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National Healthcare Disparities Report, 2006

Patient Centeredness

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Composite measure: Adults whose health providers always listened carefully, explained things clearly, respected what they had to say, and spent enough time with them
Composite measure: Children whose health providers always listened carefully, explained things clearly, respected what their parents had to say, and spent enough time with them
Adults whose providers sometimes or never listened carefully to them
Children whose parents report that their child's providers sometimes or never listened carefully to them
Adults whose providers sometimes or never explained things in a way they could understand
Children whose parents report that their child's providers sometimes or never explained things in a way they could understand
Adults whose providers sometimes or never showed respect for what they had to say
Children whose parents report that their child's providers sometimes or never showed respect for what they had to say
Adults whose providers sometimes or never spent enough time with them
Children whose parents report that their child's providers sometimes or never spent enough time with them
Racial/ethnic representation of physicians and surgeons
Hospital patients who reported sometimes or never having good communications with doctors
Hospital patients who reported sometimes or never having good communications with nurses
Hospital patients who reported sometimes or never having good communications about medications
Discharge communications


Patient Centeredness

Measure Title

Composite measure: Adults whose health providers always listened carefully, explained things clearly, respected what they had to say, and spent enough time with them.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

180A. Adults whose providers always listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, United States, 2003,

180B. Adults whose providers usually listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, United States, 2003,

180C. Adults whose providers sometimes or never listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, United States, 2003,

by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

AHRQ, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and older who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

This measure is also presented in the Patient-Provider Communication section.

U.S. civilian noninstitutionalized adults age 18 and older who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently reported their provider's level of communication on some or all of the four components of the composite measure as always (table 180A), usually (table 180B), or sometimes or never (table 180C).

Comments

Percent estimates are weighted; percent weights are adjusted for non-response based on how many of the questions had a valid response.

Tables report data from the MEPS 2003 Self-Administered Questionnaire (SAQ). See the MEPS entry in Appendix A: Data Sources for more information on the SAQ.

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Patient Centeredness

Measure Title

Composite measure: Children whose health providers always listened carefully, explained things clearly, respected what their parents had to say, and spent enough time with them.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

181A. Children whose parents reported that their child's providers always listened carefully to them, explained things clearly to them, showed respect for what they had to say, and spent enough time with them, United States, 2003,

181B. Children whose parents reported that their child's providers usually listened carefully to them, explained things clearly to them, showed respect for what they had to say, and spent enough time with them, United States, 2003,

181C. Children whose parents reported that their child's providers sometimes or never listened carefully to them, explained things clearly to them, showed respect for what they had to say, and spent enough time with them, United States, 2003,

by

  • Race
  • Ethnicity
  • Family income

Data Source

AHRQ, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents who subsequently reported their provider's level of communication on some or all of the four components of the composite measure as always (table 181A), usually (table 181B), or sometimes or never (table 181C).

Comments

Percent estimates are weighted; percent weights are adjusted for non-response based on how many of the questions had a valid response.

Tables report data from the MEPS 2003 Child Health and Preventive Care section. See the MEPS entry in Appendix A: Data Sources for more information on this component of MEPS.

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Patient Centeredness

Measure Title

Adults whose providers sometimes or never listened carefully to them.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

182A. Adults whose providers always listened carefully to them, United States, 2003,

182B. Adults whose providers usually listened carefully to them, United States, 2003,

182C. Adults whose providers sometimes or never listened carefully to them, United States, 2003,

by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

AHRQ, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and older who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized adults age 18 and older who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently reported that their providers always (table 182A), usually (table 182B), or sometimes or never (table 182C) listened carefully to them.

Comments

This measure is also presented in the Patient-Provider Communication section.

Tables report data from the MEPS 2003 Self-Administered Questionnaire (SAQ). See the MEPS entry in Appendix A: Data Sources for more information on the SAQ.

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Patient Centeredness

Measure Title

Children whose parents report that their child's providers sometimes or never listened carefully to them.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

183A. Children whose parents reported that their childīs providers always listened carefully to them, United States, 2003,

183B. Children whose parents reported that their childīs providers usually listened carefully to them, United States, 2003,

183C. Children whose parents reported that their childīs providers sometimes or never listened carefully to them, United States, 2003,

by

  • Race
  • Ethnicity
  • Family income

Data Source

AHRQ, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents subsequently reported that their child's providers always (table 183A), usually (table 183B), or sometimes or never (table 183C) listened carefully to them.

Comments

Tables report data from the MEPS 2003 Child Health and Preventive Care section. See the MEPS entry in Appendix A: Data Sources for more information on this component of MEPS.

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Patient Centeredness

Measure Title

Adults whose providers sometimes or never explained things in a way they could understand.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

184A. Adults whose providers always explained things in a way they could understand, United States, 2003,

184B. Adults whose providers usually explained things in a way they could understand, United States, 2003,

184C. Adults whose providers sometimes or never explained things in a way they could understand, United States, 2003,

by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

AHRQ, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and older who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized adults age 18 and older who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently reported that their providers always (table 184A), usually (table 184B), or sometimes or never (table 184C) explained things in a way they could understand.

Comments

This measure is also presented in the Patient-Provider Communication section.

Tables report data from the MEPS 2003 Self-Administered Questionnaire (SAQ). See the MEPS entry in Appendix A: Data Sources for more information on the SAQ.

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Patient Centeredness

Measure Title

Children whose parents report that their child's providers sometimes or never explained things in a way they could understand.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

185A. Children whose parents reported that their childīs providers always explained things in a way them could understand, United States, 2003,

185B. Children whose parents reported that their childīs providers usually explained things in a way they could understand, United States, 2003,

185C. Children whose parents reported that their childīs providers sometimes or never explained things in a way they could understand, United States, 2003,

by

  • Race
  • Ethnicity
  • Family income

Data Source

AHRQ, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents subsequently reported that their child's providers always (table 185A), usually (table 185B), or sometimes or never (table 185C) explained things in a way they could understand.

Comments

Tables report data from the MEPS 2003 Child Health and Preventive Care section. See the MEPS entry in Appendix A: Data Sources for more information on this component of MEPS.

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Patient Centeredness

Measure Title

Adults whose providers sometimes or never showed respect for what they had to say.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

186A. Adults whose providers always showed respect for what they had to say, United States, 2003,

186B. Adults whose providers usually showed respect for what they had to say, United States, 2003,

186C. Adults whose providers sometimes or never showed respect for what they had to say, United States, 2003,

by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

AHRQ, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and older who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized adults age 18 and older who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently reported that their providers always (table 186A), usually (table 186B), or sometimes or never (table 186C) showed respect for what they had to say.

Comments

This measure is also presented in the Patient-Provider Communication section.

Tables report data from the MEPS 2003 Self-Administered Questionnaire (SAQ). See the MEPS entry in Appendix A: Data Sources for more information on the SAQ.

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Patient Centeredness

Measure Title

Children whose parents report that their child's providers sometimes or never showed respect for what they had to say.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

187A. Children whose parents reported that their childīs providers always showed respect for what they had to say, United States, 2003,

187B. Children whose parents reported that their childīs providers usually showed respect for what they had to say, United States, 2003,

187C. Children whose parents reported that their childīs providers sometimes or never showed respect for what they had to say, United States, 2003,

by

  • Race
  • Ethnicity
  • Family income

Data Source

AHRQ, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents subsequently reported that their child's providers always (table 187A), usually (table 187B), or sometimes or never (table 187C) showed respect for what they had to say.

Comments

Tables report data from the MEPS 2003 Child Health and Preventive Care section. See the MEPS entry in Appendix A: Data Sources for more information on this component of MEPS.

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Patient Centeredness

Measure Title

Adults whose providers sometimes or never spent enough time with them.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

188A. Adults whose providers always spent enough time with them, United States, 2003,

188B. Adults whose providers usually spent enough time with them, United States, 2003,

188C. Adults whose providers sometimes or never spent enough time with them, United States, 2003,

by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

AHRQ, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and older who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized adults age 18 and older who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) who subsequently reported that their providers always (table 188A), usually (table 188B), or sometimes or never (table 188C) spend enough time with them.

Comments

This measure is also presented in the Patient-Provider Communication section.

Tables report data from the MEPS 2003 Self-Administered Questionnaire (SAQ). See the MEPS entry in Appendix A: Data Sources for more information on the SAQ.

Top of Page


Patient Centeredness

Measure Title

Children whose parents report that their child's providers sometimes or never spent enough time with them.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

189A. Children whose parents reported that their childīs providers always spent enough time with them, United States, 2003,

189B. Children whose parents reported that their childīs providers usually spent enough time with them, United States, 2003,

189C. Children whose parents reported that their childīs providers sometimes or never spent enough time with them, United States, 2003,

by

  • Race
  • Ethnicity
  • Family income

Data Source

AHRQ, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room).

Numerator

U.S. civilian noninstitutionalized children under age 18 who had at least 1 visit to a doctor's office or clinic in the previous 12 months (not including visits to an emergency room) whose parents subsequently reported that their child's providers always (table 189A), usually (table 189B), or sometimes or never (table 189C) spend enough time with them.

Comments

Tables report data from the MEPS 2003 Child Health and Preventive Care section. See the MEPS entry in Appendix A: Data Sources for more information on this component of MEPS.

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Patient Centeredness

Measure Title

Racial/ethnic representation of physicians and surgeons

Measure Source

The Center for Studying Health System Change (HSC), Community Tracking Study (CTS).

Tables

Data source does not support detailed tables.

Data Sources

Center for Studying HSC, CTS, Physician Survey.

Denominator

Total number of responding physicians.

Numerator

Responding physicians by race/ethnicity.

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Patient Centeredness

Measure Title

Hospital patients who reported sometimes or never having good communications with doctors.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National CAHPS Benchmarking Database, Hospital CAHPS (HCAHPS) survey.

Tables

Data source does not support detailed tables.

Data Source

CMS/AHRQ, HCAHPS.

Denominator

Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses.

Numerator

Subset of denominator who responded ";sometimes" or ";never" to any of three survey questions: ";During this hospital stay, how often did doctors treat you with courtesy and respect?", ";During this hospital stay, how often did doctors listen carefully to you?" and ";During this hospital stay, how often did doctors explain things in a way you could understand?"

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Patient Centeredness

Measure Title

Hospital patients who reported sometimes or never having good communications with nurses.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National CAHPS Benchmarking Database, Hospital CAHPS (HCAHPS) survey.

Tables

Data source does not support detailed tables.

Data Source

CMS/AHRQ, HCAHPS.

Denominator

Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses.

Numerator

Subset of denominator who responded "sometimes" or "never" to any of three survey questions: "During this hospital stay, how often did nurses treat you with courtesy and respect?" "During this hospital stay, how often did nurses listen carefully to you?" and "During this hospital stay, how often did nurses explain things in a way you could understand?"

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Patient Centeredness

Measure Title

Hospital patients who reported sometimes or never having good communications about medications.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National CAHPS Benchmarking Database, Hospital CAHPS (HCAHPS) survey.

Tables

Data source does not support detailed tables.

Data Source

CMS/AHRQ, HCAHPS.

Denominator

Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses and who responded "yes" to the question "During this hospital stay, were you given any medicine that you had not taken before?"

Numerator

Subset of denominator who responded "sometimes" or "never" to either of two survey questions: "Before giving you any new medicine, how often did hospital staff tell you what the medicine was for?" and "Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand?"

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Patient Centeredness

Measure Title

Discharge communications.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National CAHPS Benchmarking Database, Hospital CAHPS (HCAHPS) survey.

Tables

Data source does not support detailed tables.

Data Source

CMS/AHRQ, HCAHPS.

Denominator

Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses.

Numerator

Subset of denominator who responded "no" to either of two survey questions: "During this hospital stay, did doctors, nurses or other hospital staff talk with you about whether you would have the help you needed when you left the hospital?" and "During this hospital stay, did you get information in writing about what symptoms or health problems to look out for after you left the hospital?"

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