Upload
harold-burke
View
222
Download
0
Embed Size (px)
DESCRIPTION
1-12. Toll-free number for poison control centers Target Met Baseline Data Obtained Modified at Midcourse* 1-3. Counseling about health behaviors 1-7. Core competencies in health provider training Rapid pre-hospital emergency care Trauma care systems Access to long-term care services Progress: Three quarters of objectives and subobjectives with data beyond the baseline year are moving toward their targets. Status of Access to Quality Health Services Objectives * Midcourse modifications are proposed and are subject to final approval by HHS.
Citation preview
Healthy People 2010 Focus Area 1:
Access to Quality Health Services
Progress ReviewJune 15, 2006
1-1. Health insurance coverage1-2. Health insurance coverage for clinical preventive services *1-3. Counseling about health behaviors
Clinical Preventive Care Emergency Services
Primary Care
Long-Term Care & Rehabilitative Services
1-10. Difficulty or delay in getting emergency care1-11. Rapid pre-hospital emergency care1-12. Toll-free number for poison control centers1-13. Trauma care systems1-14. Pediatric guidelines & protocols
1-4. Source of ongoing care1-5. Usual primary care provider1-6. Difficulty or delay in getting care1-7. Core competencies in health provider training1-8. Racial/ethnic representation in health professions1-9. Hospitalizations for ambulatory care-sensitive conditions
1-15. Access to long-term care services1-16. Pressure ulcers among nursing home residents Proposed for deletion*
Improving Getting worse
Little or no change Baseline onlyTarget met
Mixed progress
Status of Access to Quality Health Services Objectives
1-12. Toll-free number for poison control centers
TargetMet
BaselineData
Obtained
Modified at Midcourse*
1-3. Counseling about health behaviors
1-7. Core competencies in health provider training
1-11. Rapid pre-hospital emergency care
1-13. Trauma care systems
1-15. Access to long-term care services
Progress: Three quarters of objectives and subobjectives with data beyond the baseline year are moving toward their targets.
Status of Access to Quality Health Services Objectives
* Midcourse modifications are proposed and are subject to final approval by HHS.
Asi
an
Nat
ive
Haw
aiia
n or
oth
erPa
cific
Isla
nder
His
pani
c or
Lat
ino
Whi
te, n
ot H
ispa
nic
Fem
ale
Mal
e
Nea
r poo
r
Mid
dle/
high
inco
me
Urb
an o
r met
ropo
litan
Pers
ons w
ith d
isab
ilitie
s
Health insurance: < 65 years(1997, 2004) B B B B B
Source of ongoing care: all ages (1998, 2004) B B B B
Source of ongoing care: 18+ years (1998, 2004) B B B B
Usual primary care provider (1996, 2003) B B B
Delays or difficulties in obtaining needed health care (1996, 2001) B B B B
Poor
Bla
ck, n
ot H
ispa
nic
B
Population characteristicsDisability
Pers
ons w
ithou
t dis
abili
ties
B
B
B
Rur
al o
r non
met
ropo
litan
B
1-1.
Gender
1-5.
1-6.
1-4a.
Population-based objectives
Race and ethnicity
Two
or m
ore
race
s
LocationIncome
Am
eric
an In
dian
or
Ala
ska
Nat
ive
1-4c.
Objectives with Changes in Disparity Since the Baseline
Note: Disparities are measured relative to the group with the best rate. Changes in disparity since the baseline, indicated by arrows, are between 10 and 49 percentage points and statistically significant at the 0.05 level. Data are not shown for objectives with insufficient data or for objectives with no change in disparity since the baseline for any of the characteristics shown.
Characteristic not selected for this objective.=
Increase in disparity=
Decrease in disparity=
B = Group with the best (most favorable) rate.
Clinical Preventive Care
Emergency Services
Primary Care
Long-Term Care & Rehabilitative Services
Highlighted Objectives
1-1. Health insurance coverage1-3. Counseling about health behaviors
1-13. Trauma care systems
1-15. Access to long-term care services
Improving Getting worse
Little or no change Baseline onlyTarget met
Mixed progress
1-5. Usual primary care provider1-6. Difficulty or delay in getting care1-8. Racial/ethnic representation in health professions1-9. Hospitalizations for ambulatory care-sensitive conditions
Nearpoor
50
Percent
2010 Target
70
60
80
90
100
Obj. 1-1I = 95% confidence interval. † Preliminary data for January – September 2005. Source: National Health Interview Survey, CDC, NCHS.
Family Income Level
Persons Under Age 65 with Health Insurance, by Income and Age, 2004
0 Poor Middle/high
10-14 15-19 20-24
Age
1997 2004
Total 25-64
2005 †
Obj. 1-1I = 95% confidence interval.Note: The black and white categories exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one or more races. Data for the single race categories are for persons who reported only one racial group.Source: National Health Interview Survey, NCHS, CDC.
Percent
2010 Target
American Indian/Alaska Native
Asian Native Hawaiian/
Pacific Islander
1999 2004
Persons Under Age 65 with Health Insurance, by Race/Ethnicity
Black White Hispanic
50
70
60
80
90
100
0
Percent 18-24 yrs.
50
60
70
† Among adults who currently smoke. ‡ Among adults who currently report risky drinking behavior. I = 95% confidence interval.* Data for persons 75 years and older are statistically unreliable and are suppressed. Note: Data exclude adults who did not have a health care visit in the past year. Source: National Health Interview Survey, CDC, NCHS.
25-44 yrs.
Adults Counseled by Their Provider about Health Behaviors, by Age
Group, 2001
0
45-64 yrs. 65-74 yrs.
40
30
20
10
8075+ yrs.
Obj. 1-3 a-d
PhysicalActivity
Diet & Nutrition
Smoking Cessation†
Risky Drinking‡
*
2010 Target
BlackNative Hawaiian
0Percent
2010Target
4020
Total
Female
Hispanic
Male
Asian
60 80 100
Obj. 1-5
Persons with a Usual Primary Care Provider, 2003
Note: The American Indian category includes Alaska Natives. The Native Hawaiian category includes Pacific Islanders.The black and white categories exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Source: Medical Expenditure Panel Survey, AHRQ.
Less than high schoolHigh school
At least some college
American Indian
White
With activity limitationsWithout activity limitations
0Percent
2010 Target
105
Total
White
Female
Hispanic
Male
Asian/Pacific Islander
15 20 25
Persons Experiencing Difficulties or Delays in Obtaining Needed Care,
2001
Note: The American Indian category includes Alaska Natives. The black and white categories exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Source: Medical Expenditure Panel Survey, AHRQ.
PoorNear poor
Middle/high income
American Indian
Black
With activity limitationsWithout activity limitations
Obj. 1-6
Decrease desired
Obj. 1-8 a,c,d
Note: Data are based on graduates from schools of public health, dentistry, pharmacy, and medicine. The 2010 targets are based on the U.S. Bureau of Census projections of the proportion of persons in each racial/ethnic group in the U.S. population in the year 2000.The Asian/Pacific Islander group has exceeded its target of 4% and is not shown. Source: Bureau of Health Professions, HRSA.
Percent
American Indian/Alaska Native
1996-1997 2003-2004
Racial and Ethnic Groups Underrepresented in Health
Professions
10
15
0 Black orAfrican
AmericanHispanic or
Latino
5
2010 Target
SOURCE: Healthcare Cost and Utilization Project, AHRQ.
Hospitalizations for Uncontrolled Diabetes among Persons Aged 18-64
Years
Total MedicaidFemale Male Private UninsuredGender Insurance Status
Admissions per 10,000 population
Obj. 1-9b
1996 2003
0
20
10
30
402010 Target
Decrease desired
D.C.
States With Processes to Monitor andEvaluate Trauma System Outcomes,
2002
Obj. 1-13hSource: Federal Trauma-EMS Systems Program Survey, HRSA.
Legislated system & defined process (23)
No system & no defined process (21)
Non-legislated system & defined process (7)
Native Hawaiian
*
0Age-Adjusted Percent
2010 Target
5
Total
Hispanic
Asian
15 20 25
Obj. 1-15a
Persons Age 65 and Over without Access to Needed Home Health Care,
2001
* Data are statistically unreliable and are suppressed. = 95% confidence interval. MSA: Metropolitan Statistical Area. Note: Data are age adjusted to the 2000 standard population. The American Indian category includes Alaska Natives. The black and white categories exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Persons are defined as needing home health care services if they require assistance with personal care needs or routine care needs. Source: National Health Interview Survey, CDC, NCHS.
American Indian
Black
Within MSAOutside MSA
White
**
PoorNear poor
Middle/high income
10
Decrease desired
Progress review data and slides
are available on the web at:
http://www.cdc.gov/nchs/hphome.htm