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National Healthcare Disparities Report, 2013

Chapter 5: Text Descriptions

Figure 5.1. Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted, by race/ethnicity and income, 2002-2010

Race / Ethnicity / Income 2002 2003 2004 2005 2006 2007 2008 2009 2010
Total 15.3% 14.3% 14.2% 15.1% 15.3% 13.9% 15.4% 14.7% 14.4%
Non-Hispanic White 12.9% 12.4% 12.1% 12.8% 13.8% 12.0% 13.5% 12.5% 12.6%
Non-Hispanic Black 18.9% 18.6% 17.5% 20.9% 16.5% 17.7% 22.7% 19.9% 16.6%
Hispanic 25.8% 20.6% 19.6% 17.7% 20.6% 19.3% 17.7% 20.4% 18.1%
Poor 22.8% 25.8% 25.0% 24.8% 23.0% 19.6% 24.0% 24.4% 21.7%
Low Income 20.3% 17.5% 15.6% 19.7% 20.3% 16.6% 19.7% 19.1% 19.5%
Middle Income 15.9% 13.3% 13.5% 14.3% 15.3% 15.4% 14.4% 14.5% 14.7%
High Income 9.9% 9.7% 10.3% 10.0% 10.5% 9.8% 10.9% 9.0% 8.3%

Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2010.
Denominator: Civilian noninstitutionalized population age 18 and over.
Note: For this measure, lower rates are better. White and Black are non-Hispanic. Hispanic includes all races.

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Figure 5.2. Children who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted, by race/ethnicity and income, 2002-2010

Race / Ethnicity / Income 2002 2003 2004 2005 2006 2007 2008 2009 2010
Total 7.5% 9.1% 7.3% 8.1% 7.1% 8.0% 5.7% 4.5% 3.8%
Non-Hispanic White 6.7% 8.1% 7.2% 7.7% 6.5% 6.8% 4.3% 2.6% 3.2%
Non-Hispanic Black 7.2% 7.9% 5.0% 6.7% 9.1% 8.4% 6.5% NA NA
Hispanic 10.6% 13.9% 10.5% 9.3% 6.7% 8.9% 10.0% 10.1% 5.1%
Poor 12.2% 12.5% 10.9% 9.4% 7.6% 9.5% 8.8% 10.6% 8.4%
Low Income 8.9% 12.6% 7.3% 10.1% 10.1% 12.0% 6.8% 5.7% NA
Middle Income 7.8% 10.0% 7.3% 8.2% 7.4% 10.7% 4.8% NA NA
High Income 4.0% 3.8% 5.2% 6.2% 4.7% NA 4.0% NA NA

Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2010.
Denominator: Civilian noninstitutionalized population under age 18.
Note: For this measure, lower rates are better. White and Black are non-Hispanic. Hispanic includes all races. The 2009 and 2010 data for Blacks; the 2007, 2009, and 2010 data for high-income families; the 2009 and 2010 data for middle-income families; and the 2010 data for low-income families did not meet criteria for statistical reliability, data quality, or confidentiality.

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Figure 5.3. Emergency department visits where patient was transferred or admitted and length of visit was 6 hours or more, by insurance and race, 2010-2011

Private Public Uninsured Total White Black
27.5% 34.5% 33.8% 29.9% 27.9% 38.7%

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Hospital Ambulatory Medical Care Survey, 2010-2011.
Note: For this measure, lower rates are better. Public insurance includes Medicare, Medicaid, and State Children's Health Insurance Program. Uninsured is defined as having "only self-pay" or "no charge/charity" as payment sources. For general information about survey methodology, reliability of estimates, and other technical information, refer to the National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary (http://www.cdc.gov/nchs/data/nhsr/nhsr007.pdf; PDF File, 697 KB).

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Figure 5.4. Hospital patients with heart attack given percutaneous coronary intervention within 90 minutes of arrival, by race/ethnicity, 2005-2011

Race / Ethnicity 2005 2006 2007 2008 2009 2010 2011
Total 42.1% 53.8% 71.8% 81.3% 87.5% 91.1% 93.7%
White 43.4% 55.1% 73% 82.1% 88.1% 91.7% 94.2%
Black 29.1% 42.2% 62.2% 74.3% 81.5% 86.3% 90.7%
Hispanic 33.8% 46.7% 66.4% 77.5% 85.1% 89% 92.1%
AI/AN 43.2% 53.5% 66.2% 69.3% 84.7% 89.8% 89.7%
Asian 39.6% 49.8% 69.5% 80.9% 87.2% 91.3% 93.3%

Key: AI/AN = American Indian or Alaska Native.
Source: Centers for Medicare & Medicaid Services, Medicare Quality Improvement Organization Program, 2005-2011.
Denominator: Discharged hospital patients with a principal diagnosis of acute myocardial infarction and documented receipt of percutaneous transluminal angioplasty or stent placement during the hospital stay.
2010 Achievable Benchmark: 96%

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Figure 5.5. Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival, by race/ethnicity, 2005-2011

Race / Ethnicity 2005 2006 2007 2008 2009 2010 2011
Total 37.9% 42.1% 50% 49.4% 54.4% 58.4% 57.9%
White 38.7% 43.6% 51.8% 51.0% 55.7% 63.8% 57.3%
Black 27.7% 32.6% 44.5% 37.8% 46.8% 53% 58.2%
Hispanic 36.8% 37.8% 43.2% 47.6% 52.8% 47.3% 57%
Asian 43.9% 45.5% 55.5% 48.2% 58.6% 67.3% 71.4%

Source: Centers for Medicare & Medicaid Services, Medicare Quality Improvement Organization Program, 2005-2011.
Denominator: Discharged hospital patients with a principal diagnosis of acute myocardial infarction and documented receipt of thrombolytic therapy during the hospital stay.
2010 Achievable Benchmark: 68%
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Page last reviewed May 2014
Page originally created May 2014
Internet Citation: Chapter 5: Text Descriptions. Content last reviewed May 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/research/findings/nhqrdr/nhdr13/chap5-txt.html

 

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