Trends in Access to Health Care, 1996-2006 (Text Version)

Slide presentation from the AHRQ 2009 conference

On September 16, 2009, Jim Kirby made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (999 KB) (Plugin Software Help).


Slide 1

Slide 1. Trends in Access to Health Care, 1996-2006

Trends in Access to Health Care, 1996-2006

Jim Kirby
AHRQ

Slide 2

Slide 2. Objective

Objective

  • Describe trends in health care access over the decade 1996-2006
  • Focus on Disparities by:
    • Insurance
    • Age
    • Income
    • Race/ethnicity

Slide 3

Slide 3. Data and Measures

Data and Measures

  • Data
    • Household component of the Medical Expenditure Panel Surveys (MEPS), 1996-2006
    • Representative of the US civilian non-institutionalized population
    • Sample sizes range from 22,601 to 39,165, depending on year
  • Two measures of Access to ambulatory health care
    • Usual Source of Care (USC)
    • One or more physician visits in an office setting during a year

Slide 4

Slide 4. Methods

Methods

  • Calculate weighted percentages, testing differences across groups and years
  • Percentages and standard errors are adjusted for the complex sample design of MEPS

Slide 5

Slide 5. Percent with a Usual Source of Care by Insurance Status

Percent with a Usual Source of Care and At Least One Office Visit

YearUSCAny Office Visit
19960.820.68
19970.820.67
19980.820.66
19990.820.67
20000.820.67
20010.820.69
20020.810.69
20030.810.69
20040.810.67
20050.820.69
20060.80.68

Slide 6

Slide 6. Percent with At Least One Office Visit by Insurance Status

Percent with a Usual Source of Care by Insurance Status

YearPrivate InsurancePublic InsuranceNo insurance
19960.850.850.58
19970.850.850.56
19980.850.850.54
19990.850.850.53
20000.840.870.53
20010.850.860.51
20020.850.860.49
20030.850.850.46
20040.840.870.47
20050.840.860.47
20060.850.870.47

Slide 7

Slide 7. Percent with a Usual Source of Care by Age

Percent with At Least One Office Visit by Insurance Status

YearPrivate InsurancePublic InsuranceNo insurance
19960.720.720.41
19970.710.710.41
19980.70.730.36
19990.70.740.37
20000.70.740.38
20010.720.750.4
20020.720.750.38
20030.730.740.36
20040.710.740.35
20050.720.730.37
20060.720.730.36

Slide 8

Slide 8. Percent with At Least One Office Visit by Age

Percent with a Usual Source of Care by Age

Year0-1718-4950-6465+
19960.9081560.7357060.8630850.902632
19970.903
 
0.7320.860.91
19980.8959410.7300610.8563470.9243
19990.897960.7246630.8525180.921125
20000.9038750.7152460.8569160.932132
20010.8896940.7161040.8643750.933995
20020.8950970.7062330.8605590.9358
20030.9044620.698490.8573830.931711
20040.905820.6907390.8502440.934447
20050.8988330.6853740.8548140.929422
20060.9177280.683750.8612610.931943

Slide 9

Slide 9. Percent with a Usual Source of Care by Poverty Status, 1996-2006

Percent with At Least One Office Visit by Age

Year0-1718-4950-6465+
19960.67525710.61667610.75937810.8703838
19970.66083120.59470310.76540940.8815109
19980.64715420.58896310.75980650.8821827
19990.65606050.59507580.75637640.8785968
20000.64961630.59269520.74907520.8804955
20010.67432490.6107070.77345170.8914983
20020.68185310.59915640.77401950.905449
20030.68994530.59752880.77176330.8994029
20040.67942330.571040.76517940.908861
20050.67417810.58334480.75869790.9029373
20060.6695160.58017060.76503010.9094282

Slide 10

Slide 10. Percent with a Usual Source of Care by Poverty Status, 1996-2006

Percent with a Usual Source of Care by Poverty Status, 1996-2006

Year<200%200-400%400%+
19960.770.830.86
19970.770.820.86
19980.770.820.85
19990.750.820.85
20000.770.810.84
20010.750.820.85
20020.750.810.85
20030.740.810.85
20040.760.790.84
20050.750.780.85
20060.750.80.85

Slide 11

Slide 11. Percent with At Least One Office Visit by Poverty Status, 1996-2006

Percent with At Least One Office Visit by Poverty Status, 1996-2006

Year<200%200-400%400%+
19960.630.680.73
19970.620.670.72
19980.610.660.71
19990.620.660.71
20000.620.660.71
20010.630.680.74
20020.640.670.74
20030.630.680.74
20040.620.650.73
20050.620.660.74
20060.620.660.74

Slide 12

Slide 12. Percent with a Usual Source of Care by Race/ethnicity, 1996-2006

Percent with a Usual Source of Care by Race/ethnicity, 1996-2006

YearNH WhiteNH Black
 
Hispanic
19960.8462180.785040.689472
19970.8460.7850.689
19980.8467280.7847550.689215
19990.8446360.7841350.682431
20000.8432280.7688680.690844
20010.8400450.7871190.686153
20020.8446040.7833250.667898
20030.8467630.7639810.66107
20040.8359210.7637270.678286
20050.8385820.7579740.671802
20060.8440490.7827260.676437

Slide 13

Slide 13. Percent with At Least One Office Visit by Race/Ethnicity, 1996-2006

Percent with At Least One Office Visit by Race/Ethnicity, 1996-2006

YearNH WhiteNH BlackHispanic
19960.7235640.58440270.5564895
19970.71725940.56133470.5412635
19980.71513320.54148190.5325134
19990.71262030.55884580.5526766
20000.71223750.55499960.5430056
20010.73510780.60674640.5460268
20020.7326990.60883770.5534737
20030.73557260.61334910.5572794
20040.72364610.59856840.5276642
20050.72980210.6000220.5382532
20060.72603770.60807450.5462259

Slide 14

Slide 14. Summary

Summary

  • Overall, the ambulatory access measures have changed little between 1996 and 2006
  • Between 1996 and 2006, access to health care has worsened for:
    • The uninsured
    • Those aged 18-49
  • Disparities by Race/ethnicity remain relatively large and stable
Current as of December 2009
Internet Citation: Trends in Access to Health Care, 1996-2006 (Text Version). December 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2009/kirby/index.html