Healthy People 2010Focus Area 1

Access to Quality Health Services

Progress ReviewJune 4, 2002

Standard population-based data template

Condition Population Group, year

Measure

TOTAL

Race and ethnicity

American Indian or Alaska Native

Asian or Pacific Islander

Asian

Native Hawaiian and other Pacific Islander

Black or African American

White

Hispanic or Latino

Not Hispanic or Latino

Black or African American

White

Gender

Female

Male

Family income level

Poor

Near poor

Middle/high income

Education level

Less than high school

High school graduate

At least some college

The following are additional categories included where appropriate.

Geographic location

Urban

Rural

Health insurance status

Private health insurance

Public health insurance

Medicare

Medicaid

No health insurance

Disability status

Persons with disabilities or activity limitations

Persons without disabilities or activity limitations

Sexual orientation

Select populations

Age groups

School grade levels

Persons with select medical conditions

• National Health Interview Survey (NHIS)• Medical Expenditure Panel Survey (MEPS)• Annual Data Report, American Association of Schools of Public

Health• Annual Survey of RN (Registered Nurse) Programs• AAMC Data Book: Statistical Information Related to Medical

Schools and Teaching Hospitals• Survey of Predoctoral Dental Educational Institutions• Profile of Pharmacy Students• Healthcare Cost and Utilization Project (HCUP)• American Association of Poison Control Centers Survey• Survey of State/Local Efforts to Coordinate Trauma Care Delivery• Emergency Medical Services for Children Annual Grantees

Survey• National Nursing Home Survey (NNHS)

Data sources used to measure Access to Quality Health Services objectives

1-1. Persons under age 65 with health insurance, by race/ethnicity

50

60

70

80

90

100

1997 1998 1999 2000 2001***

Age-

adjus

ted

perc

ent

2010 target

White, not-HispanicTotalAsian*

Native Hawaiian and Pacific Islander*

Black, not-Hispanic

Hispanic or Latino**

American Indian or Alaska Native*

Source: National Health Interview Survey (NHIS), CDC, NCHS.***Early Release data.

0

**Persons of Hispanic origin may be of any race. LHI measure*Includes persons of Hispanic and non-Hispanic origin.

83

63

83

81

65

8087

0

20

40

60

80

100

Age-

adjus

ted

perc

ent

1-1. Persons under age 65 with health insurance, by race/ethnicity, 2000

Source: National Health Interview Survey (NHIS), CDC, NCHS.

I 95% Confidence Interval

2010 target

White

,

not-His

panic

Black

,

not-His

panic

Hispan

ic o

r

Latin

o**

Nativ

e Haw

aiia

n and

other

Pac

ific

Isla

nder*

Asian

*

Amer

ican

India

n

or Ala

ska

Nativ

e*Total

LHI measure**Persons of Hispanic origin may be of any race.*Includes persons of Hispanic and non-Hispanic origin.

1-1. Persons under age 65 with health insurance, by family income, 2000

83

66 68

91

0

20

40

60

80

100

Age

-adj

uste

d pe

rcen

t

2010 target

Source: National Health Interview Survey (NHIS), CDC, NCHS.I 95% Confidence Interval

Total

Poor

(<10

0% p

overty

)

Near p

oor

(100

% -

199%

pove

rty)

Mid

dle/h

igh in

com

e

(≥ 2

00%

pove

rty)

LHI measure

Source: Behavioral Risk Factor Surveillance System (BRFSS), CDC.

Percent with health insurance (quartiles)

1-1. Persons ages 18 to 64 with health insurance, 2000

Note: Age-adjusted.LHI measure

77.9-83.2

83.6-88.4

88.5-91.0

91.1-93.7

1-4a-c. Percent of persons with source of ongoing care, by age

70

80

90

100

1998 1999 2000 2001*

Age-

adju

sted

per

cent

0

1-4b. 17 and under

1-4c. 18 and over

2010 target

1-4a. All ages

*Early Release data.LHI measure

Source: National Health Interview Survey (NHIS), CDC, NCHS.

1-4a. Percent of persons with source of ongoing care, all ages, by race/ethnicity, 2000

87 85 868986

94 76

0

20

40

60

80

100

Age-

adju

sted

per

cent

2010 target

White

,

not-His

panic

Black

,

not-His

panic

Hispan

ic o

r

Latin

o**

Nativ

e Haw

aiia

n and

other

Pac

ific

Isla

nder*

Asian

*

Amer

ican

India

n

or Ala

ska

Nativ

e*

LHI measure

Total

Source: National Health Interview Survey (NHIS), CDC, NCHS.

I 95% Confidence Interval

**Persons of Hispanic origin may be of any race.*Includes persons of Hispanic and non-Hispanic origin.

78

66

76

75

6881

0

20

40

60

80

100

Per

cent

1-5. Persons with usual primary care provider, by race/ethnicity, 1999

Source: Medical Expenditure Panel Survey (MEPS), AHRQ.

2010 target

White

,

not-His

panic

Black

,

not-His

panic

Hispan

ic o

r

Latin

o**

Asian

or

Pac

ific

Isla

nder*

Amer

ican

India

n

or Ala

ska

Nativ

e*Total

I 95% Confidence Interval

**Persons of Hispanic origin may be of any race.*Includes persons of Hispanic and non-Hispanic origin.

81

7471

7477

7882

78 80

0

10

20

30

40

50

60

70

80

90

100

Perc

ent

1-5. Persons with usual primary care provider, by selected demographic characteristics, 1999

Total

Femal

e

Mal

e

Less

than

high s

chool

High s

chool

graduat

eAt l

east

som

e co

llege

Insi

deM

SAO

utsid

eM

SA

Source: Medical Expenditure Panel Survey (MEPS), AHRQ.

2010 target

8078

1-6. Difficulties or delays in obtaining needed health care, by race/ethnicity

11 1112

11

19

1012

11

16

12

108

0

10

20

30

1996 1999

Per

cent

American Indian or Alaska Native* Asian or Pacific Islander* Hispanic or Latino**

Black, not-Hispanic White, not-Hispanic Total

2010 target

Source: Medical Expenditure Panel Survey (MEPS), AHRQ.

I 95% Confidence Interval

**Persons of Hispanic origin may be of any race.*Includes persons of Hispanic and non-Hispanic origin.

1-6. Difficulties or delays in obtaining needed health care, by selected demographic

characteristics, 1999

Source: Medical Expenditure Panel Survey (MEPS), AHRQ. I 95% Confidence Interval

11

13 910

12 8

10

19

0

5

10

15

20

25

Per

cent

Tota

l

Fem

ale

Mal

e

Fam

ily p

rivat

e

insu

ranc

eFa

mily

pub

lic

insu

ranc

e

Fam

ily

unin

sure

d

Insi

deM

SA

Out

side

MSA

2010 target

19

10

8 8

13

10

29

19

0

10

20

30

40

1996 1999

Per

cent

Family private insurance Family public insurance Family uninsured

1-6. Difficulties or delays in obtaining needed health care, by health insurance status

Source: Medical Expenditure Panel Survey (MEPS), AHRQ. I 95% Confidence Interval

2010 target

1-7. Increase the proportion of health professional training schools whose basic curriculum for health care providers includes the core competencies in health promotion and

disease prevention

8983

6670

0

20

40

60

80

100

Clinical Prevention QuantitativeMethods

CommunityDimensions

Health Services

Pe

rce

nt

Source: Prevention Self-Assessment Analysis, Association of Teachers of Preventive Medicine.

Medical schools, 1997-1999

Note: Proposed. No target.

16.2 16.5

6.7 6.5

4.5

0.70.6

4.0

0

5

10

15

20

1996-97 1999-00

Perc

ent

1-8a. American Indian or Alaska Native 1-8b. Asian or Pacific Islander1-8c. Black or African American 1-8d. Hispanic or Latino

1-8a-d. Racial and ethnic representation in health professions

Source: Annual Data Report, American Association of Schools of Public Health.

Proportion of population in year 2000.

Academic year

Note: Race/ethnic categories for this objective are mutually exclusive.

1-9a-c. Hospitalizations for ambulatory-care-sensitive conditions

2010 target.Source: Healthcare Cost and Utilization Project (HCUP), AHRQ.

23.0

7.2

10.6

24.7

7.5

12.4

0

5

10

15

20

25

30

Adm

issi

ons

per

10,0

00 p

opul

atio

n

1-9a. Pediatric asthma Under age 18

1-9b. Uncontrolled diabetes ages 18 to 64

1-9c. Immunization-preventable pneumonia or influenza age 65 and over

1996 1996 1996 19991999 1999

23.0

10.6

52.0

18.821.122.3

9.210.6

6.07.2 6.7

2.9

0

10

20

30

40

50

60

Adm

issi

ons

per 1

0,00

0 po

pula

tion

Total $25,000 or less $25,001 to $35,000 More than $35,000

1-9a-c. Hospitalizations for ambulatory-care-sensitive conditions, by ZIP code median income, 1996

2010 target.Source: Healthcare Cost and Utilization Project (HCUP), AHRQ.

1-9a. Pediatric asthma Under age 18

1-9b. Uncontrolled diabetes ages 18 to 64

1-9c. Immunization-preventable pneumonia or influenza age 65 and over

Source: Emergency Medical Services for Children Annual Grantees Survey, HRSA..

1-14a. Prehospital and hospital EMS needs of children: States with pediatric protocols for

real-time medical direction, 2000

States with Protocols

Source: Emergency Medical Services for Children Annual Grantees Survey, HRSA..

1-14b. Prehospital and hospital EMS needs of children: States with pediatric guidelines for

emergency and critical care, 2000

States with Guidelines

1-3f. Counseling about health behaviors – Unintended pregnancy (females aged 15 to 44 years)

Source: National Survey of Family Growth Baseline: 19 percent (1995) Update:2002 data available in 2003 Target: 50 percent

1-12. Single toll-free number for poison control centers Source: American Association of Poison Control Centers

Survey Baseline: 15 percent (1999) Update: 100 percent (2001) Target: 100 percent; Met

Other measurable objectives

1-13. Trauma care systems Source: Survey of State/Local Efforts to Coordinate Trauma

Care Delivery Baseline: 5 States (1998) Update:2002 data available later in 2002 Target: 51 States

1-16. Pressure ulcers among nursing home residents Source: National Nursing Home Survey Baseline: 16 per 1,000 residents (1997) Update: 17 per 1,000 residents (1999) Target: 8 per 1,000 residents

Other measurable objectives

1-2. Health insurance coverage for clinical preventive services Baseline source: MEPS (potential)

1-3. Counseling about health behaviors Baseline source: 1-3a-e h, NHIS (2001); 1-3g NSFG (2003)

1-7. Core competencies in health provider training Baseline source: Association of Teachers of Preventive Medicine

(1997-1999 proposed)

1-10. Delay or difficulty in getting emergency care Baseline source: NHIS (2001)

1-11. Rapid prehospital emergency care Baseline source: National EMS Information System (2002)

1-15. Access to long-term care services Baseline source: NHIS (2001)

Developmental objectives