T14_1_6_1

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_6.1
Children who had a doctor�s office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly,^a United States, 2002-2008
		2008		2007		2006		2005		2004		2003		2002
Population group		Percent	SE	Percent	SE	Percent	SE	Percent	SE	Percent	SE	Percent	SE	Percent	SE
Total		3.7	0.3	3.5	0.3	4.0	0.4	4.3	0.3	4.5	0.3	5.2	0.4	5.4	0.3
Age	0-5	3.8	0.5	3.5	0.5	4.2	0.6	4.3	0.5	5.2	0.6	5.1	0.6	5.4	0.5
Age	6-17	3.6	0.4	3.4	0.4	3.9	0.4	4.3	0.4	4.1	0.4	5.2	0.5	5.4	0.4
Gender	Male	3.5	0.4	3.3	0.4	4.1	0.4	4.5	0.4	4.7	0.4	5.0	0.5	5.2	0.5
Gender	Female	3.9	0.4	3.6	0.4	3.9	0.5	4.1	0.4	4.4	0.5	5.3	0.6	5.6	0.4
Race	White, single race	3.5	0.4	3.2	0.4	3.9	0.4	3.9	0.3	4.3	0.4	4.6	0.4	5.1	0.4
	Black, single race	4.3	0.7	4.2	0.8	4.8	0.7	4.8	0.8	4.5	1.0	7.0	1.0	5.4	0.7
	Asian, single race	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	NHOPI, single race	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	AI/AN, single race	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	Multiple races	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
Ethnicity	Non-Hispanic, all races	3.2	0.3	3.1	0.3	3.6	0.4	3.5	0.4	4.0	0.4	4.8	0.4	4.8	0.3
	Non-Hispanic, White	2.9	0.4	2.7	0.4	3.3	0.5	2.7	0.3	3.7	0.4	4.0	0.5	4.2	0.4
	Non-Hispanic, Black	4.0	0.7	4.3	0.8	4.5	0.6	4.8	0.8	4.4	1.0	7.0	1.0	5.4	0.7
	Hispanic, all races	5.6	0.7	4.9	0.7	6.0	0.7	8.1	0.8	7.0	0.7	7.1	0.8	8.8	1.0
Family income^b	Negative/poor	6.6	0.9	5.3	0.9	7.2	1.0	7.9	1.0	7.6	1.0	8.9	1.0	9.7	1.1
	Near poor/low	4.7	0.8	4.9	0.7	5.2	0.8	6.0	0.7	6.5	1.0	7.8	1.1	8.5	0.9
	Middle	2.4	0.5	3.2	0.6	3.6	0.5	4.2	0.7	4.2	0.6	4.2	0.6	4.2	0.5
	High	2.6	0.6	1.8	0.5	DSU	DSU	1.3	0.4	1.9	0.4	2.6	0.5	2.5	0.5
Health insurance	Any private	2.3	0.3	2.7	0.4	2.6	0.4	2.6	0.4	3.0	0.3	3.8	0.4	3.9	0.3
	Public only	6.3	0.7	4.7	0.6	6.9	0.7	8.0	0.7	7.6	0.8	8.6	0.8	9.2	0.8
	Uninsured	5.8	1.5	DSU	DSU	DSU	DSU	5.4	1.6	8.0	1.8	5.9	1.6	7.3	1.3
Residence location^c	Metropolitan	3.9	0.3	3.4	0.3	4.0	0.4	4.2	0.4	4.3	0.4	5.3	0.4	5.4	0.4
	Large central metro	5.1	0.7	4.1	0.6	4.1	0.5	5.0	0.7	5.8	0.8	6.2	0.7	7.0	0.7
	Large fringe metro	2.3	0.5	3.0	0.6	3.5	1.0	2.7	0.5	3.6	0.6	4.0	0.7	4.1	0.6
	Medium metro	3.9	0.7	3.4	0.8	4.3	0.8	4.9	0.8	3.4	0.6	5.3	0.9	5.0	0.7
	Small metro	5.0	1.4	DSU	DSU	4.6	1.2	4.0	1.1	3.7	0.9	6.1	1.4	4.8	0.9
	Nonmetropolitan	2.5	0.7	3.8	0.8	4.0	0.7	5.0	0.9	5.7	0.9	4.5	0.8	5.4	0.8
	Micropolitan	DSU	DSU	4.4	1.2	4.8	1.1	5.0	1.1	5.2	1.2	4.2	0.9	4.9	1.0
	Noncore	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	6.4	1.7	4.9	1.4	6.6	1.3
Language spoken most often at home	English	3.3	0.3	3.0	0.3	3.7	0.4	3.8	0.4	4.1	0.3	4.7	0.4	4.9	0.3
Language spoken most often at home	Other	5.5	0.8	5.8	1.0	6.2	0.9	8.0	1.0	7.5	1.1	8.4	1.1	10.2	1.5
Perceived health status	Excellent/very good/good	3.6	0.3	3.2	0.3	3.8	0.4	4.1	0.3	4.4	0.4	5.0	0.4	5.2	0.3
Perceived health status	Fair/poor	DSU	DSU	11.8	3.5	14.9	3.0	10.2	2.3	10.2	2.5	12.8	2.8	10.8	2.1
CSHCN^d	Yes	4.3	0.7	4.1	0.7	5.3	0.7	5.2	0.7	5.3	0.7	5.8	0.7	6.5	0.8
CSHCN^d	No	3.5	0.4	3.3	0.3	3.7	0.4	4.0	0.4	4.3	0.4	5.0	0.4	5.0	0.3
U.S. born	Yes	3.6	0.3	3.3	0.3	DNC	DNC	DNC	DNC	DNC	DNC	5.0	0.4	5.1	0.3
U.S. born	No	5.9	1.4	DSU	DSU	DNC	DNC	DNC	DNC	DNC	DNC	9.4	2.3	12.5	2.7

^a. Denominator includes children 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. For more information, see the Medical Expenditure Panel Survey (MEPS) entry in Appendix B: Detailed Methods.

^d. CSHCN: Children with special health care needs. For details, refer to the MEPS documentation for the 2008� Full Year Consolidated Data File at http://www.meps.ahrq.gov/mepsweb/data_stats/download_data_files_detail.jsp?cboPufNumber=HC-121.

DNC - Data not collected.

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_6_1: 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_6_1.html