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National Healthcare Disparities Report, 2007

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Access to Care: Patient Perceptions of Care


Patient-Provider Communication
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)
Adults whose providers sometimes or never listened carefully to them
Adults whose 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
Adults whose providers sometimes or never spent enough time with them
People with a provider who usually asks about medications and treatments other doctors may give
Adults who rate their health care in the past year 0 to 6 on a scale from 0 to 10
Children whose parents rated their health care in the past year 0 to 6 on a scale from 0 to 10

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Patient-Provider Communication

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-Provider Communication

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-Provider Communication

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-Provider Communication

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-Provider Communication

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-Provider Communication

Measure Title

People with a provider who usually asks about medications and treatments other doctors may give.

Measure Source

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

Tables

227 People with provider who usually asks about medications and treatments other doctors may give, United States, 2004, by

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

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population who reported having a usual source of care.

Numerator

U.S. civilian noninstitutionalized population who reported having a usual source of care who subsequently reported that their provider usually asks about prescription medications and treatments other doctors may give them.

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Patient-Provider Communication

Measure Title

Adults who rate their health care in the past year 0 to 6 on a scale from 0 to 10.

Measure Source

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

Tables

228a Adults who rate their health care in the past year 0-6 on a scale from 0 to 10, United States, 2004, by

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

228b Adults who rate their health care in the past year 7-8 on a scale from 0 to 10, United States, 2004, by

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

228c Adults who rate their health care in the past year 9-10 on a scale from 0 to 10, 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 rated their health care in the past year as <7, 7-8, or 9-10, depending on the table, on a scale from 0 to 10.

Comments

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-Provider Communication

Measure Title

Children whose parents rated their health care in the past year 0 to 6 on a scale from 0 to 10.

Measure Source

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

Tables

229a Children whose parents rate their child′s health care in the past year 0-6 on a scale from 0 to 10, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

229b Children whose parents rate their child′s health care in the past year 7-8 on a scale from 0 to 10, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.

229c Children whose parents rate their child′s health care in the past year 9-10 on a scale from 0 to 10, 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 rated their child's health care in the past year as <7, 7-8, or 9-10, depending on the table, on a scale from 0 to 10.

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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