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

Age2002200320042005200620072008
Total (percent)15.314.314.215.115.313.915.4
18-44 (percent)19.417.918.019.019.017.319.0
45-64 (percent)13.413.813.014.314.513.715.4
65+ (percent)8.55.87.47.27.76.57.1

Location2002200320042005200620072008
Large Fringe MSA (percent)12.412.513.015.715.011.612.4
Large Central MSA (percent)19.518.016.716.016.816.916.8
Medium MSA (percent)14.311.913.614.414.511.616.4
Small MSA (percent)15.116.214.215.013.216.016.8
Non-MSA (percent)13.513.112.913.615.113.815.7

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

Location2002200320042005200620072008
Large Central MSA (percent)8.210.78.56.38.18.15.4
Large Fringe MSA (percent)7.17.35.78.23.67.8-
Medium MSA (percent)6.211.08.38.78.96.15.5
Small MSA (percent)5.89.3-9.7---
Non-MSA (percent)9.77.07.29.29.8-6.7

Insurance Status2002200320042005200620072008
Private Insurance (percent)6.37.46.27.06.25.64.7
Public Insurance (percent)10.114.29.710.79.712.76.3

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

AgeImmediate/EmergentUrgent
0-17 (percent)14.028.9
18-44 (percent)20.032.9
45-64 (percent)17.032.0
65+ (percent)13.426.2

LocationImmediate/EmergentUrgent
Total (percent)16.630.7
MSA (percent)17.332.8
Non-MSA (percent)13.720.1

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

Age20052006200720082009
<65 (percent)44.956.473.982.988.7
65-74 (percent)40.452.069.979.886.6
75-84 (percent)35.347.565.777.683.7
85+ (percent)29.241.464.974.283.3

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

Age20052006200720082009
<65 (percent)41.446.053.352.555.3
65-74 (percent)36.641.048.148.056.7
75-84 (percent)31.432.540.043.547.4
85+ (percent)23.627.542.934.550.0

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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Current as of February 2011
Internet Citation: Chapter 4 (Text Descriptions): National Healthcare Quality Report, 2011. February 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqr11/chap4txt.html