National Healthcare Quality Report, 2013
Chapter 10: Text Descriptions
Figure 10.1. People under age 65 with health insurance, by age, 2001- 2012, and activity limitations, 2006-2012
| Year | 0-17 | 18-44 | 45-64 | Total |
|---|---|---|---|---|
| 2000 | 87.4% | 77.6% | 87.4% | 83.0% |
| 2001 | 88.8% | 77.8% | 87.8% | 83.6% |
| 2002 | 89.1% | 77.0% | 86.9% | 83.2% |
| 2003 | 90.2% | 76.5% | 87.5% | 83.5% |
| 2004 | 90.8% | 76.5% | 87.2% | 83.6% |
| 2005 | 90.7% | 76.5% | 87.1% | 83.6% |
| 2006 | 90.5% | 75.4% | 86.8% | 83.0% |
| 2007 | 91.0% | 76.1% | 86.5% | 83.4% |
| 2008 | 91.0% | 75.6% | 86.4% | 83.2% |
| 2009 | 91.8% | 74.1% | 85.4% | 82.5% |
| 2010 | 92.2% | 72.9% | 84.3% | 81.8% |
| 2011 | 93.0% | 74.6% | 84.6% | 82.8% |
| 2012 | 93.4% | 75.2% | 84.4% | 83.1% |
| Year | Basic activity limitations | Complex activity limitations | Neither activity limitation |
|---|---|---|---|
| 2006 | 84.4% | 83.5% | 80.1% |
| 2007 | 84.5% | 83.0% | 80.3% |
| 2008 | 84.9% | 83.7% | 81.2% |
| 2009 | 83.2% | 82.5% | 79.2% |
| 2010 | 79.1% | 82.8% | 78.4% |
| 2011 | 77.7% | 81.8% | 79.8% |
| 2012 | 80.4% | 82.6% | 80.0% |
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey (NHIS), 2000-2012. Data for activity limitations were not analyzed or collected before 2006.
Denominator: Civilian noninstitutionalized population under age 65.
Note: NHIS respondents are asked about health insurance coverage at the time of interview. Respondents are considered insured if they have private health insurance, Medicare, Medicaid, State Children's Health Insurance Program, a State-sponsored health plan, other government-sponsored health plan, or a military health plan. If their only coverage is through the Indian Health Service, they are not considered insured. Estimates are not age adjusted. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.
Figure 10.2. People under age 65 who were uninsured all year, by age and activity limitations (ages 18-64), 2002-2011
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | |
|---|---|---|---|---|---|---|---|---|---|---|
| 0-17 | 7.7% | 7.1% | 7.3% | 6.4% | 6.4% | 7.9% | 7.5% | 6.3% | 6.0% | 5.7% |
| 18-44 | 18.1% | 19.0% | 19.5% | 20.1% | 20.3% | 21.3% | 21.1% | 21.8% | 21.7% | 21.0% |
| 45-64 | 11.7% | 12.2% | 12.5% | 12.6% | 13.3% | 13.3% | 14.7% | 15.4% | 14.2% | 13.6% |
| Total | 13.4% | 13.7% | 14.0% | 14.1% | 14.3% | 15.2% | 15.4% | 15.5% | 15.0% | 14.5% |
| Basic activity limitations | 12.9% | 13.0% | 14.8% | 14.4% | 14.6% | 14.4% | 14.9% | 15.3% | 14.2% | 13.7% |
| Complex activity limitations | 11.7% | 12.9% | 14.0% | 14.9% | 13.7% | 12.8% | 15.1% | 12.8% | 14.2% | 13.0% |
| Neither activity limitation | 15.8% | 16.6% | 16.6% | 17.2% | 17.5% | 18.3% | 18.7% | 19.5% | 18.8% | 18.1% |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2011.
Denominator: Civilian noninstitutionalized population under age 65 for insurance and ages 18-64 for activity limitations.
Note: For this measure, lower rates are better. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.
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, by insurance and activity limitations (ages 18-64), 2006-2011
| 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | |
|---|---|---|---|---|---|---|
| Private ESI | 16.9% | 15.8% | 17.0% | 16.9% | 18.0% | 18.2% |
| Private Nongroup | 51.5% | 46.7% | 48.7% | 57.8% | 60.1% | 46.6% |
| Public Only | 18.0% | 15.6% | 15.6% | 14.3% | 13.5% | 13.0% |
| Uninsured | 14.2% | 13.6% | 14.3% | 13.9% | 11.6% | 13.2% |
| Total | 17.5% | 16.3% | 17.3% | 17.4% | 17.6% | 17.5% |
| Basic activity limitations | 34.1% | 31.6% | 30.9% | 28.9% | 30.8% | 31.5% |
| Complex activity limitations | 40.2% | 34.9% | 36.8% | 32.1% | 31.8% | 31.4% |
| Neither activity limitation | 15.5% | 14.8% | 15.3% | 16.3% | 16.5% | 16.2% |
Key: ESI = employer-sponsored insurance.
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2006-2011.
Denominator: Civilian noninstitutionalized population under age 65 for insurance and ages 18-64 for activity limitations.
Note: For this measure, lower rates are better. Total financial burden includes premiums and out-of-pocket costs for health care services. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.
Figure 10.4. People with a specific source of ongoing care, by insurance (under age 65), age, and activity limitation, 2012
| Percent | |
|---|---|
| Total | 85.9 |
| Private | 91.3 |
| Public | 92.1 |
| Uninsured | 47.7 |
| 0-17 | 95.9 |
| 18-44 | 74.3 |
| 45-64 | 87.1 |
| 65+ | 96.3 |
| Basic limitations | 87.8 |
| Complex limitations | 90.0 |
| Neither limitation | 80.4 |
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey, 2012.
Denominator: Civilian noninstitutionalized population of all ages.
Note: Measure data are not age adjusted. A hospital emergency room is not included as a specific source of ongoing care. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.
Figure 10.5. People with a usual primary care provider, by insurance and activity limitation (ages 18-64), 2002-2011
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Private insurance | 80.3% | 81.3% | 80.1% | 79.4% | 80.6% | 79.4% | 78.6% | 79.6% | 80.2% | 80.5% |
| Public insurance | 79.4% | 79.4% | 82.2% | 81.1% | 81.7% | 81.1% | 80.9% | 80.6% | 81.2% | 81.9% |
| Uninsured | 44.9% | 43.5% | 44.6% | 44.0% | 45.4% | 44.0% | 43.0% | 41.5% | 42.3% | 42.2% |
| Total | 77.3% | 77.6% | 77.4% | 76.6% | 77.6% | 76.3% | 75.6% | 75.9% | 76.8% | 77.3% |
| Basic limitations | 84.7% | 85.8% | 86.0% | 85.4% | 86.6% | 86.7% | 86.7% | 86.9% | 87.4% | 87.2% |
| Complex limitations | 84.0% | 82.7% | 85.6% | 83.7% | 86.1% | 84.2% | 85.6% | 85.5% | 85.1% | 84.3% |
| Neither limitation | 72.3% | 72.1% | 71.5% | 70.7% | 71.6% | 70.4% | 69.5% | 69.5% | 70.9% | 71.2% |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2011.
Denominator: Civilian noninstitutionalized population under age 65 for insurance and ages 18-64 for activity limitations.
Note: A usual primary care provider is defined as the source of care that a person usually goes to for new health problems, preventive health care, and referrals to other health professionals. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.
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, by insurance (under age 65) and activity limitation (ages 18 and over), 2002-2011
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Total | 10.9% | 11.0% | 11.0% | 11.4% | 11.7% | 10.0% | 10.2% | 11.1% | 10.3% | 10.4% |
| Any Private Insurance | 9.4% | 9.2% | 9.1% | 9.3% | 10.0% | 8.1% | 8.4% | 8.7% | 7.7% | 8.2% |
| Public Insurance Only | 13.6% | 14.5% | 14.3% | 13.5% | 13.1% | 12.0% | 12.7% | 13.4% | 12.8% | 11.9% |
| Uninsured | 18.0% | 18.4% | 18.7% | 20.6% | 19.5% | 17.5% | 17.2% | 20.3% | 19.0% | 19.7% |
| Basic activity limitations | 24.4% | 22.5% | 25.7% | 25.4% | 25.1% | 21.6% | 22.3% | 25.3% | 25.5% | 26.8% |
| Complex activity limitations | 29.0% | 29.0% | 31.0% | 30.8% | 29.8% | 28.7% | 26.7% | 30.0% | 31.8% | 32.2% |
| Neither limitation | 10.6% | 10.5% | 10.5% | 10.8% | 11.5% | 9.7% | 10.2% | 11.1% | 10.4% | 9.9% |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2011.
Denominator: Civilian noninstitutionalized population under age 65 for insurance and ages 18 and over for activity limitations.
Note: For this measure, lower rates are better. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.
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