National Healthcare Disparities Report - LDI Health Economist

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Access to Health Care Figure 9.9. People who were unable to get or delayed in getting needed medical care, dental care, or prescription medicines in the last 12 months, by race and income, 2002-2008 20 White Asian >1Race Black AI/AN 18 20 18 Poor Low Income Middle Income High Income 16 16 14 14 Chapter 9 Percent 12 10 Percent 12 10 8 8 6 6 4 4 2 2 0 2002 2003 2004 2005 2006 2007 2008 0 2002 2003 2004 2005 2006 2007 2008 Key: AI/AN = American Indian or Alaska Native. Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008. Denominator: Civilian noninstitutionalized population of all ages. Note: For this measure, lower rates are better. n Overall in 2008, 10% of people were unable to receive or delayed in receiving needed medical care, dental care, or prescription medicines (data not shown). n In 2008, Asians (6%) were less likely than Whites (11%) to report that they were unable to receive or delayed in receiving medical care, dental care, or prescription medicines (Figure 9.9). Hispanics (8%) were less likely than non-Hispanic Whites (11%) to report that they were unable to receive or delayed in receiving medical care, dental care, or prescription medicines (data not shown). n In 2008, the percentage of people who were unable to get or delayed in getting needed medical care, dental care, or prescription medicines was significantly higher for poor (15%), low-income (13%), and middle-income (9%) people than for high-income people (8%). n People with less than a high school education and people with a high school education were more likely than those with any college education to report they were unable to get or delayed in getting needed care (15% and 12%, respectively, compared with 11%; data not shown). Also, in the NHQR: n In 2008, a higher percentage of people ages 18-44, 45-64, and 65 and over reported being unable to get or delaying needed medical care compared with those ages 0-17. n In 2008, the percentage was more than twice as high for people with no health insurance as for people with private insurance and was also higher for people with public insurance than for people with private insurance. 230 National Healthcare Disparities Report, 2011
Access to Health Care References Alexander GC, Casalino LP, Meltzer DO. Patient-physician communication about out-of-pocket costs. JAMA 2003;290(7):953-8. Banthin JS, Bernard DM. Changes in financial burdens for health care: national estimates for the population younger than 65 years, 1996 to 2003. JAMA 2006;296(22):2712-9. De Maeseneer J, De Prins L, Gosset C, et al. Provider continuity in family medicine: does it make a difference for total health care costs Ann Fam Med 2003;(1):144-8. DP05: ACS demographic and housing estimates; 2010 American Community Survey 1-year estimates. Suitland, MD: U.S. Census Bureau; 2010. Available at: http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtmlpid=ACS_10_1YR_DP05&prodType=table. Accessed February 24, 2012. Ettner SL. The timing of preventive services for women and children: the effect of having a usual source of care. Am J Pub Health 1996;86(12):1748-54. Hadley J, Holahan J. The cost of care for the uninsured: what do we spend, who pays, and what would full coverage add to medical spending Kaiser Issue Update. Washington, DC: The Henry J. Kaiser Family Foundation; May 10, 2004. Available at: http://www.kff.org/uninsured/upload/The-Cost-of-Care-for-the-Uninsured-What-Do-We-Spend-Who-Pays-and-What-Would- Full-Coverage-Add-to-Medical-Spending.pdf. Accessed May 23, 2011. Inkelas M, Schuster MA, Olson LM, et al. Continuity of primary care clinician in early childhood. Pediatrics 2004;113(6 Suppl):1917-25. Institute of Medicine, Committee on Monitoring Access to Personal Health Care Services. Access to health care in America. Washington, DC: National Academy Press; 1993. Jacoby M, Sullivan T, Warren E. Medical problems and bankruptcy filings. Norton’s Bankruptcy Law Advisor 2000 May;5:1-12. Parchman ML, Burge SK. Continuity and quality of care in type 2 diabetes: a Residency Research Network of South Texas study. J Fam Pract 2002;51(7):619-24. Phillips R, Proser M, Green L, et al. The importance of having health insurance and a usual source of care. Am Fam Physician 2004 Sep 15;70(6):1035. Starfield B, Shi L. The medical home, access to care, and insurance: a review of evidence. Pediatrics 2004;113(5 Suppl):1493-8. U.S. Census Bureau. Facts for Features, May 2011. Available at: http://www.census.gov/newsroom/releases/archives/facts_for_features_special_editions/cb11-ff06.html. Accessed August 24, 2011. The value of health insurance: few of the uninsured have adequate resources to pay potential hospital bills. ASPE Research Brief. Washington, DC: U.S. Department of Health and Human Services; May 2011. at Available at: http://aspe.hhs.gov/health/reports/2011/ValueofInsurance/rb.pdf. Accessed June 29, 2011. Chapter 9 National Healthcare Disparities Report, 2011 231
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