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National Healthcare Quality Report, 2013

Chapter 5: Text Descriptions

Figure 5.1. 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 insurance (ages 18-64) and activity limitation, 2002-2010

  2002 2003 2004 2005 2006 2007 2008 2009 2010
Total 15.3% 14.3% 14.2% 15.1% 15.3% 13.9% 15.4% 14.7% 14.4%
Private 13.7% 11.9% 11.7% 13.2% 13.0% 12.1% 13.5% 12.0% 11.9%
Public 19.7% 22.5% 22.0% 22.3% 23.3% 21.4% 20.5% 20.8% 20.7%
Uninsured 32.8% 34.6% 33.8% 32.5% 32.8% 29.7% 33.6% 33.3% 33.8%
Basic Limitations 15.2% 15.3% 15.0% 16.5% 15.9% 13.5% 14.4% 15.4% 15.0%
Complex Limitations 15.9% 18.2% 16.3% 20.7% 19.6% 16.3% 19.1% 17.1% 17.6%
Neither Limitation 15.1% 13.8% 13.9% 14.4% 14.7% 13.8% 15.3% 14.4% 13.9%

Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2010.
Denominator: Civilian noninstitutionalized population age 18 and over.
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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Figure 5.2. 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 insurance and special health care needs status, 2002-2010

  2002 2003 2004 2005 2006 2007 2008 2009 2010
Total 7.5% 9.1% 7.3% 8.1% 7.1% 8.0% 5.7% 4.5% 3.8%
Private Insurance 6.3% 7.4% 6.2% 7.0% 6.2% 5.6% 4.7% 3.1% 2.3%
Public Insurance 10.1% 14.2% 9.7% 10.7% 9.7% 12.7% 6.3% 7.4% 6.6%
CSHCN 8.2% 9.5% 8.4% 9.5% 7.9% 8.3% 6.3% 4.6% NA%
Not CSHCN 7.3% 9.1% 6.9% 7.4% 6.7% 7.8% 5.3% 4.2% 3.8%

Key: CSHCN = children with special health care needs.
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2010.
Denominator: Civilian noninstitutionalized population under age 18.
Note: For this measure, lower rates are better. Children with special health care needs includes children who have activity limitations or who need or use of more health care or other services than is usual for most children of the same age. Data for CSHCN status in 2010 did not meet criteria for statistical reliability, data quality, or confidentiality.

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Figure 5.3. Emergency department visits where patient was transferred or admitted and length of visit was 6 hours or more, by age and geographic location, 2010-2011

  Percent
0-17 21.5%
18-44 34.3%
45-64 31.6%
65+ 27.6%
Total 29.9%
MSA 33.0%
Non-MSA 13.6%

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Hospital Ambulatory Medical Care Survey, 2010-2011.
Note: For this measure, lower rates are better. For general information about survey methodology, reliability of estimates, and other technical information, refer to the National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary (http://www.cdc.gov/nchs/data/nhsr/nhsr007.pdf [PDF File, 699 KB]).

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Figure 5.4. Hospital patients with heart attack given percutaneous coronary intervention within 90 minutes of arrival, by sex, 2005-2011

  2005 2006 2007 2008 2009 2010 2011
Total 42.1% 53.8% 71.8% 81.3% 87.5% 91.1% 93.7%
Female 36.3% 47.8% 67.1% 77.4% 84.1% 88.6% 91.9%
Male 44.4% 56.2% 73.6% 82.7% 88.7% 92.0% 94.4%

Source: Centers for Medicare & Medicaid Services, Medicare Quality Improvement Organization Program, 2005-2011.
Denominator: Discharged hospital patients with a principal diagnosis of acute myocardial infarction and documented receipt of percutaneous transluminal angioplasty or stent placement during the hospital stay.
2010 Achievable Benchmark: 96%

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Figure 5.5. Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival, by sex, 2005-2011

  2005 2006 2007 2008 2009 2010 2011
Total 37.9% 42.1% 50% 49.4% 54.4% 58.4% 57.9%
Female 31.1% 34.6% 42.0% 43.0% 49.8% 51.3% 49.6%
Male 41.1% 45.2% 53.3% 52.1% 56.3% 61.2% 61.1%

Source: Centers for Medicare & Medicaid Services, Medicare Quality Improvement Organization Program, 2005-2011.
Denominator: Discharged hospital patients with a principal diagnosis of acute myocardial infarction and documented receipt of thrombolytic therapy during the hospital stay.
2010 Achievable Benchmark: 68%

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Page last reviewed May 2014
Page originally created May 2014
Internet Citation: Chapter 5: Text Descriptions. Content last reviewed May 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/research/findings/nhqrdr/nhqr13/chap5-txt.html

 

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