Acknowledgements

Chapter 4 (Text Descriptions)

National Healthcare Quality Report, 2011



Figure 4.1. 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 age and geographic location, 2002-2008

Age 2002 2003 2004 2005 2006 2007 2008
Total (percent) 15.3 14.3 14.2 15.1 15.3 13.9 15.4
18-44 (percent) 19.4 17.9 18.0 19.0 19.0 17.3 19.0
45-64 (percent) 13.4 13.8 13.0 14.3 14.5 13.7 15.4
65+ (percent) 8.5 5.8 7.4 7.2 7.7 6.5 7.1



Location 2002 2003 2004 2005 2006 2007 2008
Large Fringe MSA (percent) 12.4 12.5 13.0 15.7 15.0 11.6 12.4
Large Central MSA (percent) 19.5 18.0 16.7 16.0 16.8 16.9 16.8
Medium MSA (percent) 14.3 11.9 13.6 14.4 14.5 11.6 16.4
Small MSA (percent) 15.1 16.2 14.2 15.0 13.2 16.0 16.8
Non-MSA (percent) 13.5 13.1 12.9 13.6 15.1 13.8 15.7

Key: MSA = Metropolitan statistical area.

Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008.

Denominator: Civilian noninstitutionalized population age 18 and over.

Note: For this measure, lower rates are better.

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Figure 4.2. 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 geographic location and insurance status, 2002-2008

Location 2002 2003 2004 2005 2006 2007 2008
Large Central MSA (percent) 8.2 10.7 8.5 6.3 8.1 8.1 5.4
Large Fringe MSA (percent) 7.1 7.3 5.7 8.2 3.6 7.8 -
Medium MSA (percent) 6.2 11.0 8.3 8.7 8.9 6.1 5.5
Small MSA (percent) 5.8 9.3 - 9.7 - - -
Non-MSA (percent) 9.7 7.0 7.2 9.2 9.8 - 6.7



Insurance Status 2002 2003 2004 2005 2006 2007 2008
Private Insurance (percent) 6.3 7.4 6.2 7.0 6.2 5.6 4.7
Public Insurance (percent) 10.1 14.2 9.7 10.7 9.7 12.7 6.3

Key: MSA = Metropolitan statistical area.

Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008.

Denominator: Civilian noninstitutionalized population age 18 and over.

Note: For this measure, lower rates are better. Data for some geographic areas in some years did not meet criteria for statistical reliability, data quality, or confidentiality.

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Figure 4.3. Emergency department visits in which patient had to wait an hour or more by urgency, age, and geographic location, 2008-2009

Age Immediate/Emergent Urgent
0-17 (percent) 14.0 28.9
18-44 (percent) 20.0 32.9
45-64 (percent) 17.0 32.0
65+ (percent) 13.4 26.2



Location Immediate/Emergent Urgent
Total (percent) 16.6 30.7
MSA (percent) 17.3 32.8
Non-MSA (percent) 13.7 20.1

Key: MSA = metropolitan statistical area.

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Hospital Ambulatory Medical Care Survey, 2008-2009.

Denominator (Immediate or Emergent): Visits to U.S. emergency department with triage assessment of immediate or emergent.

Denominator (Urgent): Visits to U.S. emergency department with triage assessment of urgent. Note: For this measure, lower rates are better.

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Figure 4.4. Hospital patients with heart attack who received percutaneous coronary intervention within 90 minutes, by age, 2005-2009

Age 2005 2006 2007 2008 2009
<65 (percent) 44.9 56.4 73.9 82.9 88.7
65-74 (percent) 40.4 52.0 69.9 79.8 86.6
75-84 (percent) 35.3 47.5 65.7 77.6 83.7
85+ (percent) 29.2 41.4 64.9 74.2 83.3

Key: PCI = percutaneous coronary intervention.

Source: Centers for Medicare & Medicaid Services, Medicare Quality Improvement Organization Program, 2005-2009.

Denominator: Patients hospitalized with a principal diagnosis of acute myocardial infarction who were appropriate candidates for PCI medication.
2008 Achievable benchmark: 91%.

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Figure 4.5. Hospital patients with heart attack who received fibrinolytic medication within 30 minutes, by age, 2005-2009

Age 2005 2006 2007 2008 2009
<65 (percent) 41.4 46.0 53.3 52.5 55.3
65-74 (percent) 36.6 41.0 48.1 48.0 56.7
75-84 (percent) 31.4 32.5 40.0 43.5 47.4
85+ (percent) 23.6 27.5 42.9 34.5 50.0

Source: Centers for Medicare & Medicaid Services, Medicare Quality Improvement Organization Program, 2005-2009.

Denominator: Patients hospitalized with a principal diagnosis of acute myocardial infarction who were appropriate candidates for fibrinolytic medication.
2008 Achievable benchmark: 61%.

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Page last reviewed October 2014
Page originally created February 2011
Internet Citation: Chapter 4 (Text Descriptions). Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqr11/chap4txt.html