National Healthcare Disparities Report - LDI Health Economist

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Timeliness Findings Getting Care for Illness or Injury As Soon As Wanted A patient’s primary care provider should be the first point of contact for most illnesses and injuries. A patient’s ability to receive timely treatment for illness and injury is a key element in a patient-centered health care system. Chapter 4 Figure 4.1. 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, by race and income, 2002-2008 50 45 White Black Asian > 1 Race 50 45 Poor Low Income Middle Income High Income 40 40 35 35 Percent 30 25 Percent 30 25 20 20 15 15 10 10 5 5 0 2002 2003 2004 2005 2006 2007 2008 0 2002 2003 2004 2005 2006 2007 2008 Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008. Denominator: Civilian noninstitutionalized population age 18 and over. Note: For this measure, lower rates are better. Data were insufficient for this analysis for Native Hawaiians and Other Pacific Islanders, for American Indians and Alaska Natives, and for multiple race for 2003, 2007, and 2008. n From 2002 to 2008, the percentage of Whites 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 was significantly lower than the percentage of Blacks in 6 of 7 years. The percentage for Whites was lower than for Asians in 5 of 7 years (Figure 4.1). n During the same period, the percentage who reported not getting care as soon as wanted was significantly lower for high-income people than for poor, low-income, and middle-income people in all years. Also, the percentage who reported not getting care as soon as wanted was significantly lower for people with any college education than for high school graduates in all years and people with less than a high school education in 5 of 7 years (data not shown). Also, in the NHQR: n From 2002 to 2008, the percentage of 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 was significantly lower for adults age 65 and over than for adults ages 18-64. 156 National Healthcare Disparities Report, 2011
Timeliness Figure 4.2. 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, by ethnicity and income, 2002-2008 16 Non-Hispanic White Hispanic Non-Hispanic Black 16 Poor Low Income Middle Income High Income 14 14 12 12 10 10 Percent 8 6 Percent 8 6 Chapter 4 4 4 2 2 0 2002 2003 2004 2005 2006 2007 2008 0 2002 2003 2004 2005 2006 2007 2008 Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008. Denominator: Civilian noninstitutionalized population under age 18. Note: For this measure, lower rates are better. The 2007 data for high-income people did not meet criteria for statistical reliability, data quality, or confidentiality. n From 2002 to 2008, the percentage of children from high-income families who did not receive care as soon as wanted was significantly lower than the percentage of children from poor families in 5 of 6 years (Figure 6.2). The percentage for high-income children was lower than for low-income children in 4 of 6 years. n During this period, there was no statistically significant change in the gap between non-Hispanic White children and Hispanic children who did not receive care as soon as wanted. The gap between non-Hispanic White children and non-Hispanic Black children also did not change. Also, in the NHQR: n From 2002 to 2008, there was no statistically significant change in the gap between children living in large central metropolitan areas who did not receive care as soon as wanted and children in all other geographic areas. Emergency Department Visit Waiting Times n In 2008, an estimated 123.8 million visits were made to hospital EDs compared with 116.8 million visits in 2007 (NHAMCS: 2008 Emergency Department Tables; Niska, et al., 2010). n The median waiting time for patients to be seen by a physician during an ED visit in the United States was 35 minutes (NHAMCS: 2008 Emergency Department Tables). National Healthcare Disparities Report, 2011 157
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NATIONAL HEALTHCARE DISPARITIES REP
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Introduction and Methods With rapid
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