173 lines
16 KiB
HTML
173 lines
16 KiB
HTML
<!DOCTYPE html>
|
|
<!--[if IEMobile 7]><html class="iem7" lang="en" dir="ltr"><![endif]-->
|
|
<!--[if lte IE 6]><html class="lt-ie9 lt-ie8 lt-ie7" lang="en" dir="ltr"><![endif]-->
|
|
<!--[if (IE 7)&(!IEMobile)]><html class="lt-ie9 lt-ie8" lang="en" dir="ltr"><![endif]-->
|
|
<!--[if IE 8]><html class="lt-ie9" lang="en" dir="ltr"><![endif]-->
|
|
<!--[if (gte IE 9)|(gt IEMobile 7)]><!--><html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema#"><!--<![endif]-->
|
|
|
|
<head>
|
|
<!-- Legacy Clickjacking protection -->
|
|
<style id="antiClickjack">body{display:none !important;}</style>
|
|
<script type="text/javascript">
|
|
if (self === top) {
|
|
var antiClickjack = document.getElementById("antiClickjack");
|
|
antiClickjack.parentNode.removeChild(antiClickjack);
|
|
} else {
|
|
top.location = self.location;
|
|
}
|
|
</script>
|
|
<!-- / Legacy Clickjacking protection -->
|
|
|
|
<meta charset="utf-8" />
|
|
<meta name="DCTERMS.language" content="en-us" />
|
|
<meta name="Keywords" content="Agency for Health Care Policy and Research, Agency for Healthcare Research and Quality, AHRQ, AHCPR, access, adverse outcomes, ambulatory care, benchmark, best practices, blood clots, CAHPS, case studies, chronic care, complication, conditions, Consumer Assessment of Health Plans, disparities, error, HAI, health cost, hepatitis, hospital procedure, health care-associated infections, indicators, infection, insurance, measures, medical errors, methodology, nursing, patient care, patient safety, performance measure, quality, study, survey, thrombosis, treatment, urgent care." />
|
|
<meta name="DCTERMS.type" content="Text" />
|
|
<meta name="DCTERMS.title" content="Key Findings of the 2014 QDR" />
|
|
<meta name="DCTERMS.subject" content="Agency for Health Care Policy and Research, Agency for Healthcare Research and Quality, AHRQ, AHCPR, access, adverse outcomes, ambulatory care, benchmark, best practices, blood clots, CAHPS, case studies, chronic care, complication, conditions, Consumer Assessment of Health Plans, disparities, error, HAI, health cost, hepatitis, hospital procedure, health care-associated infections, indicators, infection, insurance, measures, medical errors, methodology, nursing, patient care, patient safety, performance measure, quality, study, survey, thrombosis, treatment, urgent care." />
|
|
<meta name="DCTERMS.subject.topics" content="National Healthcare Disparities Report (NHDR),National Healthcare Quality Report (NHQR)" />
|
|
<meta name="DCTERMS.publisher" content="U.S. HHS: Agency for Healthcare Research and Quality" />
|
|
<meta name="DCTERMS.modified" content="2015-04-09" />
|
|
<meta name="DCTERMS.issued" content="2015-04-10" />
|
|
<link rel="canonical" href="/research/findings/nhqrdr/2014chartbooks/access/access-key.html" />
|
|
<meta name="DCTERMS.type.document_type" content="Report" />
|
|
<meta name="DCTERMS.description" content="This document describes the contents of the National Healthcare Quality and Disparities Report and the methods used to compile and analyze data." />
|
|
<meta name="DCTERMS.created" content="2015-04-09" />
|
|
<meta name="DCTERMS.available" content="2015-04-09" />
|
|
<meta name="DCTERMS.audience" content="Researchers" />
|
|
<meta name="DCTERMS.alternate" content="Key Findings of the 2014 QDR" />
|
|
<link rel="shortlink" href="/node/220614" />
|
|
<link rel="shortcut icon" href="https://admin.ahrq.gov/sites/default/files/favicon_0.ico" type="image/vnd.microsoft.icon" />
|
|
<title>Key Findings of the 2014 QDR | AHRQ Archive</title>
|
|
|
|
<!-- end="metadata" -->
|
|
<link rel="stylesheet" href="/css/archive.css">
|
|
<link rel="stylesheet" href="/css/ahrqstyleprint_arch.css" media="print">
|
|
<script>
|
|
(function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
|
|
(i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
|
|
m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
|
|
})(window,document,'script','//www.google-analytics.com/analytics.js','ga');
|
|
|
|
ga('create', 'UA-75759936-1', 'auto');
|
|
ga(' set', 'anonymizeIp', true);
|
|
|
|
ga('send', 'pageview');
|
|
|
|
</script></head>
|
|
<body><!-- Google Tag Manager -->
|
|
<noscript><iframe src="//www.googletagmanager.com/ns.html?id=GTM-W4DST4"
|
|
height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
|
|
<script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
|
|
new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
|
|
j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src=
|
|
'//www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
|
|
})(window,document,'script','dataLayer','GTM-W4DST4');</script>
|
|
<!-- End Google Tag Manager -->
|
|
<!-- Prompt IE 6 users to install Chrome Frame. Remove this if you support IE 6.
|
|
chromium.org/developers/how-tos/chrome-frame-getting-started -->
|
|
<!--[if lt IE 7]><p class=chromeframe>Your browser is <em>ancient!</em> <a href="http://browsehappy.com/">Upgrade to a different browser</a> or <a href="http://www.google.com/chromeframe/?redirect=true">install Google Chrome Frame</a> to experience this site.</p><![endif]-->
|
|
|
|
<!-- Add your site or application content here -->
|
|
<noscript>Your browser doesn't support JavaScript. Please upgrade to a modern browser or enable JavaScript in your existing browser.</noscript>
|
|
<!-- Page Header v2.0 --><!--Begin Banner CodeS-->
|
|
<div id="ahrqbanner">
|
|
<div class="hhsportion" id="top" name="top">
|
|
<a class="skipnav" href="#h1">Skip Navigation</a>
|
|
<a title="Archive: U.S. Department of Health and Human Services" href="http://archive.hhs.gov/"><img border="0" alt="Archive: U.S. Department of Health and Human Services" src="/images/hhs_banner_arch.gif" width="376" height="49"></a>
|
|
<a class="hhsright" title="U.S. Department of Health and Human Services" href="http://www.hhs.gov/"><img alt="U.S. Department of Health and Human Services" src="/images/hhs_link_arch.gif" width="127" height="41"></a>
|
|
</div>
|
|
<div class="ahrqportion">
|
|
<a title="Archive: Agency for Healthcare Research Quality" href="/"><img border="0" alt="Archive: Agency for Healthcare Research Quality" src="/images/ahrq_banner_arch.jpg" width="566" height="69"></a>
|
|
<form id="banner_searchform" method="get" name="searchForm" action="https://search.ahrq.gov/search">
|
|
<label style="Z-INDEX: -1; POSITION: relative; FONT-SIZE: 0px; MARGIN-RIGHT: -65px" for="search">Search</label>
|
|
<input id="search" class="gotext" onfocus="this.value='';" value=" Search Archive" size="11" type="text" name="q" label="Search archive"/>
|
|
<input type="hidden" name="siteDomain" value="archive.ahrq.gov">
|
|
<input class="gobtn" onclick="javascript:document.searchForm.submit();" alt="Search" src="/images/topbn_GoButton.gif" type="image" name="Submit"/>
|
|
</form><a class="ahrqright" title="AHRQ Home—Live Site" href="http://www.ahrq.gov">www.ahrq.gov</a>
|
|
</div>
|
|
<div class="ahrqlinks">
|
|
<a href="https://www.ahrq.gov/">AHRQ Home—Live Site</a> | <a href="/">Archive Home</a> | <a href="/sitemap.htm">Site Map</a>
|
|
</div>
|
|
</div>
|
|
<div id="PrintBanner"><img alt="Archival print banner" src="/images/printbanner_arch.jpg"/></div><a id="h1" name="h1"></a><!-- End of Page header -->
|
|
<!-- Content Body -->
|
|
<div id="mainContent">
|
|
<!-- Main Content -->
|
|
<!-- Center Content section -->
|
|
<table border="0" cellpadding="0" cellspacing="0" width="100%">
|
|
<tbody><tr valign="top">
|
|
<td width="70%">
|
|
<!-- Center Content section -->
|
|
<table style="margin-left: 10px; margin-right: 10px; margin-top: 5px;" summary="This table gives the layout format of the bread crumb area and the center content area." border="0" cellpadding="0" cellspacing="0" width="100%">
|
|
<!--DWLayoutTable-->
|
|
<tbody><tr>
|
|
<td class="crumb_link"><div id="crumbContent">
|
|
</span></p>
|
|
</div>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td>
|
|
<div id="centerContent">
|
|
<div class="headnote">
|
|
<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information.</p>
|
|
<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p>
|
|
</div>
|
|
<!-- T:ahrqPgGeneric -->
|
|
<article class="grid_9">
|
|
|
|
<div >
|
|
<h1 class="page__title title" id="page-title">Chartbook on Access to Health Care</h1> <h2>Key Findings of the 2014 QDR</h2>
|
|
</div>
|
|
<div class="field field-name-ahrq-generic-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p>The report demonstrates that the Nation has made clear progress in improving the health care delivery system to achieve the three aims of better care, smarter spending, and healthier people, but there is still more work to do, specifically to address disparities in care.</p>
|
|
<ul>
|
|
<li>Access improved.
|
|
<ul>
|
|
<li>After years without improvement, the rate of uninsurance among adults ages 18-64 decreased substantially during the first half of 2014.</li>
|
|
<li>Through 2012, improvement was observed across a broad spectrum of access measures among children.</li>
|
|
</ul>
|
|
</li>
|
|
<li>Quality improved for most NQS priorities.
|
|
<ul>
|
|
<li><em>Patient Safety </em>improved, led by a 17% reduction in rates of hospital-acquired conditions between 2010 and 2013, with 1.3 million fewer harms to patients, an estimated 50,000 lives saved, and $12 billion in cost savings.</li>
|
|
<li><em>Person-Centered Care</em> improved, with large gains in patient-provider communication.</li>
|
|
<li>Many <em>Effective Treatment </em>measures, including several measures of pneumonia care in hospitals publicly reported by the Centers for Medicare & Medicaid Services (CMS), achieved such high levels of performance that continued reporting is unnecessary.</li>
|
|
<li><em>Healthy Living </em>improved, led by doubling of selected adolescent immunization rates from 2008 to 2012.</li>
|
|
</ul>
|
|
</li>
|
|
<li>Few disparities were eliminated.
|
|
<ul>
|
|
<li>People in poor households generally experienced less access and poorer quality.</li>
|
|
<li>Parallel gains in access and quality across groups led to persistence of most disparities.</li>
|
|
<li>At the same time, several racial and ethnic disparities in rates of childhood immunization and rates of adverse events associated with procedures were eliminated, showing that elimination is possible.</li>
|
|
</ul>
|
|
</li>
|
|
<li>Many challenges in improving quality and reducing disparities remain.
|
|
<ul>
|
|
<li>Performance on many measures of quality remains far from optimal. For example, only half of people with high blood pressure have it controlled. On average, across a broad range of measures, recommended care is delivered only 70% of the time.</li>
|
|
<li>As noted above, disparities in quality and outcomes by income and race and ethnicity are large and persistent, and were not, through 2012, improving substantially.</li>
|
|
<li>Some disparities related to hospice care and chronic disease management grew larger.</li>
|
|
<li>Data and measures need to be improved to provide more complete assessments of two NQS priorities, <em>Care Coordination and Care Affordability</em>, and of disparities among smaller groups, such as Native Hawaiians, people of multiple races, and people who are lesbian, gay, bisexual, or transgender.</li>
|
|
</ul>
|
|
</li>
|
|
</ul>
|
|
<p><a href="/research/findings/nhqrdr/2014chartbooks/access/index.html">Return to Contents</a></p>
|
|
</div></div></div><div class="field field-name-field-last-reviewed field-type-datestamp field-label-hidden">
|
|
<div class="field-items">
|
|
<div class="field-item even">
|
|
Page last reviewed <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2015-04-01T00:00:00-04:00">April 2015</span> <br />Page originally created April 2015 </div>
|
|
</div>
|
|
</div>
|
|
<div id="block-ahrq-citation" class="block block-ahrq contextual-links-region first odd">
|
|
|
|
|
|
Internet Citation: Key Findings of the 2014 QDR. Content last reviewed April 2015. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/research/findings/nhqrdr/2014chartbooks/access/access-key.html<div class="citation-flag"> </div> </div> <!--</div>--> <div class="footnote"> <p> The information on this page is archived and provided for reference purposes only.</p> </div> <p> </p> </div> </div></td> </tr> </tbody> </table> </td> </tr> </tbody> </table> </div>
|
|
<!-- End of Content Body -->
|
|
<!-- Footer graphic 1.2--> <table border="0" cellSpacing="0" cellPadding="0" width="100%"> <tbody> <tr> <td background="/images/bottom_ahrq_bkg.jpg" width="125"> <img alt="AHRQ" src="/images/bottom_ahrq_1.jpg" width="125"> </td> <td background="/images/bottom_ahrq_bkg.jpg" width="100%"> <img alt="" src="/images/bottom_ahrq_bkg.jpg" width="10" height="34"> </td> <td background="/images/bottom_ahrq_bkg.jpg" width="310"> <img alt="Advancing Excellence in Health Care" src="/images/bottom_ahrq_2.gif" width="310" height="34"> </td> </tr> </tbody> </table>
|
|
<!-- Footer links section --> <div id="banner_Footer2"> <p> <a href="https://www.ahrq.gov/">AHRQ Home</a> | <a class="footer_navlink" href="https://info.ahrq.gov/cgi-bin/ahrq.cfg/php/enduser/std_alp.php">Questions?</a> | <a class="footer_navlink" href="https://www.ahrq.gov/contact/index.html">Contact AHRQ</a> | <a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/accessibility/index.html">Accessibility</a> | <a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/privacy/index.html">Privacy Policy</a> | <a class="footer_navlink" href="https://www.ahrq.gov/news/foia.htm">Freedom of Information Act</a> | <a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/disclaimers/index.html">Disclaimers</a> | <a class="footer_navlink" href="http://www.hhs.gov/open/recordsandreports/plainwritingact/index.html">Plain Writing Act</a> <br/> <a class="footer_navlink" href="http://www.hhs.gov">U.S. Department of Health & Human Services</a> | <a class="footer_navlink" href="http://www.whitehouse.gov">The White House</a> | <a class="footer_navlink" href="http://www.usa.gov">USA.gov: The U.S. Government's Official Web Portal</a> </p> </div> <div id="banner_Footeraddress"> <p> Agency for Healthcare Research and Quality <img alt="" src="/images/bottom_dot.gif"> 5600 Fishers Lane Rockville, MD 20857 <img alt="" src="/images/bottom_dot.gif"> Telephone: (301) 427-1364 </p> </div>
|
|
<!-- End of Footer links section -->
|
|
<!-- JavaScript at the bottom for fast page loading: http://developer.yahoo.com/performance/rules.html#js_bottom --> <!-- Grab Google CDN's jQuery, with a protocol relative URL; fall back to local if offline --> <!-- <script src="//ajax.googleapis.com/ajax/libs/jquery/1.7.2/jquery.min.js"></script> <script>window.jQuery || document.write('<script src="js/libs/jquery-1.7.2.min.js"><\/script>')</script>--> <!-- scripts concatenated and minified via build script --> <!-- <script src="/js/plugins.js"></script> <script src="/js/script.js"></script>--> <!-- end scripts -->
|
|
|
|
|
|
</body>
|
|
</html>
|