Priority Populations: Individuals With Special Health Care Needs

2009 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.


Individuals With Disabilities or Special Health Care Needs
People who were unable to get or delayed in getting needed dental care in the last 12 months
People who had a dental visit in the calendar year
People under age 65 with private insurance whose family's out-of-pocket medical expenditures were more than 10% of total family income
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income
 


Individuals With Disabilities or Special Health Care Needs

Measure Title

People who were unable to get or delayed in getting needed dental care in the last 12 months.

Measure Source

Healthy People 2010.

Tables

16_4_3.1 People unable to get or delayed in getting needed dental care, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Denominator

U.S. civilian noninstitutionalized population.

Numerator

People who attempted to obtain but did not receive care or delayed needed dental care.

Top of Page


Individuals With Disabilities or Special Health Care Needs

Measure Title

People who had a dental visit in the calendar year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

17_1_3.1 People who had a dental visit in the calendar year, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population.

Numerator

U.S. civilian noninstitutionalized population who reported at least one dental visit.

Top of Page


Individuals With Disabilities or Special Health Care Needs

Measure Title

People under age 65 with private insurance whose family's out-of-pocket medical expenditures were more than 10% of total family income.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

16_2_2.1 People under age 65 with private insurance whose family�s out-of-pocket medical expenditures were more than 10% of total family income, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population ages 0-64 who had private insurance, including employer-sponsored and nongroup.

Numerator

Subset of denominator whose family�s out-of-pocket medical expenditures were more than 10% of total family income.

Comments

Total family income is the sum of person-level pretax total income, refund income, and sale income. "Family" is defined in terms of health insurance eligibility units (HIEUs), which are composed of individuals who could be covered as a family under most private health insurance plans.

Private health insurance includes:

  • Private, employer-sponsored: People who had least one month of employer-sponsored insurance and zero month uninsured during year.
  • Private, nongroup: People who had least one month of nongroup private insurance and zero month uninsured during year.

Top of Page


Individuals With Disabilities or Special Health Care Needs

Measure Title

People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

16_2_1.1 People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population, ages 0-64

Numerator

Subset of denominator whose family's out-of-pocket medical expenditures were more than 10% of total family income.

Comments

Health insurance premium is the sum of insurance premiums (imputed) and Medicare Part B.

Total family income is the sum of person-level pretax total income, refund income, and sale income. “Family” is defined in terms of health insurance eligibility units (HIEUs), which are composed of individuals who could be covered as a family under most private health insurance plans.

Health insurance was defined hierarchically for the categories below:

  • Private, employer-sponsored: People who had at least one month of employer-sponsored insurance and zero month uninsured during year.
  • Private, nongroup: People who had at least one month of nongroup private insurance and zero month uninsured during year.
  • Public only: People who had public insurance only for all available months in MEPS.
  • Part-year uninsured: People whose number of uninsured months is less than number of available months in MEPS.
  • Full-year uninsured: People whose number of uninsured months is equal to number of available months in MEPS.
Current as of March 2010
Internet Citation: Priority Populations: Individuals With Special Health Care Needs: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/measurespec/individuals_with_special_health_care_needs.html