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2013 National Healthcare Disparities Report

Priority Populations Appendix
The National Healthcare Quality and Disparities Reports provide a comprehensive national overview of quality of health care and disparities in health care in the United States. They are organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

For each population listed below, chapters with relevant figures are listed, along with the figure numbers and topics. If a chapter is not listed, no figures in that chapter relate to the group of interest. 

Women

Quality Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.1. Women who reported they had a mammogram within the past 2 years.
  • Figure 2.2. Age-adjusted rate of advanced stage breast cancer per 100,000 women age 40 and over.
  • Figure 2.3. Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy at the time of lumpectomy or mastectomy.
  • Figure 2.4. Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy within 1 year of diagnosis.
  • Figure 2.5. Age-adjusted breast cancer deaths per 100,000 women.
  • Figure 2.7. Inpatient deaths per 1,000 adult hospital admissions with heart attack.
  • Figure 2.8. Adult admissions for congestive heart failure per 100,000 population.
  • Figure 2.10. New end stage renal disease patients age 18 and over who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy.
  • Figure 2.13. Dialysis patients under age 70 who were registered for transplantation within a year of ESRD initiation.
  • Figure 2.16. Adults age 20 and over with end stage renal disease due to diabetes, per million population.
  • Figure 2.17. New AIDS cases per 100,000 population age 13 and over.
  • Figure 2.20. HIV infection deaths per 100,000 population.
  • Figure 2.21. HIV clients in Ryan White-funded care who were virally suppressed (most recent HIV RNA <200 copies/mL).
  • Figure 2.22. HIV clients in Ryan White-funded care who were retained in HIV care (at least 2 ambulatory visits at least 90 days apart).
  • Figure 2.23. Adults with a major depressive episode in the past year who received treatment for depression in the past year.
  • Figure 2.24. Adolescents with a major depressive episode in the past year who received treatment for depression in the past year.
  • Figure 2.27. People age 12 and over treated for substance abuse who completed treatment course.
  • Figure 2.33. Hospital patients age 50 and over with pneumonia who received influenza immunization status assessment or provision.
  • Figure 2.34. Long-stay nursing home residents who were assessed and given influenza and pneumococcal immunization.
  • Figure 2.35. Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment.

Disparities Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.1. Women ages 50-74 who reported they had a mammogram within the past 2 years.
  • Figure 2.3. Age-adjusted rate of advanced stage breast cancer per 100,000 women age 40 and over.
  • Figure 2.4. Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy at the time of lumpectomy or mastectomy.
  • Figure 2.5. Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy within 1 year of diagnosis.
  • Figure 2.6. Age-adjusted breast cancer deaths per 100,000 women.
  • Figure 2.7. Female breast cancer incidence and mortality.
  • Figure 2.8. Adults who reported receiving a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high.
  • Figure 2.26. HIV patients who received recommended care.
  • Figure 2.27. Adult HIV patients with viral suppression for first test in the year.
  • Figure 2.34. People age 12 and over who needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 months.
  • Figure 2.36. Adults with doctor-diagnosed arthritis who reported they had effective, evidence-based arthritis education as an integral part of the management of their condition.

Quality Report—Chapter 3: Effectiveness of Care Across the Lifespan

  • Figure 3.6. Adolescents ages 13-15 who ever received at least 1 dose of the meningococcal vaccine.
  • Figure 3.7. Teens 15 to 19 years old who received counseling or information from a health care provider during the last 12 months about birth control.
  • Figure 3.10. Adults with obesity who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week.
  • Figure 3.15. Long-stay nursing home residents whose need for help with daily activities increased.
  • Figure 3.18. Long-stay nursing home residents who have moderate to severe pain.

Disparities Report—Chapter 3: Effectiveness of Care Across the Lifespan

  • Figure 3.7. Teens 15 to 19 years old who received counseling or information from a health care provider during the last 12 months about birth control.
  • Figure 3.8. Adult current smokers with a checkup in the last 12 months who received advice from a doctor to quit smoking.
  • Figure 3.11. Children ages 2-17 for whom a health provider gave advice within the past 2 years about exercise.
  • Figure 3.12. Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods.
  • Figure 3.13. Children ages 2-17 for whom a health provider ever gave advice about healthy eating.

Quality Report—Chapter 4: Patient Safety

  • Figure 4.8. Obstetric trauma with 3rd or 4th degree laceration per 1,000 vaginal deliveries without instrument assistance.
  • Figure 4.9. Nursing home residents experiencing various adverse events.
  • Figure 4.12. Ambulatory care visits due to adverse effects of medical care, per 1,000 people.

Disparities Report—Chapter 4: Patient Safety

  • Figure 4.5. Composite: Mechanical adverse events associated with central venous catheter placement among adults.
  • Figure 4.6. Obstetric trauma with 3rd or 4th degree laceration per 1,000 vaginal deliveries without instrument assistance.

Quality Report—Chapter 5: Timeliness

  • Figure 5.4. Hospital patients with heart attack who received percutaneous coronary intervention within 90 minutes.
  • Figure 5.5. Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival.

Quality Report—Chapter 7: Care Coordination

  • Figure 7.1. Hospitalized adult patients with heart failure who were given complete written discharge instructions.

Quality Report—Chapter 8: Efficiency

  • Figure 8.5. Perforated appendixes per 1,000 admissions for appendicitis.

Disparities Report—Chapter 8: Efficiency

  • Figure 8.4. Rate of emergency department visits with a principal diagnosis related to mental health and alcohol or substance abuse, per 100,000 population.
  • Figure 8.6. Perforated appendixes per 1,000 admissions for appendicitis, age 18 and over, in IHS, Tribal, and contract hospitals.

Quality Report—Chapter 9: Health System Infrastructure

Disparities Report—Chapter 9: Health System Infrastructure

  • Figure 9.8. Distribution of trauma center utilization for severe injuries in the United States.

Disparities Report—Chapter 10: Access to Care

  • Figure 10.1. People under age 65 with health insurance.
  • Figure 10.2. People under age 65 who were uninsured all year.
  • Figure 10.3. Predicted percentages of adults ages 18-64 who were uninsured all year.

Disparities Report—Chapter 11: Priority Populations

  • Figure 11.1. People living with disability, by age, sex, and economic status.
  • Figure 11.2. Medicare FFS beneficiaries by number of chronic conditions, age and sex, and race/ethnicity.
  • Figure 11.4. Hospital admissions with a readmission within 30 days for Medicare FFS beneficiaries, by number of chronic conditions, age, and sex.
  • Figure 11.5. Heart failure admissions for Medicare FFS beneficiaries, by number of chronic conditions, age and sex, and race/ethnicity.
  • Figure 11.6. Admissions for long-term complications of diabetes for Medicare FFS beneficiaries, by number of chronic conditions, age and sex, and race/ethnicity.

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Children

Quality Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.13. Dialysis patients under age 70 who were registered for transplantation within a year of ESRD initiation.
  • Figure 2.17. New AIDS cases per 100,000 population age 13 and over.
  • Figure 2.24. Adolescents with a major depressive episode in the past year who received treatment for depression in the past year.
  • Figure 2.25. Suicide deaths per 100,000 population.
  • Figure 2.26. People age 12 and over who needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 months.
  • Figure 2.27. People age 12 and over treated for substance abuse who completed treatment course.
  • Figure 2.35. Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment.
  • Figure 2.36. People with current asthma who reported taking preventive asthma medicine daily or almost daily.
  • Figure 2.37. People with current asthma who received a written asthma management plan from their health provider.

Disparities Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.32. Adolescents with a major depressive episode in the past year who received treatment for depression in the past year.

Quality Report—Chapter 3: Effectiveness of Care Across the Lifespan

  • Figure 3.1. Infants born in 2010 whose mothers had obtained early and adequate prenatal care.
  • Figure 3.2. Children ages 19-35 months who received the 4:3:1:3:3:1:4 vaccine series.
  • Figure 3.3. Children ages 2-17 with a dental visit in the calendar year.
  • Figure 3.4. Children ages 3-9 and 13-15 with untreated dental caries.
  • Figure 3.5. Children ages 0-17 with a well-child visit in the last 12 months.
  • Figure 3.6. Adolescents ages 13-15 who ever received at least 1 dose of the meningococcal vaccine.
  • Figure 3.7. Teens 15 to 19 years old who received counseling or information from a health care provider during the last 12 months about birth control.
  • Figure 3.11. Children ages 2-17 for whom a health provider gave advice within the past 2 years about exercise.
  • Figure 3.13. Children ages 2-17 for whom a health provider ever gave advice about healthy eating.

Disparities Report—Chapter 3: Effectiveness of Care Across the Lifespan

  • Figure 3.1. Absolute differences between percentages of White and Black infants born in 2010 whose mothers had obtained early and adequate prenatal care.
  • Figure 3.2. Children ages 19-35 months who received the 4:3:1:3:3:1:4 vaccine series.
  • Figure 3.3. Children ages 2-17 with a dental visit in the calendar year.
  • Figure 3.4. Adolescents ages 13-15 with untreated dental caries.
  • Figure 3.5. Children ages 0-17 years with a well-child visit in the last 12 months.
  • Figure 3.6. Adolescents ages 13-15 who ever received at least 1 dose of the meningococcal vaccine.
  • Figure 3.7. Teens 15 to 19 years old who received counseling or information from a health care provider during the last 12 months about birth control.
  • Figure 3.11. Children ages 2-17 for whom a health provider gave advice within the past 2 years about exercise.
  • Figure 3.13. Children ages 2-17 for whom a health provider ever gave advice about healthy eating.

Quality Report—Chapter 4: Patient Safety

  • Figure 4.6. Bloodstream infections per 1,000 central-line days in neonates and older children.
  • Figure 4.8. Obstetric trauma with 3rd or 4th degree laceration per 1,000 vaginal deliveries without instrument assistance (includes ages 10-17).
  • Figure 4.12. Ambulatory care visits due to adverse effects of medical care, per 1,000 people.

Disparities Report—Chapter 4: Patient Safety

  • Figure 4.14. Pennsylvania patient safety reports, by event type and age.
  • Figure 4.15. Pennsylvania patient safety reports by harm and age.

Quality Report—Chapter 5: Timeliness

  • Figure 5.2. 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.
  • Figure 5.3. Emergency department visits where patient was transferred or admitted and length of visit was 6 hours or more.

Disparities Report—Chapter 5: Timeliness

  • Figure 5.2. 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.

Quality Report—Chapter 6: Patient Centeredness

  • Figure 6.2. Composite: Children who had a doctor’s officer or clinic visit in the last 12 months whose parents reported poor communication with health providers.

Disparities Report—Chapter 6: Patient Centeredness

  • Figure 6.3. Composite: Children who had a doctor’s officer or clinic visit in the last 12 months whose parents reported poor communication with health providers.

Quality Report—Chapter 7: Care Coordination

  • Figure 7.5. Effective care coordination among children with special health care needs.
  • Figure 7.6. Children with special health care needs with a medical home.

Disparities Report—Chapter 7: Care Coordination

  • Figure 7.5. Effective care coordination among children with special health care needs.
  • Figure 7.6. Children with special health care needs with a medical home.

Quality Report—Chapter 8: Efficiency

  • Figure 8.2. Rate of emergency department visits with a principal diagnosis related to mental health and alcohol or substance abuse, per 100,000 population.

Quality Report—Chapter 9: Health System Infrastructure

  • Figure 9.8. Distribution of trauma center utilization for severe injuries in the United States.
  • Figure 9.9. Characteristics of HSHC patients.

Quality Report—Chapter 10: Access to Care

  • Figure 10.1. People under age 65 with health insurance.
  • Figure 10.2. People under age 65 who were uninsured all year.
  • Figure 10.4. People with a specific source of ongoing care.

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People With Low Income

Quality Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.29. Adults with doctor-diagnosed arthritis who reported they received health care provider counseling about physical activity or exercise.
  • Figure 2.37. People with current asthma who received written asthma management plans from their health provider.

Disparities Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.1. Women ages 50-74 who reported they had a mammogram within the past 2 years.
  • Figure 2.4. Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy at the time of lumpectomy or mastectomy.
  • Figure 2.5. Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy within 1 year of diagnosis.
  • Figure 2.11. Inpatient deaths per 1,000 adult hospital admissions with heart attack.
  • Figure 2.12. Adult admissions for congestive heart failure per 100,000 population.
  • Figure 2.16. Excess number of hospitalizations for congestive heart failure.
  • Figure 2.19. Adults age 40 and over with diagnosed diabetes who reported receiving four recommended services for diabetes in the calendar year (2+ hemoglobin A1c tests, foot exam, dilated eye exam, and flu shot).
  • Figure 2.22. Hospital admissions for uncontrolled diabetes per 100,000 population.
  • Figure 2.29. HIV clients in Ryan White-funded care who were virally suppressed (most recent HIV RNA <200 copies/mL).
  • Figure 2.30. HIV clients in Ryan White-funded care who were retained in HIV care (at least 2 ambulatory visit dates at least 90 days apart).
  • Figure 2.38. Overweight adults with doctor-diagnosed arthritis who reported they received health care provider counseling about weight reduction.
  • Figure 2.45. People with current asthma who report taking preventive asthma medicine daily or almost daily.
  • Figure 2.46. People with current asthma who received written asthma management plans from their health provider.

Quality Report—Chapter 3: Effectiveness of Care Across the Lifespan

  • Figure 3.2. Children ages 19-35 months who received the 4:3:1:3:3:1:4 vaccine series.

Disparities Report—Chapter 3: Effectiveness of Care Across the Lifespan

  • Figure 3.3. Children ages 2-17 with a dental visit in the calendar year.
  • Figure 3.4. Adolescents ages 13-15 with untreated dental caries.
  • Figure 3.5. Children ages 0-17 years with a well-child visit in the last 12 months.
  • Figure 3.6. Adolescents ages 13-15 who ever received at least 1 dose of the meningococcal vaccine.
  • Figure 3.10. Adults with obesity who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week.

Disparities Report—Chapter 4: Patient Safety

  • Figure 4.6. Obstetric trauma with 3rd or 4th degree laceration per 1,000 vaginal deliveries without instrument assistance.
  • Figure 4.12. Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year.

Disparities Report—Chapter 5: Timeliness

  • Figure 5.1. 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.
  • Figure 5.2. 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.

Disparities Report—Chapter 6: Patient Centeredness

  • Figure 6.1. Composite: Adults who had a doctor’s office or clinic visit in the last 12 months who reported poor communication with health providers.
  • Figure 6.2. Composite: Adults who had a doctor’s office or clinic visit who reported poor communication with health providers.

Quality Report—Chapter 7: Care Coordination

  • Figure 7.5. Effective care coordination among children with special health care needs.
  • Figure 7.6. Children with special health care needs with a medical home.

Disparities Report—Chapter 8: Efficiency

  • Figure 8.1. Potentially avoidable hospitalization rates.
  • Figure 8.3. Excess number of potentially preventable hospitalizations.
  • Figure 8.4. Rate of emergency department visits with a principal diagnosis related to mental health and alcohol or substance abuse, per 100,000 population.
  • Figure 8.5. Perforated appendixes per 1,000 admissions for appendicitis, age 18 and over.

Disparities Report—Chapter 9: Health System Infrastructure

  • Figure 9.8. Distribution of trauma center utilization for severe injuries in the United States.
  • Figure 9.9. Race, ethnicity, and income of patients receiving care in an HSHC.

Disparities Report—Chapter 10: Access to Care

  • Figure 10.2. People under age 65 who were uninsured all year.
  • Figure 10.3. Predicted percentages of adults ages 18-64 who were uninsured all year.
  • Figure 10.5. People under age 65 whose family’s health insurance premium and out-of-pocket medical expenses were more than 10% of total family income.
  • Figure 10.6. People with a specific source of ongoing care.

Disparities Report—Chapter 11: Priority Populations

  • Figure 11.1. People living with disability, by age, sex, 2012, and economic status, 2010 and 2012.

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People With Low Education

Quality Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.26. People age 12 and over who needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 months.
  • Figure 2.28. Adults with doctor-diagnosed arthritis who reported they had effective, evidence-based arthritis education as an integral part of the management of their condition.

Disparities Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.35. People age 12 and over treated for substance abuse who completed treatment course.
  • Figure 2.40. State variation in disparities related to education: adults age 65 and over who reported ever receiving pneumococcal immunization.

Disparities Report—Chapter 6: Patient Centeredness

  • Figure 6.8. Adults with a usual source of care whose health providers sometimes or never asked for the patient’s help to make treatment decisions.

Disparities Report—Chapter 7: Care Coordination

  • Figure 7.2. People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors.

Disparities Report—Chapter 10: Access to Care

  • Figure 10.3. Predicted percentages of adults ages 18-64 who were uninsured all year.

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Uninsured People

Quality Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.1. Women who reported they had a mammogram within the past 2 years.
  • Figure 2.3. Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy at the time of lumpectomy or mastectomy.
  • Figure 2.4. Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy within 1 year of diagnosis.
  • Figure 2.7. Inpatient deaths per 1,000 adult hospital admissions with heart attack.
  • Figure 2.21. HIV clients in Ryan White-funded care who were virally suppressed (most recent HIV RNA <200 copies/mL).
  • Figure 2.22. HIV clients in Ryan White-funded care who were retained in HIV care (at least 2 ambulatory visits at least 90 days apart).
  • Figure 2.30. Overweight and obese adults with doctor-diagnosed arthritis who reported they received health care provider counseling about weight reduction.
  • Figure 2.36. People with current asthma who reported taking preventive asthma medicine daily or almost daily.

Disparities Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.13. Adults who reported receiving a cholesterol check in the last 5 years.

Quality Report—Chapter 3: Effectiveness of Care Across the Lifespan

  • Figure 3.3. Children ages 2-17 with a dental visit in the calendar year.
  • Figure 3.5. Children ages 0-17 with a well-child visit in the last 12 months.
  • Figure 3.7. Teens 15 to 19 years old who received counseling or information from a health care provider during the last 12 months about birth control.
  • Figure 3.9. Adults with obesity who ever received advice from a health provider to exercise more.
  • Figure 3.11. Children ages 2-17 for whom a health provider gave advice within the past 2 years about exercise.
  • Figure 3.12. Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods.
  • Figure 3.13. Children ages 2-17 for whom a health provider ever gave advice about healthy eating.

Quality Report—Chapter 4: Patient Safety

  • Figure 4.8. Obstetric trauma with 3rd or 4th degree laceration per 1,000 vaginal deliveries without instrument assistance.

Disparities Report—Chapter 4: Patient Safety

  • Figure 4.2. Postoperative sepsis per 1,000 adult discharges with an elective operating room procedure.

Quality Report—Chapter 5: Timeliness

  • Figure 5.1. 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.
  • Figure 5.2. 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.

Disparities Report—Chapter 5: Timeliness

  • Figure 5.3. Emergency department visits where patient was transferred or admitted and length of visit was 6 hours or more.

Quality Report—Chapter 6: Patient Centeredness

  • Figure 6.1. Composite: Adults who had a doctor’s office or clinic visit in the last 12 months who reported poor communication with health providers.
  • Figure 6.2. Composite: Children who had a doctor’s office or clinic visit in the last 12 months whose parents reported poor communication with health providers.

Quality Report—Chapter 7: Care Coordination

  • Figure 7.2. People under age 65 with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors.
  • Figure 7.5. Effective care coordination among children with special health care needs.
  • Figure 7.6. Children with special health care needs with a medical home.

Quality Report—Chapter 9: Health System Infrastructure

Quality Report—Chapter 10: Access to Care

  • Figure 10.3. People under age 65 whose family’s health insurance premium and out-of-pocket medical expenses were more than 10% of total family income.
  • Figure 10.4. People with a specific source of ongoing care.
  • Figure 10.5. People with a usual primary care provider.
  • Figure 10.6. People who were unable to get or delayed in getting needed medical care, dental care, or prescription medicines in the last 12 months.

Residents of Rural Areas

Quality Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.5. Age-adjusted breast cancer deaths per 100,000 women.
  • Figure 2.14. Adults age 40 and over with diagnosed diabetes who reported receiving four recommended services for diabetes in the calendar year (2+ hemoglobin A1c tests, foot exam, dilated eye exam, and flu shot).
  • Figure 2.15. Hospital admissions for uncontrolled diabetes without complications per 100,000 population, age 18 and over.
  • Figure 2.25. Suicide deaths per 100,000 population.
  • Figure 2.31. Adults age 65 and over who reported ever receiving pneumococcal immunization.

Quality Report—Chapter 3: Effectiveness of Care Across the Lifespan

  • Figure 3.6. Adolescents ages 13-15 who ever received at least 1 dose of the meningococcal vaccine.

Disparities Report—Chapter 4: Patient Safety

  • Figure 4.11. Ambulatory care visits due to adverse effects of medical care per 1,000 people.

Quality Report—Chapter 5: Timeliness

  • Figure 5.3. Emergency department visits where patient was transferred or admitted and length of visit was 6 hours or more.

Disparities Report—Chapter 6: Patient Centeredness

  • Figure 6.3. Composite: Children who had a doctor’s officer or clinic visit in the last 12 months whose parents reported poor communication with health providers.

Quality Report—Chapter 8: Efficiency

  • Figure 8.1. Potentially avoidable emergency department visit rates.
  • Figure 8.2. Rate of emergency department visits with a principal diagnosis related to mental health and alcohol or substance abuse, per 100,000 population.

Quality Report—Chapter 9: Health System Infrastructure

  • Figure 9.8. Distribution of trauma center utilization for severe injuries in the United States.

Disparities Report—Chapter 9: Health System Infrastructure

  • Figure 9.11. Medicaid and uninsured discharges, by facility characteristics, U.S. short-term acute hospitals.

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People With Special Health Care Needs

Quality Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.1. Women who reported they had a mammogram within the past 2 years.
  • Figure 2.6. Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high.
  • Figure 2.28. Adults with doctor-diagnosed arthritis who reported they had effective, evidence-based arthritis education as an integral part of the management of their condition.
  • Figure 2.29. Adults with doctor-diagnosed arthritis who reported they received health care provider counseling about physical activity or exercise.
  • Figure 2.30. Overweight and obese adults with doctor-diagnosed arthritis who reported they received health care provider counseling about weight reduction.
  • Figure 2.31. Adults age 65 and over who reported ever receiving pneumococcal immunization.

Quality Report—Chapter 3: Effectiveness of Care Across the Lifespan

  • Figure 3.8.—Adult current smokers with checkup in the last 12 months who received advice to quit smoking.
  • Figure 3.9. Adults with obesity who ever received advice from a health provider to exercise more.
  • Figure 3.11. Children ages 2-17 for whom a health provider gave advice within the past 2 years about exercise.
  • Figure 3.12. Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods.
  • Figure 3.13. Children ages 2-17 for whom a health provider ever gave advice about healthy eating.
  • Figure 3.16. Functional Independence Measure scores at admission and discharge by type of function.

Quality Report—Chapter 5: Timeliness

  • Figure 5.1. 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.
  • Figure 5.2. 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.

Quality Report—Chapter 6: Patient Centeredness

  • Figure 6.1. Composite: Adults who had a doctor’s office or clinic visit in the last 12 months who reported poor communication with health providers.
  • Figure 6.6. People with a usual source of care whose health providers sometimes or never asked for the patient’s help to make treatment decisions.

Quality Report—Chapter 7: Care Coordination

  • Figure 7.2. People under age 65 with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors.
  • Figure 7.5. Effective care coordination among children with special health care needs.
  • Figure 7.6. Children with special health care needs with a medical home.

Disparities Report—Chapter 7: Care Coordination

  • Figure 7.5. Effective care coordination among children with special health care needs.
  • Figure 7.6. Children with special health care needs with a medical home.

Quality Report—Chapter 10: Access to Care

  • Figure 10.1. People under age 65 with health insurance.
  • Figure 10.2. People under age 65 who were uninsured all year.
  • Figure 10.3. People under age 65 whose family’s health insurance premium and out-of-pocket medical expenses were more than 10% of total family income.
  • Figure 10.4. People with a specific source of ongoing care.
  • Figure 10.5. People under age 65 with a usual primary care provider.
  • Figure 10.6. People who were unable to get or delayed in getting needed medical care, dental care, or prescription medicines in the last 12 months.

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Older Adults

Quality Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.1. Women who reported they had a mammogram within the past 2 years.
  • Figure 2.2. Age-adjusted rate of advanced stage breast cancer per 100,000 women age 40 and over.
  • Figure 2.3. Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy at the time of lumpectomy or mastectomy.
  • Figure 2.4. Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy within 1 year of diagnosis.
  • Figure 2.5. Age-adjusted breast cancer deaths per 100,000 women.
  • Figure 2.8. Adult admissions for congestive heart failure per 100,000 population.
  • Figure 2.10. New end stage renal disease patients age 18 and over who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy.
  • Figure 2.13. Dialysis patients under age 70 who were registered for transplantation within a year of ESRD initiation.
  • Figure 2.14. Adults age 40 and over with diagnosed diabetes who reported receiving four recommended services for diabetes in the calendar year (2+ hemoglobin A1c tests, foot exam, dilated eye exam, and flu shot).
  • Figure 2.15. Hospital admissions for uncontrolled diabetes without complications per 100,000 population, age 18 and over.
  • Figure 2.16. Adults age 20 and over with end stage renal disease due to diabetes, per million population.
  • Figure 2.17. New AIDS cases per 100,000 population age 13 and over.
  • Figure 2.18. HIV patients who received recommended care.
  • Figure 2.19. Adult HIV patients with viral suppression for first test in the year.
  • Figure 2.20. HIV infection deaths per 100,000 population.
  • Figure 2.25. Suicide deaths per 100,000 population.
  • Figure 2.27. People age 12 and over treated for substance abuse who completed treatment course.
  • Figure 2.31. Adults age 65 and over who reported ever receiving pneumococcal immunization.
  • Figure 2.32. State variation: Adults age 65 and over who reported ever receiving pneumococcal immunization.
  • Figure 2.33. Hospital patients age 50 and over with pneumonia who received influenza immunization status assessment or provision.
  • Figure 2.34. Long-stay nursing home residents who were assessed and given influenza and pneumococcal immunization.
  • Figure 2.35. Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment.
  • Figure 2.36. People with current asthma who reported taking preventive asthma medicine daily or almost daily.
  • Figure 2.37. People with current asthma who received written asthma management plans from their health provider.

Disparities Report—Chapter 2: Effectiveness of Care for Common Clinical Conditions

  • Figure 2.1. Women ages 50-74 who reported they had a mammogram within the past 2 years.
  • Figure 2.2. Women ages 50-74 who reported they had a mammogram within the past 2 years, by English proficiency, preferred language, and ethnicity, California.
  • Figure 2.19. Adults age 40 and over with diagnosed diabetes who reported receiving four recommended services for diabetes in the calendar year (2+ hemoglobin A1c tests, foot exam, dilated eye exam, and flu shot).
  • Figure 2.23. Hospital admissions for uncontrolled diabetes per 100,000 population in IHS, Tribal, and contract hospitals.
  • Figure 2.37. Adults with doctor-diagnosed arthritis who reported they received health care provider counseling about physical activity or exercise.
  • Figure 2.39. Adults age 65 and over who reported ever receiving pneumococcal immunization.
  • Figure 2.40. State variation in disparities related to education: Adults age 65 and over who reported ever receiving pneumococcal immunization.
  • Figure 2.41. Hospital patients age and over with pneumonia who received influenza immunization status assessment or provision.

Quality Report—Chapter 3: Effectiveness of Care Across the Lifespan

  • Figure 3.8.—Adult current smokers with a checkup in the last 12 months who received advice to quit smoking.
  • Figure 3.10. Adults with obesity who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week.
  • Figure 3.14. Adult home health care patients whose ability to walk or move around improved.
  • Figure 3.15. Long-stay nursing home residents whose need for help with daily activities increased.
  • Figure 3.17. Adult home health care patients who had less shortness of breath between the start and end of a home health care episode.
  • Figure 3.18. Long-stay nursing home residents who have moderate to severe pain.
  • Figure 3.19. Hospice patients age 18 and over who did NOT receive the right amount of help for feelings of anxiety or sadness.
  • Figure 3.20. Hospice patients age 18 and over whose family caregivers wanted more information about what to expect while the patient was dying.
  • Figure 3.21. Hospice patients age 18 and over who did NOT receive care consistent with their stated end-of-life wishes.

Disparities Report—Chapter 3: Effectiveness of Care Across the Lifespan

  • Figure 3.9. Adults with obesity who ever received advice from a health provider to exercise more.
  • Figure 3.16. Adult home health care patients whose ability to walk or move around improved.
  • Figure 3.17. Long-stay nursing home residents whose need for help with daily activities increased.
  • Figure 3.20. Long-stay nursing home residents who have moderate to severe pain.

Quality Report—Chapter 4: Patient Safety

  • Figure 4.2. Postoperative sepsis per 1,000 adult discharges with an elective operating room procedure.
  • Figure 4.3. Adult surgery patients with postoperative catheter-associated urinary tract infection.
  • Figure 4.7. Composite: Mechanical adverse events associated with central venous catheter placement in adults.
  • Figure 4.9. Nursing home residents experiencing various adverse events.
  • Figure 4.10. Home health patients with improvement in their surgical site wounds.
  • Figure 4.11. Home health patients with improvements in their ability to take medications orally.
  • Figure 4.12. Ambulatory care visits due to adverse effects of medical care, per 1,000 people.
  • Figure 4.13. Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year.

Disparities Report—Chapter 4: Patient Safety

  • Figure 4.14. Pennsylvania patient safety reports, by event type and patient age.
  • Figure 4.15. Pennsylvania patient safety reports by harm and age.

Quality Report—Chapter 6: Patient Centeredness

  • Figure 6.1. Composite: Adults who had a doctor’s office or clinic visit in the last 12 months who reported poor communication with health providers.
  • Figure 6.3. Adult hospital patients who reported poor communication with nurses and doctors.

Quality Report—Chapter 7: Care Coordination

  • Figure 7.1. Hospitalized adult patients with heart failure who were given complete written discharge instructions.

Quality Report—Chapter 8: Efficiency

  • Figure 8.1. Potentially avoidable emergency department visit rates.
  • Figure 8.2. Rate of emergency department visits with a principal diagnosis related to mental health and alcohol or substance abuse, per 100,000 population.
  • Figure 8.5. Perforated appendixes per 1,000 admissions for appendicitis.

Disparities Report—Chapter 8: Efficiency

  • Figure 8.6. Perforated appendixes per 1,000 admissions for appendicitis, age 18 and over, in IHS, Tribal, and contract hospitals.

Quality Report—Chapter 9: Health System Infrastructure

  • Figure 9.8. Distribution of trauma center utilization for severe injuries in the United States.
  • Figure 9.9. Characteristics of HSHC patients.

Quality Report—Chapter 10: Access to Care

  • Figure 10.4. People with a specific source of ongoing care.

Disparities Report—Chapter 10: Access to Care

  • Figure 10.7. People with a usual primary care provider.
  • Figure 10.8. People who were unable to get or delayed in getting needed medical care, dental care, or prescription medicines in the last 12 months.

Disparities Report—Chapter 11: Priority Populations

  • Figure 11.1. People living with disability, by age.
  • Figure 11.4. Hospital admissions with a readmission within 30 days for Medicare FFS beneficiaries, by number of chronic conditions, age, and sex.
  • Figure 11.5. Heart failure admissions for Medicare FFS beneficiaries, by number of chronic conditions, age and sex, and race/ethnicity.
  • Figure 11.6. Admissions for long-term complications of diabetes for Medicare FFS beneficiaries, by number of chronic conditions, age and sex, and race/ethnicity.

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Page last reviewed October 2014
Page originally created October 2014
Internet Citation: 2013 National Healthcare Disparities Report. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/findings/nhqrdr/nhqrdr13/prioritypopsapp.html

 

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

 

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