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<div >
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<h1 class="page__title title" id="page-title">National Healthcare Disparities Report, 2013</h1> <h2>Chapter 7: Text Descriptions</h2><div id="block-book-helper-book-helper-inline-navigation" class="block block-book-helper first odd">
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<div class="view-header">
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<h3>Table of Contents</h3>
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</div>
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<div class="view-content">
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<div>
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<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>
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<div>
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<a href="/research/findings/nhqrdr/nhdr13/acknow.html" title="Acknowledgments">Acknowledgments</a> </div>
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<div>
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<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>
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<div>
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<a href="/research/findings/nhqrdr/nhdr13/chap1.html" title="Chapter 1. Introduction and Methods">Chapter 1. Introduction and Methods</a> </div>
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<div>
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<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>
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<div>
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<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>
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<div>
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<a href="/research/findings/nhqrdr/nhdr13/chap4.html" title="Chapter 4. Patient Safety">Chapter 4. Patient Safety</a> </div>
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<div>
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<a href="/research/findings/nhqrdr/nhdr13/chap5.html" title="Chapter 5. Timeliness">Chapter 5. Timeliness</a> </div>
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<div>
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<a href="/research/findings/nhqrdr/nhdr13/chap6.html" title="Chapter 6. Patient Centeredness">Chapter 6. Patient Centeredness</a> </div>
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<div>
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<a href="/research/findings/nhqrdr/nhdr13/chap7.html" title="Chapter 7. Care Coordination">Chapter 7. Care Coordination</a> </div>
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<div>
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<a href="/research/findings/nhqrdr/nhdr13/chap8.html" title="Chapter 8. Efficiency">Chapter 8. Efficiency</a> </div>
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<div>
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<a href="/research/findings/nhqrdr/nhdr13/chap9.html" title="Chapter 9. Health System Infrastructure">Chapter 9. Health System Infrastructure</a> </div>
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<div>
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<a href="/research/findings/nhqrdr/nhdr13/chap10.html" title="Chapter 10. Access to Health Care">Chapter 10. Access to Health Care</a> </div>
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<div>
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<a href="/research/findings/nhqrdr/nhdr13/chap11.html" title="Chapter 11. Priority Populations">Chapter 11. Priority Populations</a> </div>
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</div>
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</div> </div>
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</div>
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</div>
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<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="fig71" name="fig71"> </a>Figure 7.1. Hospitalized adult patients with heart failure who were given complete written discharge instructions, by race/ethnicity, 2005-2011</h4>
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<table border="1" cellpadding="3" cellspacing="1" width="95%">
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<tbody>
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<tr>
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<th scope="col">Race / Ethnicity</th>
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<th scope="col">2005</th>
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<th scope="col">2006</th>
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<th scope="col">2007</th>
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<th scope="col">2008</th>
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<th scope="col">2009</th>
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<th scope="col">2010</th>
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<th scope="col">2011</th>
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</tr>
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<tr>
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<td scope="row">White</td>
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<td>58.6%</td>
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<td>69.5%</td>
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<td>76.6%</td>
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<td>82.2%</td>
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<td>86.3%</td>
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<td>89.6%</td>
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<td>91.9%</td>
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</tr>
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<tr>
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<td scope="row">Black</td>
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<td>56.7%</td>
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<td>68.1%</td>
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<td>75.8%</td>
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<td>81.7%</td>
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<td>86.4%</td>
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<td>89.8%</td>
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<td>92.4%</td>
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</tr>
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<tr>
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<td scope="row">Hispanic</td>
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<td>53.0%</td>
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<td>65.6%</td>
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<td>72.6%</td>
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<td>81.8%</td>
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<td>88.2%</td>
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<td>89.8%</td>
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<td>92.0%</td>
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</tr>
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<tr>
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<td scope="row">AI/AN</td>
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<td>48.2%</td>
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<td>59.7%</td>
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<td>65.0%</td>
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<td>69.8%</td>
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<td>76.3%</td>
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<td>81.9%</td>
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<td>84.1%</td>
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</tr>
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<tr>
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<td scope="row">Asian</td>
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<td>49.1%</td>
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<td>61.5%</td>
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<td>74.6%</td>
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<td>83.7%</td>
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<td>87.1%</td>
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<td>91.6%</td>
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<td>92.9%</td>
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</tr>
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</tbody>
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</table>
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<p><strong>Key:</strong> AI/AN = American Indian or Alaska Native.<br />
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<strong>Source:</strong> Centers for Medicare & Medicaid Services, Quality Improvement Organization Program, 2005-2011.<br />
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<strong>Denominator:</strong> Hospitalized adult patients with a principal discharge diagnosis of heart failure.<br />
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<strong>Note: </strong>Complete written discharge instructions needed to address all of the following: activity level, diet, discharge medications, followup appointment, weight monitoring, and actions to take if symptoms worsen.<br />
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<strong>2010 Achievable Benchmark:</strong> 94%</p>
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<p><a href="/research/findings/nhqrdr/nhdr13/chap7.html#fig71">Return to Document</a></p>
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<h4><a id="fig72" name="fig72"> </a>Figure 7.2. People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors, by education and perceived health status, United States, 2002-2010</h4>
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<table border="1" cellpadding="3" cellspacing="1" width="95%">
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<tbody>
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<tr>
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<th scope="col"> </th>
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<th scope="col">2002</th>
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<th scope="col">2003</th>
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<th scope="col">2004</th>
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<th scope="col">2005</th>
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<th scope="col">2006</th>
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<th scope="col">2007</th>
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<th scope="col">2008</th>
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<th scope="col">2009</th>
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<th scope="col">2010</th>
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</tr>
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<tr>
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<td scope="row">Any College</td>
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<td>78.1%</td>
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<td>79.0%</td>
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<td>80.6%</td>
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<td>80.6%</td>
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<td>81.6%</td>
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<td>82.3%</td>
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<td>83.6%</td>
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<td>82.2%</td>
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<td>84.7%</td>
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</tr>
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<tr>
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<td scope="row">High School Grad</td>
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<td>76.0%</td>
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<td>76.2%</td>
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<td>79.0%</td>
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<td>77.2%</td>
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<td>78.8%</td>
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<td>81.1%</td>
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<td>80.8%</td>
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<td>78.8%</td>
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<td>82.6%</td>
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</tr>
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<tr>
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<td scope="row"><High School</td>
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<td>75.0%</td>
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<td>77.2%</td>
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<td>76.9%</td>
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<td>77.5%</td>
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<td>78.7%</td>
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<td>80.2%</td>
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<td>78.5%</td>
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<td>78.7%</td>
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<td>82.0%</td>
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</tr>
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<tr>
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<td scope="row">Total</td>
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<td>75.1%</td>
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<td>76.4%</td>
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<td>77.8%</td>
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<td>77.7%</td>
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<td>79.0%</td>
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<td>80.1%</td>
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<td>80.5%</td>
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<td>79.3%</td>
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<td>82.8%</td>
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</tr>
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<tr>
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<td scope="row">Excellent / Very Good / Good</td>
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<td>74.9%</td>
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<td>76.1%</td>
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<td>77.4%</td>
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<td>77.4%</td>
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<td>78.7%</td>
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<td>79.8%</td>
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<td>80.3%</td>
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<td>79.0%</td>
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<td>82.7%</td>
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</tr>
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<tr>
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<td scope="row">Fair / Poor</td>
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<td>77.2%</td>
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<td>78.1%</td>
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<td>80.6%</td>
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<td>80.1%</td>
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<td>81.2%</td>
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<td>82.8%</td>
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<td>81.9%</td>
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<td>81.0%</td>
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<td>83.2%</td>
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</tr>
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</tbody>
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</table>
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<p><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2010.<br />
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<strong>Denominator:</strong> Civilian noninstitutionalized population who report a usual source of care.<br />
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<strong>Note: </strong>Education status applies only to adults age 18 and over.</p>
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<p><a href="/research/findings/nhqrdr/nhdr13/chap7.html#fig72">Return to Document</a></p>
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<h4><a id="fig73" name="fig73"> </a>Figure 7.3. Hospitals with electronic exchange of patient information on medication history, by region and geographic location, 2009-2011, with hospitals outside their system and with ambulatory providers outside their system</h4>
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<table border="1" cellpadding="3" cellspacing="1" width="95%">
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<tbody>
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<tr>
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<th scope="col"> </th>
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<th scope="col">2009</th>
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<th scope="col">2010</th>
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<th scope="col">2011</th>
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|
</tr>
|
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<tr>
|
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<td scope="row"><strong>Hospitals Outside System</strong></td>
|
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<td> </td>
|
|
<td> </td>
|
|
<td> </td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Northeast</td>
|
|
<td>15.6%</td>
|
|
<td>21.0%</td>
|
|
<td>25.3%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Midwest</td>
|
|
<td>14.3%</td>
|
|
<td>19.9%</td>
|
|
<td>24.8%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">South</td>
|
|
<td>10.8%</td>
|
|
<td>17.2%</td>
|
|
<td>21.8%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">West</td>
|
|
<td>15.0%</td>
|
|
<td>21.1%</td>
|
|
<td>32.9%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">MSA</td>
|
|
<td>13.3%</td>
|
|
<td>19.4%</td>
|
|
<td>27.8%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Non-MSA</td>
|
|
<td>13.5%</td>
|
|
<td>19.4%</td>
|
|
<td>22.0%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row"><strong>Ambulatory Providers Outside System</strong></td>
|
|
<td> </td>
|
|
<td> </td>
|
|
<td> </td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Northeast</td>
|
|
<td>29.2%</td>
|
|
<td>33.4%</td>
|
|
<td>38.0%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Midwest</td>
|
|
<td>32.2%</td>
|
|
<td>30.6%</td>
|
|
<td>30.3%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">South</td>
|
|
<td>25.4%</td>
|
|
<td>31.2%</td>
|
|
<td>27.1%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">West</td>
|
|
<td>24.9%</td>
|
|
<td>36.1%</td>
|
|
<td>39.9%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">MSA</td>
|
|
<td>29.6%</td>
|
|
<td>33.3%</td>
|
|
<td>35.6%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Non-MSA</td>
|
|
<td>26.2%</td>
|
|
<td>30.5%</td>
|
|
<td>27.2%</td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
<p><strong>Key:</strong> MSA = metropolitan statistical area.<br />
|
|
<strong>Source:</strong> American Hospital Association Annual Survey Information Technology Supplement, 2009-2011.</p>
|
|
<p><a href="/research/findings/nhqrdr/nhdr13/chap7.html#fig73">Return to Document</a></p>
|
|
<h4><a id="fig74" name="fig74"> </a>Figure 7.4. Information gathering by home health care providers among adults receiving home health care, by race/ethnicity, 2011-2012</h4>
|
|
<p> </p>
|
|
<table border="1" cellpadding="3" cellspacing="1" width="95%">
|
|
<tbody>
|
|
<tr>
|
|
<th scope="col">Race / Ethnicity</th>
|
|
<th scope="col">Talk with you about all the medicines you take</th>
|
|
<th scope="col">Ask to see all the medicines you take</th>
|
|
<th scope="col">Always seemed informed about all the care you get at home</th>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Total</td>
|
|
<td>83.8%</td>
|
|
<td>78.8%</td>
|
|
<td>62.2%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">White</td>
|
|
<td>83.6%</td>
|
|
<td>76.4%</td>
|
|
<td>63.6%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Black</td>
|
|
<td>87.0%</td>
|
|
<td>90.6%</td>
|
|
<td>61.9%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Asian</td>
|
|
<td>82.6%</td>
|
|
<td>83.2%</td>
|
|
<td>48.3%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">NHOPI</td>
|
|
<td>84.9%</td>
|
|
<td>86.3%</td>
|
|
<td>59.8%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">AI/AN</td>
|
|
<td>83.6%</td>
|
|
<td>85.5%</td>
|
|
<td>61.5%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">>1 Race</td>
|
|
<td>83.9%</td>
|
|
<td>83.5%</td>
|
|
<td>58.8%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Hispanic</td>
|
|
<td>87.7%</td>
|
|
<td>89.2%</td>
|
|
<td>59.6%</td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
<p><strong>Key:</strong> NHOPI = Native Hawaiian or Other Pacific Islander; AI/AN = American Indian or Alaska Native.<br />
|
|
<strong>Source:</strong> Centers for Medicare & Medicaid Services, Home Health Care CAHPS (Consumer Assessment of Healthcare Providers and Systems) Survey, 2011-2012.<br />
|
|
<strong>Denominator:</strong> Adults who had at least two visits from a Medicare-certified home health agency during a 2-month look-back period. Patients receiving hospice care and who had "maternity" as the primary reason for receiving home health care are excluded.</p>
|
|
<p><a href="/research/findings/nhqrdr/nhdr13/chap7.html#fig74">Return to Document</a></p>
|
|
<h4><a id="fig75" name="fig75"> </a>Figure 7.5. Effective care coordination among children with special health care needs, by race/ethnicity, 2005-2006 and 2009-2010</h4>
|
|
<table border="1" cellpadding="3" cellspacing="1" width="95%">
|
|
<tbody>
|
|
<tr>
|
|
<th scope="col">Race / Ethnicity</th>
|
|
<th scope="col">2005-2006</th>
|
|
<th scope="col">2009-2010</th>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">White</td>
|
|
<td>62.0%</td>
|
|
<td>58.8%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Black</td>
|
|
<td>56.2%</td>
|
|
<td>51.7%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Other</td>
|
|
<td>50.3%</td>
|
|
<td>51.3%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Hispanic</td>
|
|
<td>49.9%</td>
|
|
<td>51.7%</td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
<p><strong>Source:</strong> Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health Web site, using the 2005/06 and 2009/10 National Survey of Children With Special Health Care Needs<br />
|
|
<strong>Denominator:</strong> CSHCN who were reported to use more than one service during the survey period.<br />
|
|
<strong>Note: </strong>White, Black, and Other are non-Hispanic. Hispanic includes all races.</p>
|
|
<p><a href="/research/findings/nhqrdr/nhdr13/chap7.html#fig75">Return to Document</a></p>
|
|
<h4><a id="fig76" name="fig76"> </a>Figure 7.6. Children with special health care needs with a medical home, by race/ethnicity, 2005-2006 and 2009-2010</h4>
|
|
<table border="1" cellpadding="3" cellspacing="1" width="95%">
|
|
<tbody>
|
|
<tr>
|
|
<th scope="col">Race / Ethnicity</th>
|
|
<th scope="col">2005-2006</th>
|
|
<th scope="col">2009-2010</th>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">White</td>
|
|
<td>52.8%</td>
|
|
<td>48.8%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Black</td>
|
|
<td>36.6%</td>
|
|
<td>33.5%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Other</td>
|
|
<td>40.0%</td>
|
|
<td>39.1%</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">Hispanic</td>
|
|
<td>32.2%</td>
|
|
<td>33.2%</td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
<p><strong>Source:</strong> Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health Web site, using the 2005/06 and 2009/10 National Survey of Children With Special Health Care Needs.<br />
|
|
<strong>Denominator:</strong> Civilian noninstitutionalized population ages 0-17 with special health care needs.<br />
|
|
<strong>Note: </strong>White, Black, and Other are non-Hispanic. Hispanic includes all races. Medical home outcome is defined by having at least one personal doctor or nurse; received family-centered care in previous 12 months; no referral problems; usual source or sources of sick and well care; and effective care coordination.</p>
|
|
<p><a href="/research/findings/nhqrdr/nhdr13/chap7.html#fig76">Return to Document</a></p>
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Page last reviewed <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2014-05-01T00:00:00-04:00">May 2014</span> <br />Page originally created May 2014 </div>
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