- 8.09 MB]2012 National Healthcare Quality Report
Chapter 5, Text Descriptions for Figures
Figure 5.1. Adults who had a doctor's office or clinic visit in the last 12 months who reported poor communication with health providers: Overall composite, by insurance, ages 18-64 and age 65 and over, 2002-2009
| Insurance | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|---|---|
| Any Private | 10.4 | 9.4 | 8.6 | 9.0 | 8.9 | 8.4 | 8.7 | 8.3 |
| Public Only | 15.6 | 15.6 | 16.4 | 15.3 | 17.4 | 15.1 | 16.2 | 13.7 |
| Uninsured | 18.8 | 16.7 | 18.8 | 16.4 | 16.2 | 17.3 | 15.3 | 17.6 |
| Insurance | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|---|---|
| Medicare Only | 8.7 | 6.8 | 7.3 | 7.8 | 7.6 | 7.0 | 5.7 | 6.2 |
| Medicare and Private | 6.6 | 5.8 | 6.0 | 5.3 | 6.3 | 5.2 | 6.1 | 4.7 |
| Medicare and Other Public | 8.6 | 8.6 | 8.6 | 12.0 | 12.5 | 8.7 | 10.7 | 9.6 |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2009.
Denominator: Civilian noninstitutionalized population age 18 and over who had a doctor's office or clinic visit in the last 12 months.
Note: For this measure, lower rates are better. Patients who report that their health providers sometimes or never listened carefully, explained things clearly, showed respect for what they had to say, or spent enough time with them are considered to have poor communication.
Figure 5.2. Children who had a doctor's office or clinic visit in the last 12 months whose parents reported poor communication with health providers: Overall composite, by insurance and primary language, 2002-2009
| Insurance | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|---|---|
| Any Private | 5.3 | 4.7 | 4.1 | 4.0 | 3.5 | 4.0 | 3.3 | 3.6 |
| Public Only | 10.6 | 9.4 | 8.8 | 8.6 | 7.7 | 6.5 | 6.5 | 7.5 |
| Uninsured | 7.3 | 6.4 | 9.5 | 7.2 | 5.7 | 7.2 | 6.3 | 4.4 |
| Primary Language | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|---|---|
| English | 6.3 | 5.6 | 5.4 | 5.0 | 4.6 | 4.5 | 4.1 | 4.3 |
| Other | 11.7 | 9.5 | 8.0 | 8.7 | 6.7 | 7.1 | 5.9 | 8.0 |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2009.
Denominator: Civilian noninstitutionalized population under age 18 who had a doctor's office or clinic visit in the last 12 months.
Note: For this measure, lower rates are better. Parents who report that their child's health providers sometimes or never listened carefully, explained things clearly, showed respect for what they had to say, or spent enough time with them are considered to have poor communication.
Figure 5.3. State variation: Children whose parents reported poor communication with health providers
| Quartile | States |
|---|---|
| First (best) Quartile | Colorado, Missouri, Wisconsin, Ohio, South Carolina, Delaware, Rhode Island |
| 2nd Quartile | Washington, Tennessee, West Virginia, Pennsylvania, Maryland, New Jersey, Connecticut |
| 3rd Quartile | Hawaii, Oregon, New Mexico, Oklahoma, Arkansas, Michigan, Virginia |
| 4th (worst) Quartile | California, Arizona, Texas, Kansas, Indiana, Florida, District of Columbia |
| Missing | Alaska, Nevada, Idaho, Utah, Montana, Wyoming, North Dakota, South Dakota, Nebraska, Minnesota, Iowa, Illinois, Louisiana, Mississippi, Alabama, Georgia, Kentucky, North Carolina, New York, Massachusetts, Vermont, New Hampshire, Maine, Puerto Rico |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2009.
Denominator: Civilian noninstitutionalized population under age 18 who had a doctor's office or clinic visit in the last 12 months.
Note: Parents who report that their child's health providers sometimes or never listened carefully, explained things clearly, showed respect for what they had to say, or spent enough time with them are considered to have poor communication.
Figure 5.4. Adult hospital patients who reported poor communication with nurses and doctors, by age, 2007-2009
| Age Group | 2007 | 2008 | 2009 |
|---|---|---|---|
| 18-44 | 6.2 | 5.9 | 5.6 |
| 45-64 | 6.4 | 6.1 | 5.8 |
| 65+ | 5.4 | 5.1 | 4.9 |
| Age Group | 2007 | 2008 | 2009 |
|---|---|---|---|
| 18-44 | 5.0 | 5.0 | 4.9 |
| 45-64 | 5.7 | 5.7 | 5.7 |
| 65+ | 5.1 | 5.1 | 5.0 |
Source: Agency for Healthcare Research and Quality, Hospital CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Survey, 2007-2009.
Denominator: Adult hospitalized patients.
Note: For this measure, lower rates are better. Poor communication is defined as responded "sometimes" or "never" to the set of survey questions: "During this hospital stay, how often did doctors/nurses treat you with courtesy and respect?" "During this hospital stay, how often did doctors/nurses listen carefully to you?" and "During this hospital stay, how often did doctors/nurses explain things in a way you could understand?"
Figure 5.5. Adults with a usual source of care whose health providers sometimes or never asked for the patient's help to make treatment decisions, by education, 2009
| Education | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|---|---|
| Any College | 19.4 | 16.7 | 16.2 | 16.5 | 15.7 | 15 | 14.5 | 14.2 |
| High School Grad | 22.6 | 20 | 18.8 | 18.3 | 17.2 | 16 | 16.2 | 16.8 |
| <High School | 25.9 | 23 | 20.2 | 20.3 | 20.1 | 19.7 | 18.7 | 19.8 |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2009.
Denominator: Civilian noninstitutionalized population with a usual source of care.
Note: For this measure, lower rates are better.
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