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National Healthcare Disparities Report, 2007

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Patient Centeredness


Patient Experience of Care
Composite measure: Adults who sometimes or never received patient centered care (whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them)
Composite measure: Children who sometimes or never received patient centered care (whose health providers sometimes or never 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
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
Workforce Diversity
Racial/ethnic representation of physicians and surgeons
Physicians per 100,000 population by race/ethnicity
Active U.S. physicians in direct patient care, by race/ethnicity
Race/ethnicity of U.S. registered nurses versus the U.S. population
Registered nurses per 100,000 population, by race/ethnicity
Health Literacy
Percentage of adults in each health literacy level, by race/ethnicity

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Patient Experience of Care

Measure Title

Composite measure: Adults who sometimes or never received patient centered care (whose health providers sometimes or never 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

189a Adults whose health providers always listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

189b Adults whose health providers usually listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

189c Adults whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and older who had at least one 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 one 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, usually, sometimes, or never, depending on the table.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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

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

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Patient Experience of Care

Measure Title

Composite measure: Children who sometimes or never received patient centered care (whose health providers sometimes or never 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

190a Children whose parents report that their child′s providers always listened carefully to them, explained things clearly to them, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

190b Children whose parents report that their child′s providers usually listened carefully to them, explained things clearly to them, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

190c Children whose parents report that their child′s providers sometimes or never listened carefully to them, explained things clearly to them, respected what they had to say, and spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

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

Comments

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

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

This measure and its tables are also presented in other relevant sections of the report.

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Patient Experience of Care

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

191a Adults whose providers always listened carefully to them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

191b Adults whose providers usually listened carefully to them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

191c Adults whose providers sometimes or never listened carefully to them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and older who had at least one 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 one 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, usually, sometimes, or never, depending on the table, listened carefully to them.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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

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Patient Experience of Care

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

192a Children whose parents report that their child′s providers always listened carefully to them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

192b Children whose parents report that their child′s providers usually listened carefully to them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

192c Children whose parents report that their child′s providers sometimes or never listened carefully to them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least one 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 one 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, usually, sometimes, or never, depending on the table, listened carefully to them.

Comments

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

This measure and its tables are also presented in other relevant sections of the report.

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Patient Experience of Care

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

193a Adults whose providers always explained things in a way they could understand, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

193b Adults whose providers usually explained things in a way they could understand, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

193c Adults whose providers sometimes or never explained things in a way they could understand, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and older who had at least one 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 one 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, usually, sometimes, or never, depending on the table, explained things in a way they could understand.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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

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Patient Experience of Care

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

194a Children whose parents report that their child′s providers always explained things in a way them could understand, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

194b Children whose parents report that their child′s providers usually explained things in a way they could understand, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

194c Children whose parents report that their child′s providers sometimes or never explained things in a way they could understand, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least one 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 one 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, usually, sometimes, or never, depending on the table, explained things in a way they could understand.

Comments

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

This measure and its tables are also presented in other relevant sections of the report.

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Patient Experience of Care

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

195a Adults whose providers always showed respect for what they had to say, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

195b Adults whose providers usually showed respect for what they had to say, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

195c Adults whose providers sometimes or never showed respect for what they had to say, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and older who had at least one 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 one 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, usually, sometimes, or never, depending on the table, showed respect for what they had to say.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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

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Patient Experience of Care

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

196a Children whose parents report that their child′s providers always showed respect for what they had to say, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

196b Children whose parents report that their child′s providers usually showed respect for what they had to say, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

196c Children whose parents report that their child′s providers sometimes or never showed respect for what they had to say, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least one 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 one 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, usually, sometimes, or never, depending on the table, showed respect for what they had to say.

Comments

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

This measure and its tables are also presented in other relevant sections of the report.

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Patient Experience of Care

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

197a Adults whose providers always spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

197b Adults whose providers usually spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

197c Adults whose providers sometimes or never spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and older who had at least one 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 one 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, usually, sometimes, or never, depending on the table, spend enough time with them.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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

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Patient Experience of Care

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

198a Children whose parents report that their child′s providers always spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

198b Children whose parents report that their child′s providers usually spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

198c Children whose parents report that their child′s providers sometimes or never spent enough time with them, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized children under age 18 who had at least one 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 one 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, usually, sometimes, or never, depending on the table, spend enough time with them.

Comments

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

This measure and its tables are also presented in other relevant sections of the report.

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Patient Experience of Care

Measure Title

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

Measure Source

Centers for Medicare & Medicaid Services (CMS) in partnership with the Agency for Healthcare Research and Quality (AHRQ), National CAHPS Benchmarking Database (NCBD), Hospital CAHPS Survey (HCAHPS).

Table

199 Hospital patients age 18 and over who reported sometimes or never having good communications with doctors, United States, 2006

Data Source

CMS, 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?"

"During this hospital stay, how often did doctors explain things in a way you could understand?"

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Patient Experience of Care

Measure Title

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

Measure Source

Centers for Medicare & Medicaid Services (CMS) in partnership with the Agency for Healthcare Research and Quality (AHRQ), National CAHPS Benchmarking Database (NCBD), Hospital CAHPS Survey (HCAHPS).

Table

200 Hospital patients age 18 and over who reported sometimes or never having good communications with nurses, United States, 2006

Data Source

CMS, 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?"

"During this hospital stay, how often did nurses explain things in a way you could understand?"

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Patient Experience of Care

Measure Title

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

Measure Source

Centers for Medicare & Medicaid Services (CMS) in partnership with the Agency for Healthcare Research and Quality (AHRQ), National CAHPS Benchmarking Database (NCBD), Hospital CAHPS Survey (HCAHPS).

Table

201 Hospital patients age 18 and over who reported sometimes or never having good communications about medications, United States, 2006

Data Source

CMS, 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?"

"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 Experience of Care

Measure Title

Discharge communications.

Measure Source

Centers for Medicare & Medicaid Services (CMS) in partnership with the Agency for Healthcare Research and Quality (AHRQ), National CAHPS Benchmarking Database (NCBD), Hospital CAHPS Survey (HCAHPS).

Table

202 Hospital patients age 18 and over who reported "No" to having good communication about discharge information, United States, 2006

Data Source

CMS, 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?"

"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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Workforce Diversity

Measure Title

Racial/ethnic representation of physicians and surgeons.

Measure Source

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

Table

Data source does not support detailed table.

Data Source

HSC, CTS, Physician Survey.

Denominator

Total number of responding physicians.

Numerator

Responding physicians by race/ethnicity.

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Workforce Diversity

Measure Title

Physicians per 100,000 population by race/ethnicity.

Measure Source

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

Table

Data source does not support detailed table.

Data Source

HSC, CTS.

Denominator

Persons residing in the United States.

Numerator

Physicians practicing in the United States.

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Workforce Diversity

Measure Title

Active U.S. physicians in direct patient care, by race/ethnicity.

Measure Source

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

Table

Data source does not support detailed table.

Data Source

HSC, CTS.

Denominator

Active U.S. physicians in direct patient care.

Numerator

Proportion of denominator by race and ethnicity.

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Workforce Diversity

Measure Title

Race/ethnicity of U.S. registered nurses versus the U.S. population.

Measure Source

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

Table

206 U.S. registered nurses compared to the U.S. population, United States, 2004

Data Source

Health Resources and Services Administration (HRSA), National Sample Survey of Registered Nurses (NSSRN).

Denominator

Registered nurses in the United States with an active license, and residents of the United States.

Numerator

Subset of each denominator by race and ethnicity.

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Workforce Diversity

Measure Title

Registered nurses per 100,000 population, by race/ethnicity.

Measure Source

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

Table

207 Registered nurses per 100,000 population, United States, 2004

Data Source

Health Resources and Services Administration (HRSA), National Sample Survey of Registered Nurses (NSSRN).

Denominator

Persons residing in the United States.

Numerator

Registered nurses in the United States with an active license.

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Health Literacy

Measure Title

Percentage of adults in each health literacy level, by race/ethnicity.

Measure Source

U.S. Department of Education (DOE), National Assessment of Adult Literacy (NAAL).

Table

208 Percent of adults in each health literacy level, United States, 2003, by

  • Race/ethnicity.

Data Source

DOE, NAAL.

Denominator

Persons residing in the United States.

Numerator

Subset of denominator in each of four literacy levels.

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