Chartbook on Health Care for Blacks
Health Care for Blacks
Table of Contents
Part 3: Trends in Access and Priorities of the National Quality Strategy—National Quality Strategy Priorities
- Commemorates the 30th Anniversary of the Report of the Secretary's Task Force on Black and Minority Health (Heckler Report)
- Highlights progress for Blacks on priorities of the Heckler Report
- Summarizes trends in health care disparities by race related to:
- Access to health care.
- Priorities of the National Quality Strategy (NQS).
- Part of a series related to the National Healthcare Quality and Disparities Report (QDR).
- Organized into three parts:
- Overviews of the QDR and the Black population, one of AHRQ’s priority populations.
- Summary of trends in health care for the Black population related to priorities of the Heckler Report.
- Summary of trends in health care for the Black population related to access to health care and NQS priorities.
- For the sake of brevity, Blacks refers both to African Americans (U.S. born) and foreign-born Blacks.
- Foreign-born Blacks represent a growing percentage of the population but most data sources do not distinguish between U.S.- and foreign-born Blacks.
- In 2000 and later U.S. Census Bureau surveys:
- U.S.-born Blacks refer to people born in the United States, Puerto Rico, or other U.S. territories and those born abroad to at least one parent who is a U.S. citizen.
- Foreign-born Blacks refer to people born outside the United States, Puerto Rico, or other U.S. territories.
- Both terms refer to people whose race is Black or mixed Black, regardless of Hispanic origin.
- This terminology is used in 2000 and later U.S. Census Bureau surveys.
Source: American Community Survey and Puerto Rico Community Survey, 2013. 2013 Subject Definitions. http://www.census.gov/programs-surveys/acs/technical-documentation/code-lists.2013.html
- The QDR's income data comes in two formats which is a determinant of the diverse sources of our data.
- Poor, low income, middle income, and high income.
- Quartiles: Q1- Q4.
- Poor is defined as having family income less than 100% of the Federal poverty level (FPL); low income refers to income of 100% to 199% of the FPL; middle income refers to income of 200% to 399% of the FPL; and high income refers to income of 400% of the FPL and above. These are based on U.S. census poverty thresholds for each data year, which are used for statistical purposes.
- Q1 represents the lowest income quartile and Q4 represents the highest income quartile based on the median income of a patient’s ZIP Code of residence.
- Comparisons in this chartbook are between Blacks and Whites whenever the data are available.
- Some comparisons are between non-Hispanic Blacks and non-Hispanic Whites when those are the only data available; the terms "Blacks" and "Whites" are still used in these cases.
- Data on access to and quality of health care received by Blacks were available for almost all measures tracked in the QDR.
- Among Heckler Report priorities, disparities in colorectal cancer care and diabetes care presented major challenges for Blacks.
- Blacks have worse access to care although this is improving since the Affordable Care Act.
- Blacks receive poorer quality of care, especially on measures of as related to person centeredness and care coordination.
Page last reviewed June 2018
Page originally created March 2016
Page originally created March 2016
Internet Citation: Health Care for Blacks. Content last reviewed June 2018. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/healthcare.html