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2012 National Healthcare Quality and Disparities Reports

Facilitators and Barriers to Care

Health Insurance
People under age 65 with health insurance
People under age 65 with public health insurance only
People under age 65 with any private health insurance
Adults age 65 and over with any private health insurance
People under age 65 who were uninsured all year
People under age 65 with any period of uninsurance during the year
People under age 65 with any period of public insurance during the year

Financial Burden of Health Care Cost
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income
People under age 65 with private insurance whose family's out-of-pocket medical expenditures were more than 10% of total family income

Usual Source of Care
People without a usual source of care who indicated a financial or insurance reason for not having a source of care
People with a specific source of ongoing care
People with a usual primary care provider
People who identified a hospital, emergency room, or clinic as a source of ongoing care
People in fair or poor health with a specific source of ongoing care
People unable to get or delayed in getting needed medical care, dental care, or prescription medicines due to financial or insurance reasons

Patient Perceptions of Need
Composite measure: People who were unable to get or delayed in getting needed medical care, dental care, or prescription medicines in the last 12 months
People who were unable to get or delayed in getting needed medical care in the last 12 months
People who were unable to get or delayed in getting needed dental care in the last 12 months
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months
People with a usual source of care, excluding hospital emergency rooms, who have access to office hours on nights or weekends
People with difficulty contacting their usual source of care over the telephone
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist
Adults who needed to see a specialist in the last 6 months who sometimes or never found it easy to see a specialist, by type of health coverage
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist
Adults who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get care, tests, or treatment
Children who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get care, tests, or treatments
 


 

Health Insurance

Measure Title

People under age 65 with health insurance.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

National Tables

9_1_1_1.1 People under age 65 with health insurance, United States, 2005-2010

9_1_1_1.2 People under age 65 with health insurance, United States, 2000-2004

9_1_1_1.3a-c People under age 65 with health insurance, United States, 2010, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

CDC, NCHS, NHIS.

National Denominator

U.S. civilian noninstitutionalized population under age 65.

National Numerator

Subset of the denominator who reported coverage by any type of public or private health insurance.

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Health Insurance

Measure Title

People under age 65 with public health insurance only.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

National Tables

9_1_1_2.1 People under age 65 with public health insurance only, United States, 2005-2010

9_1_1_2.2 People under age 65 with public health insurance only, United States, 2000-2004

9_1_1_2.3a-c People under age 65 with public health insurance only, United States, 2010, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

CDC, NCHS, NHIS.

National Denominator

U.S. civilian noninstitutionalized population under age 65.

National Numerator

Subset of the denominator who reported coverage by public health insurance only.

Comments

Public insurance includes Medicare, Medicaid, and other public programs that provide hospital and/or physician coverage.

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Health Insurance

Measure Title

People under age 65 with any private health insurance.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

National Tables

9_1_1_3.1 People under age 65 with any private health insurance, United States, 2005-2010

9_1_1_3.2 People under age 65 with any private health insurance, United States, 2000-2004

9_1_1_3.3a-c People under age 65 with any private health insurance, United States, 2010, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

CDC, NCHS, NHIS.

National Denominator

U.S. civilian noninstitutionalized population under age 65.

National Numerator

Subset of the denominator who reported coverage by private health insurance only.

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Health Insurance

Measure Title

Adults age 65 and over with any private health insurance.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

National Tables

9_1_1_4.1 Adults age 65 and over with any private health insurance, United States, 2005-2010

9_1_1_4.2 Adults age 65 and over with any private health insurance, United States, 2000-2004

9_1_1_4.3a-c Adults age 65 and over with any private health insurance, United States, 2010, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

CDC, NCHS, NHIS.

National Denominator

U.S. civilian noninstitutionalized population age 65 and over.

National Numerator

Subset of the denominator who reported coverage by any private health insurance.

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Health Insurance

Measure Title

People under age 65 who were uninsured all year.

Measure Source

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

National Tables

9_1_1_5.1 People under age 65 who were uninsured all year, United States, United States, 2002-2009

9_1_1_5.2a-d People under age 65 who were uninsured all year, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population under age 65.

National Numerator

Subset of the denominator who reported no private or public health insurance coverage at any time during the year.

Comments

People who are "full-year uninsured" include those whose number of uninsured months is equal to the number of available months in MEPS.

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Health Insurance

Measure Title

People under age 65 with any period of uninsurance during the year.

Measure Source

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

National Tables

9_1_1_6.1 People under age 65 with any period of uninsurance during the year, United States, 2002-2009

9_1_1_6.2a-d People under age 65 with any period of uninsurance during the year, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population under age 65.

National Numerator

Subset of the denominator who reported they had no public or private health insurance coverage at some time during the year.

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Health Insurance

Measure Title

People under age 65 with any period of public insurance during the year.

Measure Source

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

National Tables

9_1_1_7.1 People under age 65 with any period of public insurance during the year, United States, 2002-2009

9_1_1_7.2a-d People under age 65 with any period of public insurance coverage during the year, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population under age 65.

National Numerator

Subset of the denominator who reported they had public health insurance coverage some time during the past year.

Comments

Public insurance includes Medicare, Medicaid, and other public programs that provide hospital and/or physician coverage.

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Financial Burden of Health Care Cost

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).

National Tables

9_1_2_1.1 People under age 65 whose family's out-of-pocket health insurance premiums and medical expenditures were more than 10% of total family income, United States, 2006-2009

9_1_2_1.2a-d People under age 65 whose family's out-of-pocket health insurance premiums and medical expenditures were more than 10% of total family income, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population under age 65.

National Numerator

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

Comments

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

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.

For income, insurance, expenditures, and premiums, a family is defined in terms of HIEUs. More information is available in the MEPS entry in the Detailed Methods appendix.

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Financial Burden of Health Care Cost

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).

National Tables

9_1_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, 2006-2009

9_1_2_2.2a-d 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, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population under age 65 who had private insurance, including employer-sponsored and nongroup coverage.

National Numerator

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

Comments

Total family income was determined as 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.

For income, insurance, expenditures, and premiums, a family is defined in terms of HIEUs. More information is available in the MEPS entry in the Detailed Methods appendix.

Private health insurance includes:

  • Private, employer sponsored: people who had at least 1 month of employer-sponsored insurance and zero months uninsured during the year.
  • Private, nongroup: people who had least 1 month of nongroup private insurance and zero months uninsured during the year.

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Usual Source of Care

Measure Title

People without a usual source of care who indicated a financial or insurance reason for not having a source of care.

Measure Source

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

National Tables

9_1_3_1.1 People without a usual source of care who indicate a financial or insurance reason for not having a source of care, United States, 2002-2009

9_1_3_1.2a-d People without a usual source of care who indicate a financial or insurance reason for not having a source of care, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population who reported having no usual source of care.

National Numerator

Subset of the denominator who indicated a financial or insurance reason for not having a usual source of care.

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Usual Source of Care

Measure Title

People with a specific source of ongoing care.

Measure Source

Healthy People 2020.

National Tables

9_1_3_2.1 People with a specific source of ongoing care, United States, 2009-2010

9_1_3_2.2a-c People with a specific source of ongoing care, United States, 2010, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Subset of the denominator who reported having a specific source of primary care.

Comments

A specific source of primary care includes urgent care/walk-in clinic, doctor's office, clinic, health center facility, hospital outpatient clinic, health maintenance or preferred provider organization, military or other Veterans Affairs health care facility, or some other place. A hospital emergency room is not included as a specific source of primary care.

This measure is referred to as measure AHS-5.1 in Healthy People 2020 documentation.

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Usual Source of Care

Measure Title

People with a usual primary care provider.

Measure Source

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

National Tables

9_1_3_3.1 People with a usual primary care provider, United States, 2002-2009

9_1_3_3.2a-d People with a usual primary care provider, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Subset of the denominator who have a usual primary care provider.

Comments

A person is determined to have had a primary care provider if his or her usual source of care setting was either a physician's office or a hospital (setting other than an emergency room), and he or she reported going to this usual source of care for new health problems, preventive health services, and referrals.

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Usual Source of Care

Measure Title

People who identified a hospital, emergency room, or clinic as a source of ongoing care.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

National Tables

9_1_3_4.1 People who identified a hospital, emergency room, or clinic as a source of ongoing care, United States, 2009-2010

9_1_3_4.2a-c People who identified a hospital, emergency room, or clinic as a source of ongoing care, United States, 2010, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

CDC, NCHS, NHIS

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Subset of the denominator who reported a hospital, emergency room, or clinic as their source of primary care.

Comments

Estimates are not age adjusted.

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Usual Source of Care

Measure Title

People in fair or poor health with a specific source of ongoing care.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

National Tables

9_1_3_5.1 People in fair or poor health with a specific source of ongoing care, United States, 2009-2010

9_1_3_5.2a-c People in fair or poor health with a specific source of ongoing care, United States, 2010, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

CDC, NCHS, NHIS.

National Denominator

Number of people who reported being in fair or poor health.

National Numerator

Subset of the denominator who reported having a specific source of ongoing care.

Comments

Estimates are not age adjusted.

A specific source of ongoing care includes urgent care/walk-in clinic, doctor's office, clinic, health center facility, hospital outpatient clinic, health maintenance or preferred provider organization, military or other Veterans Affairs health care facilities, or some other place. A hospital emergency room is not included as a specific source of ongoing care.

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Usual Source of Care

Measure Title

People unable to get or delayed in getting needed medical care, dental care, or prescription medicines due to financial or insurance reasons.

Measure Source

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

National Tables

9_1_3_6.1 People unable to get or delayed in getting needed medical care, dental care, or prescription medicines due to financial or insurance reasons, United States, 2002-2009

9_1_3_6.2a-d People unable to get or delayed in getting needed medical care, dental care, or prescription medicines due to financial or insurance reasons, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. families who reported having at least one member experience difficulties or delays in obtaining health care.

National Numerator

Subset of the denominator who indicated difficulties or delays in obtaining health care related to (1) affordability, (2) lack of approval or change by insurance company, (3) inability to get a referral, or (4) expense associated with the site of care.

Comments

A change in survey question format in 2002 affected the way responses were collected for this item; these rates should not be compared with data from 2001 and earlier.

Race, ethnicity, family income, and education characteristics are those of the family reference person and are used to characterize the entire family unit.

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Patient Perceptions of Need

Measure Title

Composite measure: People who were unable to get or delayed in getting needed medical care, dental care, or prescription medicines in the last 12 months.

Measure Source

Healthy People 2020.

National Tables

9_1_4_1.1 People unable to get or delayed in getting needed medical care, dental care, or prescription medicines, United States, 2002-2009

9_1_4_1.2a-d People unable to get or delayed in getting needed medical care, dental care, or prescription medicines, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

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

National Denominator

U. S. families reporting that at least one family member experienced difficulty in obtaining health care, including those with members who attempted but did not receive care or delayed the needed care.

National Numerator

Subset of the denominator reporting each of three reasons causing difficulty in obtaining health care: (1) cost (could not afford), (2) insurance-related reasons, and (3) other reasons.

Comments

Reasons associated with difficulty in obtaining health care were grouped based on specific survey responses.

This measure is referred to as measure AHS-6.1 in Healthy People 2020 documentation.

A change in survey question format in 2002 affected the way responses were collected for this item; these rates should not be compared with data from 2001 and earlier.

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Patient Perceptions of Need

Measure Title

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

Measure Source

Healthy People 2020.

National Tables

9_1_4_2.1 People unable to get or delayed in getting needed medical care, United States, 2002-2009

9_1_4_2.2a-d People unable to get or delayed in getting needed medical care, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

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

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Subset of the denominator who did not receive or delayed receiving needed medical care.

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Patient Perceptions of Need

Measure Title

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

Measure Source

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

National Tables

9_1_4_3.1 People unable to get or delayed in getting needed dental care, United States, 2002-2009

9_1_4_3.2a-d People unable to get or delayed in getting needed dental care, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Subset of the denominator who did not receive or delayed receiving needed dental care.

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Patient Perceptions of Need

Measure Title

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

Measure Source

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

National Tables

9_1_4_4.1 People unable to get or delayed in getting needed prescription medicines, United States, 2002-2009

9_1_4_4.2a-d People unable to get or delayed in getting needed prescription medicines, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Subset of the denominator who did not receive or delayed receiving needed prescription medications.

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Patient Perceptions of Need

Measure Title

People with a usual source of care, excluding hospital emergency rooms, who have access to office hours on nights or weekends.

Measure Source

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

National Tables

9_1_4_5.1 People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends, United States, 2002-2009

9_1_4_5.2a-d People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population who reported having a usual source of care.

National Numerator

Subset of the denominator who reported that their provider has night or weekend office hours.

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Patient Perceptions of Need

Measure Title

People with difficulty contacting their usual source of care over the telephone.

Measure Source

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

National Tables

9_1_4_6.1 People with difficulty contacting their usual source of care during regular business hours over the telephone about a health problem, United States, 2002-2009

9_1_4_6.2a-d People with difficulty contacting their usual source of care during regular business hours over the telephone about a health problem, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population who report having a usual source of care.

National Numerator

Subset of the denominator who reported that they have difficulty contacting their provider over the telephone.

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Patient Perceptions of Need

Measure Title

Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist.

Measure Source

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

National Tables

9_1_4_7.1_1 Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, United States, 2008-2009

9_1_4_7.1_2a-d Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized adults age 18 and over who reported that, during the previous 12 months, they or a doctor thought they needed to see a specialist.

National Numerator

Subset of the denominator who reported problems getting a referral to a specialist in the past year.

Comments

Tables report data from the MEPS Self-Administered Questionnaire (SAQ). The MEPS entry in the Data Sources appendix has more information on the SAQ.

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Patient Perceptions of Need

Measure Title

Adults who needed to see a specialist in the last 6 months who sometimes or never found it easy to see a specialist, by type of health coverage.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database (NCBD).

State Tables

9_1_4_7.2 Adults who had a doctor's office or clinic visit in the last 6 months who sometimes or never found it easy to get an appointment with a specialist, Medicare managed care, by State, 2010-2011

9_1_4_7.3 Adults who had a doctor's office or clinic visit in the last 6 months who sometimes or never found it easy to get an appointment with a specialist, Medicare fee for service, by State, 2010-2011

9_1_4_7.4 Adults who had a doctor's office or clinic visit in the last 6 months who sometimes or never found it easy to get an appointment with a specialist, commercial plans, by State, 2010-2011

9_1_4_7.5 Adults who had a doctor's office or clinic visit in the last 6 months who sometimes or never found it easy to get an appointment with a specialist, Medicaid, by State, 2010-2011

State Data Source

AHRQ, CQuIPS, NCBD.

State Denominator

Adults age 18 and over, with Medicaid, Medicare managed care, Medicare fee for service, or commercial insurance, as appropriate, who had a doctor's office or clinic visit in the last 6 months with valid responses.

State Numerator

Subset of the denominator who responded "Sometimes" or "Never" to being able to get an appointment with a specialist.

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Patient Perceptions of Need

Measure Title

Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist.

Measure Source

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

National Tables

9_1_4_8.1 Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, United States, 2008-2009

9_1_4_8.2a-c Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized children under age 18 whose parents reported that, during the previous 12 months, they or a doctor thought they needed to see a specialist.

National Numerator

Subset of the denominator whose parent reported problems getting a referral to a specialist in the past year.

State Table

9_1_4_8.2 Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, Medicaid, by State, United States, 2010-2011

State Data Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database (NCBD).

State Denominator

Same as national.

State Numerator

Same as national.

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

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Patient Perceptions of Need

Measure Title

Adults who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get care, tests, or treatment.

Measure Source

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

National Tables

9_1_4_9.1 Adults who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get the care, tests, or treatments, United States, 2008-2009

9_1_4_9.2a-d Adults who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get the care, tests, or treatments, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized adults (age 18 and over) who needed care, tests, or treatments in the last 12 months.

National Numerator

Subset of the denominator who sometimes or never found it easy to get the care, tests, or treatments.

Comments

Tables report data from the MEPS Self-Administered Questionnaire (SAQ). The MEPS entry in the Data Sources appendix has more information on the SAQ.

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Patient Perceptions of Need

Measure Title

Children who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get care, tests, or treatments.

Measure Source

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

National Tables

9_1_4_10.1 Children who needed care, tests, or treatments in the last 12 month who sometimes or never found it easy to get the care, tests, or treatments, United States, 2008-2009

9_1_4_10.2a-c Children who needed care, tests, or treatments in the last 12 month who sometimes or never found it easy to get the care, tests, or treatments, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized children under age 18 who needed care, tests, or treatments in the last 12 months.

National Numerator

Subset of the denominator who sometimes or never found it easy to get the care, tests, or treatments.

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

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Page last reviewed June 2013
Internet Citation: 2012 National Healthcare Quality and Disparities Reports: Facilitators and Barriers to Care . June 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr12/measurespec/facilitators_and_barriers.html

 

The information on this page is archived and provided for reference purposes only.

 

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