National Healthcare Disparities Report: Preliminary Measure Set

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Preliminary Measure Set, National Healthcare Disparities Report

Access to Care Measures

Access to the Health Care System

	Measures	National Database^a	Consensus Process^b
Health Insurance Coverage	% of persons with health insurance	NHIS	HP2010
	% of persons with any private insurance coverage	NHIS
	% of persons with only public insurance coverage	NHIS
	% of persons uninsured all year	MEPS / MCBS
	% of persons with any period of public insurance during a year	MEPS / MCBS
	% of persons with any period of uninsurance during a year	MEPS / MCBS
	% of persons offered health insurance coverage through their employer or a family member's employer	MEPS / MCBS
Usual Source of Care	% of persons who have a specific source of ongoing care	NHIS	HP2010
	% of persons in fair or poor health who have a specific source of ongoing care	NHIS
	% of persons with hospital outpatient department as usual source of care	NHIS
	% of persons with hospital emergency department as usual source of care	NHIS
	Main reason no usual source of healthcare	MEPS / MCBS
	% of persons with a usual primary care provider	MEPS / MCBS	HP2010
	% of persons with community health center as usual source of care	Commonwealth
	% of persons with very little or no choice in source of care	Commonwealth
	Time with regular doctor (years)	Commonwealth
Unmet Need	% of families that experience difficulties or delays in obtaining health care or do not receive needed care for one or more family members	MEPS / MCBS	HP2010
	Main problem that caused family member's difficulty, delay, or not receiving needed health care	MEPS / MCBS
	% of families in which a family member did not receive doctor's care or prescription medications because the family needed the money	MEPS / MCBS
	Satisfied that your family can get health care if they need it	MEPS / MCBS
Mental Health / Substance Abuse	% of adults with serious mental illness who received treatment	NHSDA
	% of adults with substance abuse treatment need who received treatment	NHSDA
	% of adults with DSM major depression criteria who received treatment	National Comorbidity Survey II
	% of adults with DSM generalized anxiety disorder criteria who received treatment	National Comorbidity Survey II
	% of adults with DSM substance use disorder criteria who received treatment	National Comorbidity Survey II

Structural Barriers within the System

	Measures	National Database^a
Transportation	% of person who usually use public transportation to get to provider	MEPS / MCBS
Getting Care	Does provider have office hours at night or on weekends?	MEPS / MCBS
	How difficult is it to get appointment with provider on short notice?	MEPS / MCBS
	How difficult is it to contact provider over the telephone about a health problem?	MEPS / MCBS
	How much of a problem was it to get a referral to a specialist that you need to see?	MEPS / MCBS
	How satisfied with professional staff	MEPS / MCBS
Waiting Times	About how long do they usually have to wait before seeing usual source of care?	MEPS / MCBS
	ED: Waiting time to see physician	NHAMCS-ED
	ED: Disposition=Left before being seen	NHAMCS-ED
	ALOS in hospice (reflects delays in getting hospice care)	NHHCS

Ability of Provider to Address Patient Needs

	Measures	National Database^a
Patient-Physician Communication	Does provider generally listen	MEPS / MCBS
	Does provider usually ask about prescription medications and treatments other doctors may give	MEPS / MCBS
	Does provider listen carefully	MEPS / MCBS
	Does provider explain things	MEPS / MCBS
	Does provider show respect for what you had to say	MEPS / MCBS
	Poor communication during last visit	Commonwealth
Patient-Physician Relationship	Satisfied with quality of care received from provider	MEPS / MCBS
	Are they confident in provider's ability to help when they have a medical problem	MEPS / MCBS
	Provider spend enough time with you	MEPS / MCBS
	Treated with great deal of dignity and respect	Commonwealth
	Involved in decisions as much as wanted	Commonwealth
	Time with doctor as much as wanted	Commonwealth
	Time did not follow doctor's advice	Commonwealth
	Medical errors	Commonwealth
Cultural Competency	Would have gotten better care if different race/ethnicity	Commonwealth
	Felt treated with disrespect because of race/ethnicity	Commonwealth
	Doctor understands background and values	Commonwealth
Health Information	Very easy to understand prescription bottle	Commonwealth
	Very easy to understand information from doctor's office	Commonwealth
	Health information sources	Commonwealth

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