2012 National Healthcare Quality Report

Chapter 4, Text Descriptions for Figures

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, 2002-2009

Age Group	2002	2003	2004	2005	2006	2007	2008	2009
Total	15.3	14.3	14.2	15.1	15.3	13.9	15.4	14.7
18-44	19.4	17.9	18	19	19	17.3	19	19.1
45-64	13.4	13.8	13	14.3	14.5	13.7	15.4	13.4
65+	8.5	5.8	7.4	7.2	7.7	6.5	7.1	7.4

Location	2002	2003	2004	2005	2006	2007	2008	2009
Metropolitan	15.7	14.6	14.5	15.4	15.3	13.9	15.4
Large Fringe MSA	12.4	12.5	13	15.7	15	11.6	12.4	13.2
Large Central MSA	19.5	18	16.7	16	16.8	16.9	16.8	17.3
Medium MSA	14.3	11.9	13.6	14.4	14.5	11.6	16.4	15
Small MSA	15.1	16.2	14.2	15	13.2	16	16.8	14.4
Non-MSA	13.5	13.1	12.9	13.6	15.1	13.8	15.7	13
Micropolitan	13.9	13.1	13.2	14.3	14.2	14.2	15.7
Noncore	12.9	13	12.4	12.4	17	12.8	15.6

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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, 2002-2009

Location	2002	2003	2004	2005	2006	2007	2008	2009
MSA	7.08	9.55	7.3	7.92	6.62	7.97	5.5
Large Central MSA	8.2	10.7	8.5	6.3	8.1	8.1	5.4	5.6
Large Fringe MSA	7.1	7.3	5.7	8.2	3.6	7.8		2.3
Medium MSA	6.2	11	8.3	8.7	8.9	6.1	5.5	4.5
Small MSA	5.8	9.3		9.7
Non-MSA	9.7	7.0	7.2	9.2	9.8		6.7

Insurance	2002	2003	2004	2005	2006	2007	2008	2009
Private Insurance	6.3	7.4	6.2	7	6.2	5.6	4.7	3.1
Public Insurance	10.1	14.2	9.7	10.7	9.7	12.7	6.3	7.4

Key: MSA = metropolitan statistical area.
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2009.
Denominator: Civilian noninstitutionalized population under age 18.
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, 2009-2010

Urgency	0-17	18-44	45-64	65+
Immediate/Emergent	17.6	24.7	22.8	18.6
Urgent	27.4	34	31.8	27

Urgency	Total	MSA	Non-MSA
Immediate/Emergent	21.5	22.9	12.4
Urgent	31	33	19.9

Key: MSA = metropolitan statistical area.
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Hospital Ambulatory Medical Care Survey, 2009-2010.
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, 2005-2010

Age Group	2005	2006	2007	2008	2009	2010
<65	44.9	56.4	73.9	82.9	88.7	91.9
65-74	40.4	52	69.9	79.8	86.6	91
75-84	35.3	47.5	65.7	77.6	83.7	88.2
85+	29.2	41.4	64.9	74.2	83.3	88.5

Source: Centers for Medicare & Medicaid Services, Medicare Quality Improvement Organization Program, 2005-2010.
Denominator: Patients hospitalized with a principal diagnosis of acute myocardial infarction who were appropriate candidates for PCI medication.

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Figure 4.5. Hospital patients with heart attack who received fibrinolytic medication within 30 minutes, by age, 2005-2010

Age Group	2005	2006	2007	2008	2009	2010
<65	41.4	46	53.3	52.5	55.3	61.8
65-74	36.6	41	48.1	48.0	56.7	56.5
75-84	31.4	32.5	40	43.5	47.4	53.3
85+	23.6	27.5	42.9	34.5	50	41.4

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Page last reviewed May 2013

Internet Citation: 2012 National Healthcare Quality Report: Chapter 4, Text Descriptions for Figures. May 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqr12/chap4-text.html