T14_1_11_2c

2011 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.

Table 14_1_11.2c
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months,^a by family income,^b United States, 2008
		Total		Negative/poor		Near poor/low		Middle		High
Population group		Percent	SE	Percent	SE	Percent	SE	Percent	SE	Percent	SE
Total		13.4	0.4	20.2	1.3	17.9	1.0	14.0	0.8	10.0	0.6
Age	18-44	15.8	0.6	22.4	1.7	20.3	1.3	16.4	1.2	11.7	1.0
	45-64	13.5	0.6	21.9	2.1	22.1	2.1	14.6	1.1	9.9	0.9
	65 and over	8.4	0.8	11.6	2.1	11.2	1.7	7.2	1.2	6.7	1.1
Gender	Male�	13.5	0.6	19.4	2.3	19.6	1.5	14.8	1.2	10.0	0.8
Gender	Female	13.4	0.5	20.6	1.4	16.8	1.2	13.4	0.9	10.0	0.7
Race	White, single race	12.7	0.5	18.4	1.5	17.5	1.2	13.8	0.9	9.5	0.7
	Black, single race	16.3	0.9	23.4	2.0	16.9	1.7	15.3	1.9	11.5	1.8
	Asian, single race	14.6	1.8	DSU	DSU	DSU	DSU	11.6	2.6	13.1	2.4
	NHOPI, single race	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	AI/AN, single race	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	Multiple races	21.0	3.6	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
Ethnicity	Non-Hispanic, all races	13.1	0.5	21.2	1.4	17.4	1.1	13.6	0.8	9.9	0.6
	Non-Hispanic, White	12.3	0.5	19.5	1.8	16.8	1.3	13.3	1.0	9.4	0.7
	Non-Hispanic, Black	16.2	1.0	23.5	2.0	16.9	1.7	15.2	2.0	11.4	1.8
	Hispanic, all races	16.2	0.9	15.5	2.0	20.2	1.9	17.3	1.8	11.0	1.6
Education^c	Less than high school	17.7	1.1	22.5	1.8	19.6	1.9	15.6	1.7	11.2	2.2
	High school graduate	15.1	0.8	20.4	2.1	17.1	1.6	15.5	1.5	11.9	1.3
	At least some college	11.5	0.5	17.8	2.1	17.5	1.6	12.6	0.9	9.2	0.7
Employment status, ages 18-64	Employed	13.9	0.5	21.3	2.1	20.7	1.4	15.4	1.0	10.6	0.7
Employment status, ages 18-64	Not employed	17.7	1.0	22.9	1.8	21.7	2.0	16.8	1.6	10.9	1.9
Health insurance, ages 18-64	Any private	12.2	0.5	17.2	2.5	16.5	1.5	13.8	0.9	10.2	0.7
	Public only	24.3	1.4	22.2	2.0	24.3	2.4	29.6	3.6	DSU	DSU
	Uninsured	23.5	1.5	27.8	3.0	28.8	2.6	19.9	2.6	17.4	2.9
Health insurance, age 65 and over	Medicare only	8.8	1.1	9.9	2.8	10.7	2.2	7.4	1.7	8.0	2.3
	Medicare and private	6.9	1.0	DSU	DSU	9.1	2.3	6.0	1.5	6.0	1.4
	Medicare and other public	14.2	3.5	12.6	3.1	DSU	DSU	DSU	DSU	DSU	DSU
Residence location^d	Metropolitan	13.3	0.5	19.8	1.4	18.9	1.2	13.6	0.9	9.9	0.6
	Large central metro	14.8	0.8	20.9	2.3	21.0	1.9	14.6	1.5	11.0	1.2
	Large fringe metro	12.1	0.7	18.7	2.7	18.7	3.0	11.3	1.2	10.1	1.0
	Medium metro	12.8	1.2	18.2	2.2	17.5	1.8	15.9	1.9	7.8	1.3
	Small metro	13.1	1.5	21.7	3.8	17.0	3.6	11.7	2.2	10.8	2.1
	Nonmetropolitan	14.2	1.0	21.8	2.6	13.3	1.8	15.6	1.8	10.5	2.0
	Micropolitan	14.3	1.2	20.4	3.4	14.4	2.2	15.6	1.8	10.8	2.5
	Noncore	13.9	2.0	24.9	3.3	11.4	2.7	15.7	3.7	DSU	DSU
Language spoken most often at home	English	13.1	0.5	20.9	1.4	17.8	1.1	13.8	0.8	9.7	0.6
Language spoken most often at home	Other	17.2	1.4	16.8	2.5	18.5	2.4	16.3	2.7	17.0	2.9
Perceived health status	Excellent/very good/good	11.6	0.4	14.7	1.3	15.7	1.2	12.4	0.8	9.3	0.6
Perceived health status	Fair/poor	23.3	1.1	30.8	2.1	24.3	1.9	23.2	2.1	16.6	2.0
Activity limitations^d	Basic activities	17.9	1.1	24.6	2.1	19.7	2.2	17.3	1.8	13.2	2.0
	Complex activities	23.4	1.4	31.7	2.6	24.8	2.9	24.1	3.0	13.6	2.4
	Neither basic nor complex activities	12.3	0.4	16.9	1.4	17.3	1.1	13.3	0.8	9.5	0.6
U.S. born	Yes	13.0	0.5	20.7	1.4	17.9	1.1	13.3	0.8	9.7	0.6
U.S. born	No	16.2	1.0	17.9	2.5	18.0	2.0	18.6	2.4	12.6	1.7

^a. Denominator includes adults who had a doctor's office or clinic visit in the last 12 months, excluding missing data.

^b. Negative/poor refers to household incomes below the Federal poverty line; near poor/low, the poverty line to just below 200 percent of the poverty line; middle, 200 percent to just below 400 percent of the poverty line; and high, 400 percent of the poverty line and over.

^c. Less than high school refers to fewer than 12 years of education; high school graduate, 12 years of education; and at least some college, more than 12 years of education.

^d. For more information, see the MEPS entry in Appendix B: Detailed Methods.

DSU - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: AI/AN: American Indian or Alaska Native; NHOPI: Native Hawaiian or Other Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality, Center for Financing, Access, and Cost Trends, Medical Expenditure Panel Survey.

Page last reviewed October 2014

Internet Citation: T14_1_11_2c: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr11/14_patientcenteredness/T14_1_11_2c.html