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<h1 class="page__title title" id="page-title">National Healthcare Disparities Report, 2013</h1> <h2>Chapter 5: Text Descriptions</h2><div id="block-book-helper-book-helper-inline-navigation" class="block block-book-helper first odd">
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<h3>Table of Contents</h3>
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<div>
<div class="views-field views-field-title"><span class="field-content"><a href="/research/findings/nhqrdr/nhdr13/index.html" title="National Healthcare Disparities Report, 2013">National Healthcare Disparities Report, 2013</a></span></div> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/acknow.html" title="Acknowledgments">Acknowledgments</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/highlights.html" title="Highlights from the 2013 National Healthcare Quality and Disparities Reports">Highlights from the 2013 National Healthcare Quality and Disparities Reports</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap1.html" title="Chapter 1. Introduction and Methods">Chapter 1. Introduction and Methods</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap2.html" title="Chapter 2. Effectiveness of Care for Common Clinical Conditions">Chapter 2. Effectiveness of Care for Common Clinical Conditions</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap3.html" title="Chapter 3. Effectiveness of Care Across the Lifespan">Chapter 3. Effectiveness of Care Across the Lifespan</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap4.html" title="Chapter 4. Patient Safety">Chapter 4. Patient Safety</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap5.html" title="Chapter 5. Timeliness">Chapter 5. Timeliness</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap6.html" title="Chapter 6. Patient Centeredness">Chapter 6. Patient Centeredness</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap7.html" title="Chapter 7. Care Coordination">Chapter 7. Care Coordination</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap8.html" title="Chapter 8. Efficiency">Chapter 8. Efficiency</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap9.html" title="Chapter 9. Health System Infrastructure">Chapter 9. Health System Infrastructure</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap10.html" title="Chapter 10. Access to Health Care">Chapter 10. Access to Health Care</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap11.html" title="Chapter 11. Priority Populations">Chapter 11. Priority Populations</a> </div>
</div>
</div> </div>
</div>
</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"><h4><a id="fig51" name="fig51"> </a>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 race/ethnicity and income, 2002-2010</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Race / Ethnicity / Income</th>
<th scope="col">2002</th>
<th scope="col">2003</th>
<th scope="col">2004</th>
<th scope="col">2005</th>
<th scope="col">2006</th>
<th scope="col">2007</th>
<th scope="col">2008</th>
<th scope="col">2009</th>
<th scope="col">2010</th>
</tr>
<tr>
<td scope="row">Total</td>
<td>15.3%</td>
<td>14.3%</td>
<td>14.2%</td>
<td>15.1%</td>
<td>15.3%</td>
<td>13.9%</td>
<td>15.4%</td>
<td>14.7%</td>
<td>14.4%</td>
</tr>
<tr>
<td scope="row">Non-Hispanic White</td>
<td>12.9%</td>
<td>12.4%</td>
<td>12.1%</td>
<td>12.8%</td>
<td>13.8%</td>
<td>12.0%</td>
<td>13.5%</td>
<td>12.5%</td>
<td>12.6%</td>
</tr>
<tr>
<td scope="row">Non-Hispanic Black</td>
<td>18.9%</td>
<td>18.6%</td>
<td>17.5%</td>
<td>20.9%</td>
<td>16.5%</td>
<td>17.7%</td>
<td>22.7%</td>
<td>19.9%</td>
<td>16.6%</td>
</tr>
<tr>
<td scope="row">Hispanic</td>
<td>25.8%</td>
<td>20.6%</td>
<td>19.6%</td>
<td>17.7%</td>
<td>20.6%</td>
<td>19.3%</td>
<td>17.7%</td>
<td>20.4%</td>
<td>18.1%</td>
</tr>
<tr>
<td scope="row">Poor</td>
<td>22.8%</td>
<td>25.8%</td>
<td>25.0%</td>
<td>24.8%</td>
<td>23.0%</td>
<td>19.6%</td>
<td>24.0%</td>
<td>24.4%</td>
<td>21.7%</td>
</tr>
<tr>
<td scope="row">Low Income</td>
<td>20.3%</td>
<td>17.5%</td>
<td>15.6%</td>
<td>19.7%</td>
<td>20.3%</td>
<td>16.6%</td>
<td>19.7%</td>
<td>19.1%</td>
<td>19.5%</td>
</tr>
<tr>
<td scope="row">Middle Income</td>
<td>15.9%</td>
<td>13.3%</td>
<td>13.5%</td>
<td>14.3%</td>
<td>15.3%</td>
<td>15.4%</td>
<td>14.4%</td>
<td>14.5%</td>
<td>14.7%</td>
</tr>
<tr>
<td scope="row">High Income</td>
<td>9.9%</td>
<td>9.7%</td>
<td>10.3%</td>
<td>10.0%</td>
<td>10.5%</td>
<td>9.8%</td>
<td>10.9%</td>
<td>9.0%</td>
<td>8.3%</td>
</tr>
</tbody>
</table>
<p><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2010.<br />
<strong>Denominator:</strong> Civilian noninstitutionalized population age 18 and over.<br />
<strong>Note: </strong>For this measure, lower rates are better. White and Black are non-Hispanic. Hispanic includes all races.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap5.html#fig51">Return to Document</a></p>
<h4><a id="fig52" name="fig52"> </a>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 race/ethnicity and income, 2002-2010</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Race / Ethnicity / Income</th>
<th scope="col">2002</th>
<th scope="col">2003</th>
<th scope="col">2004</th>
<th scope="col">2005</th>
<th scope="col">2006</th>
<th scope="col">2007</th>
<th scope="col">2008</th>
<th scope="col">2009</th>
<th scope="col">2010</th>
</tr>
<tr>
<td scope="row">Total</td>
<td>7.5%</td>
<td>9.1%</td>
<td>7.3%</td>
<td>8.1%</td>
<td>7.1%</td>
<td>8.0%</td>
<td>5.7%</td>
<td>4.5%</td>
<td>3.8%</td>
</tr>
<tr>
<td scope="row">Non-Hispanic White</td>
<td>6.7%</td>
<td>8.1%</td>
<td>7.2%</td>
<td>7.7%</td>
<td>6.5%</td>
<td>6.8%</td>
<td>4.3%</td>
<td>2.6%</td>
<td>3.2%</td>
</tr>
<tr>
<td scope="row">Non-Hispanic Black</td>
<td>7.2%</td>
<td>7.9%</td>
<td>5.0%</td>
<td>6.7%</td>
<td>9.1%</td>
<td>8.4%</td>
<td>6.5%</td>
<td>NA</td>
<td>NA</td>
</tr>
<tr>
<td scope="row">Hispanic</td>
<td>10.6%</td>
<td>13.9%</td>
<td>10.5%</td>
<td>9.3%</td>
<td>6.7%</td>
<td>8.9%</td>
<td>10.0%</td>
<td>10.1%</td>
<td>5.1%</td>
</tr>
<tr>
<td scope="row">Poor</td>
<td>12.2%</td>
<td>12.5%</td>
<td>10.9%</td>
<td>9.4%</td>
<td>7.6%</td>
<td>9.5%</td>
<td>8.8%</td>
<td>10.6%</td>
<td>8.4%</td>
</tr>
<tr>
<td scope="row">Low Income</td>
<td>8.9%</td>
<td>12.6%</td>
<td>7.3%</td>
<td>10.1%</td>
<td>10.1%</td>
<td>12.0%</td>
<td>6.8%</td>
<td>5.7%</td>
<td>NA</td>
</tr>
<tr>
<td scope="row">Middle Income</td>
<td>7.8%</td>
<td>10.0%</td>
<td>7.3%</td>
<td>8.2%</td>
<td>7.4%</td>
<td>10.7%</td>
<td>4.8%</td>
<td>NA</td>
<td>NA</td>
</tr>
<tr>
<td scope="row">High Income</td>
<td>4.0%</td>
<td>3.8%</td>
<td>5.2%</td>
<td>6.2%</td>
<td>4.7%</td>
<td>NA</td>
<td>4.0%</td>
<td>NA</td>
<td>NA</td>
</tr>
</tbody>
</table>
<p><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2010.<br />
<strong>Denominator:</strong> Civilian noninstitutionalized population under age 18.<br />
<strong>Note: </strong>For this measure, lower rates are better. White and Black are non-Hispanic. Hispanic includes all races. The 2009 and 2010 data for Blacks; the 2007, 2009, and 2010 data for high-income families; the 2009 and 2010 data for middle-income families; and the 2010 data for low-income families did not meet criteria for statistical reliability, data quality, or confidentiality.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap5.html#fig52">Return to Document</a></p>
<h4><a id="fig53" name="fig53"> </a>Figure 5.3. Emergency department visits where patient was transferred or admitted and length of visit was 6 hours or more, by insurance and race, 2010-2011</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Private</th>
<th scope="col">Public</th>
<th scope="col">Uninsured</th>
<th scope="col">Total</th>
<th scope="col">White</th>
<th scope="col">Black</th>
</tr>
<tr>
<td scope="row">27.5%</td>
<td>34.5%</td>
<td>33.8%</td>
<td>29.9%</td>
<td>27.9%</td>
<td>38.7%</td>
</tr>
</tbody>
</table>
<p><strong>Source:</strong> Centers for Disease Control and Prevention, National Center for Health Statistics, National Hospital Ambulatory Medical Care Survey, 2010-2011.<br />
<strong>Note: </strong>For this measure, lower rates are better. Public insurance includes Medicare, Medicaid, and State Children's Health Insurance Program. Uninsured is defined as having "only self-pay" or "no charge/charity" as payment sources. 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 (<a href="http://www.cdc.gov/nchs/data/nhsr/nhsr007.pdf">http://www.cdc.gov/nchs/data/nhsr/nhsr007.pdf</a>; PDF File, 697 KB).</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap5.html#fig53">Return to Document</a></p>
<h4><a id="fig5 " name="fig54"> </a>Figure 5.4. Hospital patients with heart attack given percutaneous coronary intervention within 90 minutes of arrival, by race/ethnicity, 2005-2011</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Race / Ethnicity</th>
<th scope="col">2005</th>
<th scope="col">2006</th>
<th scope="col">2007</th>
<th scope="col">2008</th>
<th scope="col">2009</th>
<th scope="col">2010</th>
<th scope="col">2011</th>
</tr>
<tr>
<td scope="row">Total</td>
<td>42.1%</td>
<td>53.8%</td>
<td>71.8%</td>
<td>81.3%</td>
<td>87.5%</td>
<td>91.1%</td>
<td>93.7%</td>
</tr>
<tr>
<td scope="row">White</td>
<td>43.4%</td>
<td>55.1%</td>
<td>73%</td>
<td>82.1%</td>
<td>88.1%</td>
<td>91.7%</td>
<td>94.2%</td>
</tr>
<tr>
<td scope="row">Black</td>
<td>29.1%</td>
<td>42.2%</td>
<td>62.2%</td>
<td>74.3%</td>
<td>81.5%</td>
<td>86.3%</td>
<td>90.7%</td>
</tr>
<tr>
<td scope="row">Hispanic</td>
<td>33.8%</td>
<td>46.7%</td>
<td>66.4%</td>
<td>77.5%</td>
<td>85.1%</td>
<td>89%</td>
<td>92.1%</td>
</tr>
<tr>
<td scope="row">AI/AN</td>
<td>43.2%</td>
<td>53.5%</td>
<td>66.2%</td>
<td>69.3%</td>
<td>84.7%</td>
<td>89.8%</td>
<td>89.7%</td>
</tr>
<tr>
<td scope="row">Asian</td>
<td>39.6%</td>
<td>49.8%</td>
<td>69.5%</td>
<td>80.9%</td>
<td>87.2%</td>
<td>91.3%</td>
<td>93.3%</td>
</tr>
</tbody>
</table>
<p><strong>Key:</strong> AI/AN = American Indian or Alaska Native.<br />
<strong>Source:</strong> Centers for Medicare &amp; Medicaid Services, Medicare Quality Improvement Organization Program, 2005-2011.<br />
<strong>Denominator:</strong> 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.<br />
<strong>2010 Achievable Benchmark:</strong> 96%</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap5.html#fig54">Return to Document</a></p>
<h4><a id="fig55" name="fig55"> </a>Figure 5.5. Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival, by race/ethnicity, 2005-2011</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Race / Ethnicity</th>
<th scope="col">2005</th>
<th scope="col">2006</th>
<th scope="col">2007</th>
<th scope="col">2008</th>
<th scope="col">2009</th>
<th scope="col">2010</th>
<th scope="col">2011</th>
</tr>
<tr>
<td scope="row">Total</td>
<td>37.9%</td>
<td>42.1%</td>
<td>50%</td>
<td>49.4%</td>
<td>54.4%</td>
<td>58.4%</td>
<td>57.9%</td>
</tr>
<tr>
<td scope="row">White</td>
<td>38.7%</td>
<td>43.6%</td>
<td>51.8%</td>
<td>51.0%</td>
<td>55.7%</td>
<td>63.8%</td>
<td>57.3%</td>
</tr>
<tr>
<td scope="row">Black</td>
<td>27.7%</td>
<td>32.6%</td>
<td>44.5%</td>
<td>37.8%</td>
<td>46.8%</td>
<td>53%</td>
<td>58.2%</td>
</tr>
<tr>
<td scope="row">Hispanic</td>
<td>36.8%</td>
<td>37.8%</td>
<td>43.2%</td>
<td>47.6%</td>
<td>52.8%</td>
<td>47.3%</td>
<td>57%</td>
</tr>
<tr>
<td scope="row">Asian</td>
<td>43.9%</td>
<td>45.5%</td>
<td>55.5%</td>
<td>48.2%</td>
<td>58.6%</td>
<td>67.3%</td>
<td>71.4%</td>
</tr>
</tbody>
</table>
<p><strong>Source:</strong> Centers for Medicare &amp; Medicaid Services, Medicare Quality Improvement Organization Program, 2005-2011.<br />
<strong>Denominator:</strong> Discharged hospital patients with a principal diagnosis of acute myocardial infarction and documented receipt of thrombolytic therapy during the hospital stay.<br />
<strong>2010 Achievable Benchmark:</strong> 68%<br />
<a href="/research/findings/nhqrdr/nhdr13/chap5.html#fig55">Return to Document</a></p>
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