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National Healthcare Disparities Report, 2005

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Usual Source of Care

Having a usual source of care (a facility where one regularly receives care) helps persons get into the health care system, yet over 40 million Americans do not have a specific source of ongoing care.12 Persons without a usual source of care report more difficulties obtaining needed services13 and fewer preventive services, including blood pressure monitoring, flu shots, prostate exams, Pap tests, and mammograms.14

Specific Source of Ongoing Care

Higher costs, poorer outcomes, and greater disparities are observed among individuals without a usual source of care.15

Figure 3.5. Persons with a specific source of ongoing care by race (top), ethnicity (upper middle), income (lower middle), and education (bottom), 1999-2003

Figure 3.5. Persons with a specific source of ongoing care by race (top), ethnicity (middle), income (bottom), and education (bottom), 1999-2003

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Figure 3.5. Persons with a specific source of ongoing care by race (top), ethnicity (middle), income (bottom), and education (bottom), 1999-2003

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Figure 3.5. Persons with a specific source of ongoing care by race (top), ethnicity (middle), income (bottom), and education (bottom), 1999-2003

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Figure 3.5. Persons with a specific source of ongoing care by race (top), ethnicity (middle), income (bottom), and education (bottom), 1999-2003

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Key: AI/AN = American Indian or Alaska Native.

Source: National Health Interview Survey, 1999-2003.

Reference population: Civilian noninstitutionalized population.

Note: Measure is age adjusted.

  • In all 5 years, the proportion of persons with a specific source of ongoing care was lower among Hispanics compared with non-Hispanic Whites; among poor, near poor, and middle income persons compared with high income persons; and among persons with a high school education or less compared with persons with at least some college (Figure 3.5).
  • In all years except 2001, the proportion of persons with a specific source of ongoing care was lower among Asians and Blacks compared with Whites; and in 2001 and 2002, the proportion was lower among persons of multiple races compared with Whites.
  • From 1999 to 2003, the proportion of persons with a source of ongoing care improved for the overall U.S. population. Improvements were observed among Whites; non-Hispanic Whites; poor, near poor, and high income persons; and persons with at least some college.
  • No group achieved the Healthy People 2010 goal of 96% of Americans with a specific source of ongoing care.

 

 

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