon as wanted in the past year, by race (top) and ethnicity (bottom) stratified by education, 2002

[D] Select for Full Text Description.

Source: Medical Expenditure Panel Survey, 2002.

Reference population: Civilian noninstitutionalized population age 18 and older.

  • Socioeconomic status explains some but not all of the ethnic differences in timeliness of primary care.
  • Hispanics of every income and education level, with the exception of the high income group, were more likely than respective non-Hispanic Whites to report problems getting care for illness or injury as soon as they wanted (Figures 2.34 and 2.35).
  • In contrast, most Black-White differences were not significant after stratification by income and education. Only among high school graduates were Blacks more likely than Whites to report problems with timeliness.

 

 

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