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<h1 class="page__title title" id="page-title">National Healthcare Disparities Report, 2013</h1> <h2>Highlights: 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">
<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="figh1" name="figh1"> </a>Figure H.1. Average proportion of recommended care received across a panel of quality of care measures, 2005-2010</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</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">Percent</td>
<td>66.4</td>
<td>68.3</td>
<td>69.4</td>
<td>69.3</td>
<td>69.9</td>
<td>69.8</td>
</tr>
</tbody>
</table>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh1">Return to Document</a></p>
<h4><a id="figh2" name="figh2"> </a>Figure H.2. Number and proportion of all quality measures that are improving, not changing, or worsening, overall and for select populations</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Improving</th>
<th scope="col">No Change</th>
<th scope="col">Worsening</th>
</tr>
<tr>
<td scope="row">Total (n=168)</td>
<td>100</td>
<td>57</td>
<td>11</td>
</tr>
<tr>
<td scope="row">Hispanic (n=168)</td>
<td>98</td>
<td>60</td>
<td>10</td>
</tr>
<tr>
<td scope="row">Black (n=168)</td>
<td>96</td>
<td>61</td>
<td>11</td>
</tr>
<tr>
<td scope="row">Asian (n=123)</td>
<td>70</td>
<td>49</td>
<td>4</td>
</tr>
<tr>
<td scope="row">Poor (n=95)</td>
<td>51</td>
<td>37</td>
<td>7</td>
</tr>
<tr>
<td scope="row">AI/AN (n=88)</td>
<td>37</td>
<td>48</td>
<td>3</td>
</tr>
<tr>
<td scope="row">Neither Activity Limitation (n=26)</td>
<td>16</td>
<td>8</td>
<td>2</td>
</tr>
<tr>
<td scope="row">Basic Activity Limitations (n=25)</td>
<td>9</td>
<td>14</td>
<td>2</td>
</tr>
<tr>
<td scope="row">Complex Activity Limitations (n=24)</td>
<td>5</td>
<td>17</td>
<td>2</td>
</tr>
</tbody>
</table>
<p>
<strong>Key:</strong> AI/AN = American Indian or Alaska Native; n = number of measures.<br />
<strong>Improving</strong> = Quality is going in a positive direction at an average annual rate greater than 1% per year.<br />
<strong>No Change</strong> = Quality is not changing or is changing at an average annual rate less than or equal to 1% per year.<br />
<strong>Worsening</strong> = Quality is going in a negative direction at an average annual rate greater than 1% per year.<br />
<strong>Note: </strong>For the vast majority of measures, trend data are available from 2000-2002 to 2010-2011. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh2">Return to Document</a></p>
<h4><a id="figh3" name="figh3"> </a>Figure H.3. Number and proportion of measures that are improving, not changing, or worsening, by setting of care</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Improving</th>
<th scope="col">No Change</th>
<th scope="col">Worsening</th>
</tr>
<tr>
<td scope="row">Hospital (n=39)</td>
<td>29</td>
<td>9</td>
<td>1</td>
</tr>
<tr>
<td scope="row">Home Health &amp; Hospice (n=15)</td>
<td>9</td>
<td>6</td>
<td>NA</td>
</tr>
<tr>
<td scope="row">Nursing Home (n=19)</td>
<td>11</td>
<td>7</td>
<td>1</td>
</tr>
<tr>
<td scope="row">Ambulatory (n=86)</td>
<td>45</td>
<td>34</td>
<td>7</td>
</tr>
</tbody>
</table>
<p>
<strong>Key:</strong> n = number of measures.<br />
<strong>Improving</strong> = Quality is going in a positive direction at an average annual rate greater than 1% per year.<br />
<strong>No Change</strong> = Quality is not changing or is changing at an average annual rate less than or equal to 1% per year.<br />
<strong>Worsening</strong> = Quality is going in a negative direction at an average annual rate greater than 1% per year.<br />
<strong>Note: </strong>For the vast majority of measures, trend data are available from 2000-2002 to 2010-2011.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh3">Return to Document</a></p>
<h4><a id="figh4a" name="figh4a"> </a>Figure H.4a. Quality of care, by setting and state, quality of ambulatory care</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Lowest Quality Quartile</th>
<th scope="col">Second Quartile</th>
<th scope="col">Third Quartile</th>
<th scope="col">Highest Quality Quartile</th>
</tr>
<tr>
<td scope="row">Arkansas</td>
<td>Alabama</td>
<td>Arizona</td>
<td>Colorado</td>
</tr>
<tr>
<td scope="row">Georgia</td>
<td>Alaska</td>
<td>California</td>
<td>Connecticut</td>
</tr>
<tr>
<td scope="row">Idaho</td>
<td>Florida</td>
<td>Hawaii</td>
<td>Delaware</td>
</tr>
<tr>
<td scope="row">Kentucky</td>
<td>Maryland</td>
<td>Kansas</td>
<td>Iowa</td>
</tr>
<tr>
<td scope="row">Illinois</td>
<td>Montana</td>
<td>Michigan</td>
<td>Maine</td>
</tr>
<tr>
<td scope="row">Indiana</td>
<td>Nevada</td>
<td>Nebraska</td>
<td>Massachusetts</td>
</tr>
<tr>
<td scope="row">Louisiana</td>
<td>New Mexico</td>
<td>New Jersey</td>
<td>Minnesota</td>
</tr>
<tr>
<td scope="row">Mississippi</td>
<td>North Carolina</td>
<td>New York</td>
<td>New Hampshire</td>
</tr>
<tr>
<td scope="row">Missouri</td>
<td>Oklahoma</td>
<td>Oregon</td>
<td>North Dakota</td>
</tr>
<tr>
<td scope="row">Ohio</td>
<td>Pennsylvania</td>
<td>Rhode Island</td>
<td>Utah</td>
</tr>
<tr>
<td scope="row">South Carolina</td>
<td>Tennessee</td>
<td>South Dakota</td>
<td>Vermont</td>
</tr>
<tr>
<td scope="row">Texas</td>
<td>Wyoming</td>
<td>Virginia</td>
<td>Washington</td>
</tr>
<tr>
<td scope="row">West Virginia</td>
<td>NA</td>
<td>NA</td>
<td>Wisconsin</td>
</tr>
</tbody>
</table>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh4">Return to Document</a></p>
<h4><a id="figh4b" name="figh4b"> </a>Figure H.4b. Quality of care, by setting and state, quality of hospital care</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Lowest Quality Quartile</th>
<th scope="col">Second Quartile</th>
<th scope="col">Third Quartile</th>
<th scope="col">Highest Quality Quartile</th>
</tr>
<tr>
<td scope="row">Arizona</td>
<td>Alabama</td>
<td>Colorado</td>
<td>Idaho</td>
</tr>
<tr>
<td scope="row">Arkansas</td>
<td>Alaska</td>
<td>Florida</td>
<td>Indiana</td>
</tr>
<tr>
<td scope="row">Hawaii</td>
<td>California</td>
<td>Georgia</td>
<td>Iowa</td>
</tr>
<tr>
<td scope="row">Kentucky</td>
<td>Connecticut</td>
<td>Illinois</td>
<td>Maine</td>
</tr>
<tr>
<td scope="row">Louisiana</td>
<td>Delaware</td>
<td>Nebraska</td>
<td>Massachusetts</td>
</tr>
<tr>
<td scope="row">Maryland</td>
<td>Kansas</td>
<td>New Jersey</td>
<td>Michigan</td>
</tr>
<tr>
<td scope="row">Mississippi</td>
<td>Missouri</td>
<td>Oregon</td>
<td>Minnesota</td>
</tr>
<tr>
<td scope="row">New Mexico</td>
<td>Montana</td>
<td>Pennsylvania</td>
<td>New Hampshire</td>
</tr>
<tr>
<td scope="row">New York</td>
<td>Nevada</td>
<td>South Dakota</td>
<td>North Carolina</td>
</tr>
<tr>
<td scope="row">Oklahoma</td>
<td>North Dakota</td>
<td>Tennessee</td>
<td>Ohio</td>
</tr>
<tr>
<td scope="row">West Virgina</td>
<td>Rhode Island</td>
<td>Texas</td>
<td>South Carolina</td>
</tr>
<tr>
<td scope="row">Wyoming</td>
<td>Washington</td>
<td>Vermont</td>
<td>Utah</td>
</tr>
<tr>
<td scope="row">NA</td>
<td>NA</td>
<td>Virginia</td>
<td>Wisconsin</td>
</tr>
</tbody>
</table>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh4">Return to Document</a></p>
<h4><a id="figh4c" name="figh4c"> </a>Figure H.4c. Quality of care, by setting and state, quality of home health and hospice care</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Lowest Quality Quartile</th>
<th scope="col">Second Quartile</th>
<th scope="col">Third Quartile</th>
<th scope="col">Highest Quality Quartile</th>
</tr>
<tr>
<td scope="row">Alaska</td>
<td>California</td>
<td>Alabama</td>
<td>Delaware</td>
</tr>
<tr>
<td scope="row">Arkansas</td>
<td>Colorado</td>
<td>Arizona</td>
<td>Kansas</td>
</tr>
<tr>
<td scope="row">Connecticut</td>
<td>Florida</td>
<td>Georgia</td>
<td>Michigan</td>
</tr>
<tr>
<td scope="row">Hawaii</td>
<td>Idaho</td>
<td>Illinois</td>
<td>Missouri</td>
</tr>
<tr>
<td scope="row">Kentucky</td>
<td>Iowa</td>
<td>Indiana</td>
<td>Nevada</td>
</tr>
<tr>
<td scope="row">Minnesota</td>
<td>Louisiana</td>
<td>Maine</td>
<td>New Jersey</td>
</tr>
<tr>
<td scope="row">New Mexico</td>
<td>Mississippi</td>
<td>Maryland</td>
<td>North Carolina</td>
</tr>
<tr>
<td scope="row">New York</td>
<td>Nebraska</td>
<td>Massachusetts</td>
<td>North Dakota</td>
</tr>
<tr>
<td scope="row">Ohio</td>
<td>South Dakota</td>
<td>Montana</td>
<td>Pennsylvania</td>
</tr>
<tr>
<td scope="row">Oklahoma</td>
<td>Tennessee</td>
<td>New Hampshire</td>
<td>Rhode Island</td>
</tr>
<tr>
<td scope="row">Oregon</td>
<td>West Virginia</td>
<td>Vermont</td>
<td>South Carolina</td>
</tr>
<tr>
<td scope="row">Texas</td>
<td>Wyoming</td>
<td>Wisconsin</td>
<td>Utah</td>
</tr>
<tr>
<td scope="row">Washington</td>
<td>NA</td>
<td>NA</td>
<td>Virginia</td>
</tr>
</tbody>
</table>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh4">Return to Document</a></p>
<h4><a id="figh4d" name="figh4d"> </a>Figure H.4d. Quality of care, by setting and state, quality of nursing home care</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Lowest Quality Quartile</th>
<th scope="col">Second Quartile</th>
<th scope="col">Third Quartile</th>
<th scope="col">Highest Quality Quartile</th>
</tr>
<tr>
<td scope="row">California</td>
<td>Arizona</td>
<td>Alaska</td>
<td>Alabama</td>
</tr>
<tr>
<td scope="row">Florida</td>
<td>Colorado</td>
<td>Connecticut</td>
<td>Arkansas</td>
</tr>
<tr>
<td scope="row">Illinois</td>
<td>Idaho</td>
<td>Delaware</td>
<td>Hawaii</td>
</tr>
<tr>
<td scope="row">Louisiana</td>
<td>Indiana</td>
<td>Georgia</td>
<td>Iowa</td>
</tr>
<tr>
<td scope="row">Maine</td>
<td>Kentucky</td>
<td>Kansas</td>
<td>Massachusetts</td>
</tr>
<tr>
<td scope="row">Maryland</td>
<td>Montana</td>
<td>Mississippi</td>
<td>Minnesota</td>
</tr>
<tr>
<td scope="row">Michigan</td>
<td>New Mexico</td>
<td>New Hampshire</td>
<td>Missouri</td>
</tr>
<tr>
<td scope="row">Nevada</td>
<td>North Carolina</td>
<td>North Dakota</td>
<td>Nebraska</td>
</tr>
<tr>
<td scope="row">Oregon</td>
<td>Ohio</td>
<td>Oklahoma</td>
<td>New Jersey</td>
</tr>
<tr>
<td scope="row">Pennsylvania</td>
<td>Texas</td>
<td>Rhode Island</td>
<td>New York</td>
</tr>
<tr>
<td scope="row">Virginia</td>
<td>Utah</td>
<td>Tennessee</td>
<td>South Carolina</td>
</tr>
<tr>
<td scope="row">Washington</td>
<td>Vermont</td>
<td>Wyoming</td>
<td>South Dakota</td>
</tr>
<tr>
<td scope="row">West Virginia</td>
<td>NA</td>
<td>NA</td>
<td>Wisconsin</td>
</tr>
</tbody>
</table>
<p><strong>Source</strong>: Agency for Healthcare Research and Quality, 2012 State Snapshots.<br />
<strong>Note</strong>: States are divided into quartiles based on health care score for each setting of care.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh4">Return to Document</a></p>
<h4><a id="figh5" name="figh5"> </a>Figure H.5. Number and proportion of all access measures that are improving, not changing, or worsening, overall and for select populations</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Improving</th>
<th scope="col">No Change</th>
<th scope="col">Worsening</th>
</tr>
<tr>
<td scope="row">Total (n=15)</td>
<td>1</td>
<td>9</td>
<td>5</td>
</tr>
<tr>
<td scope="row">AI/AN (n=11)</td>
<td>NA</td>
<td>8</td>
<td>3</td>
</tr>
<tr>
<td scope="row">Black (n=15)</td>
<td>1</td>
<td>10</td>
<td>4</td>
</tr>
<tr>
<td scope="row">Asian (n=13)</td>
<td>2</td>
<td>8</td>
<td>3</td>
</tr>
<tr>
<td scope="row">Poor (n=15)</td>
<td>5</td>
<td>7</td>
<td>3</td>
</tr>
<tr>
<td scope="row">Hispanic (n=15)</td>
<td>4</td>
<td>9</td>
<td>2</td>
</tr>
<tr>
<td scope="row">Basic Activity Limitation (n=14)</td>
<td>3</td>
<td>6</td>
<td>5</td>
</tr>
<tr>
<td scope="row">No Activity Limitation (n=15)</td>
<td>1</td>
<td>9</td>
<td>5</td>
</tr>
<tr>
<td scope="row">Complex Activity Limitation (n=15)</td>
<td>2</td>
<td>9</td>
<td>4</td>
</tr>
</tbody>
</table>
<p>
<strong>Key:</strong> AI/AN = American Indian or Alaska Native; n = number of measures.<br />
<strong>Improving</strong> = Access is going in a positive direction at an average annual rate greater than 1% per year.<br />
<strong>No Change</strong> = Access is not changing or is changing at an average annual rate less than or equal to 1% per year.<br />
<strong>Worsening</strong> = Access is going in a negative direction at an average annual rate greater than 1% per year.<br />
<strong>Note: </strong>For the vast majority of measures, trend data are available from 2000-2002 to 2010-2011. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh5">Return to Document</a></p>
<h4><a id="figh6" name="figh6"> </a>Figure H.6. Average proportion of people across a panel of access to care measures reporting barriers to care, by race/ethnicity and family income, 2002-2011</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</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>
<th scope="col">2011</th>
</tr>
<tr>
<td scope="row">Total</td>
<td>24.1%</td>
<td>24.2%</td>
<td>24.3%</td>
<td>24.7%</td>
<td>25.2%</td>
<td>25.2%</td>
<td>25.4%</td>
<td>26.3%</td>
<td>26.4%</td>
<td>26.1%</td>
</tr>
<tr>
<td scope="row">Hispanic</td>
<td>35.4%</td>
<td>35.3%</td>
<td>35.6%</td>
<td>36.2%</td>
<td>35.5%</td>
<td>35.3%</td>
<td>35.9%</td>
<td>36.9%</td>
<td>35.8%</td>
<td>35.2%</td>
</tr>
<tr>
<td scope="row">Black</td>
<td>27.3%</td>
<td>28.2%</td>
<td>28.1%</td>
<td>28.7%</td>
<td>28.6%</td>
<td>28.0%</td>
<td>28.8%</td>
<td>29.6%</td>
<td>30.2%</td>
<td>29.5%</td>
</tr>
<tr>
<td scope="row">White</td>
<td>21.4%</td>
<td>21.5%</td>
<td>21.5%</td>
<td>21.7%</td>
<td>22.5%</td>
<td>22.6%</td>
<td>22.7%</td>
<td>23.5%</td>
<td>23.6%</td>
<td>23.2%</td>
</tr>
<tr>
<td scope="row">High Income</td>
<td>16.1%</td>
<td>16.0%</td>
<td>15.6%</td>
<td>16.3%</td>
<td>16.7%</td>
<td>16.5%</td>
<td>17.1%</td>
<td>16.7%</td>
<td>17.3%</td>
<td>16.6%</td>
</tr>
<tr>
<td scope="row">Middle Income</td>
<td>22.7%</td>
<td>22.5%</td>
<td>23.4%</td>
<td>23.5%</td>
<td>24.3%</td>
<td>24.9%</td>
<td>24.2%</td>
<td>25.5%</td>
<td>24.7%</td>
<td>25.1%</td>
</tr>
<tr>
<td scope="row">Low Income</td>
<td>32.0%</td>
<td>32.5%</td>
<td>32.0%</td>
<td>32.8%</td>
<td>33.3%</td>
<td>33.4%</td>
<td>33.7%</td>
<td>34.3%</td>
<td>35.0%</td>
<td>34.1%</td>
</tr>
<tr>
<td scope="row">Poor</td>
<td>36.6%</td>
<td>36.6%</td>
<td>37.1%</td>
<td>37.4%</td>
<td>37.1%</td>
<td>37.6%</td>
<td>38.4%</td>
<td>39.1%</td>
<td>38.1%</td>
<td>37.6%</td>
</tr>
</tbody>
</table>
<p>
<strong>Note: </strong>White and Black are non-Hispanic; Hispanic includes all races.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh6">Return to Document</a></p>
<h4><a id="figh7" name="figh7"> </a>Figure H.7. Number and proportion of all quality measures for which members of selected groups experienced better, same, or worse quality of care compared with reference group</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Better</th>
<th scope="col">Same</th>
<th scope="col">Worse</th>
</tr>
<tr>
<td scope="row">Poor vs. High Income (n=107)</td>
<td>6</td>
<td>35</td>
<td>68</td>
</tr>
<tr>
<td scope="row">Black vs. White (n=196)</td>
<td>28</td>
<td>86</td>
<td>82</td>
</tr>
<tr>
<td scope="row">Hispanic vs. White (n=184)</td>
<td>37</td>
<td>75</td>
<td>72</td>
</tr>
<tr>
<td scope="row">AI/AN vs. White (n=114)</td>
<td>16</td>
<td>61</td>
<td>37</td>
</tr>
<tr>
<td scope="row">Asian vs. White (n=171)</td>
<td>48</td>
<td>81</td>
<td>42</td>
</tr>
<tr>
<td scope="row">Complex vs. No Activity Limitation (n=37)</td>
<td>9</td>
<td>15</td>
<td>13</td>
</tr>
<tr>
<td scope="row">Basic vs. No Activity Limitation (n=37)</td>
<td>10</td>
<td>15</td>
<td>12</td>
</tr>
</tbody>
</table>
<p>
<strong>Key:</strong> AI/AN = American Indian or Alaska Native; NHW = non-Hispanic White; n = number of measures.<br />
<strong>Better</strong> = Population received better quality of care than reference group.<br />
<strong>Same</strong> = Population and reference group received about the same quality of care.<br />
<strong>Worse</strong> = Population received worse quality of care than reference group.<br />
<strong>Note: </strong>For each measure, the most recent data available to our team were analyzed; for the majority of measures, this represents data from 2010 and 2011. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh7">Return to Document</a></p>
<h4><a id="figh8" name="figh8"> </a>Figure H.8. Number and proportion of all access measures for which members of selected groups experienced better, same, or worse access to care compared with reference group</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Better</th>
<th scope="col">Same</th>
<th scope="col">Worse</th>
</tr>
<tr>
<td scope="row">Poor vs. High Income (n=21)</td>
<td>NA</td>
<td>1</td>
<td>20</td>
</tr>
<tr>
<td scope="row">Hispanic vs. White (n=21)</td>
<td>4</td>
<td>4</td>
<td>13</td>
</tr>
<tr>
<td scope="row">AI/AN vs. White (n=14)</td>
<td>NA</td>
<td>8</td>
<td>6</td>
</tr>
<tr>
<td scope="row">Black vs. White (n=21)</td>
<td>2</td>
<td>12</td>
<td>7</td>
</tr>
<tr>
<td scope="row">Asian vs. White (n=20)</td>
<td>4</td>
<td>11</td>
<td>5</td>
</tr>
<tr>
<td scope="row">Complex vs. No Activity Limitation (n=19)</td>
<td>4</td>
<td>3</td>
<td>12</td>
</tr>
<tr>
<td scope="row">Basic vs. No Activity Limitation (n=18)</td>
<td>4</td>
<td>3</td>
<td>11</td>
</tr>
</tbody>
</table>
<p>
<strong>Key:</strong> AI/AN = American Indian or Alaska Native; n = number of measures.<br />
<strong>Better</strong> = Population had better access to care than reference group.<br />
<strong>Same</strong> = Population and reference group had about the same access to care.<br />
<strong>Worse</strong> = Population had worse access to care than reference group.<br />
<strong>Note: </strong>For each measure, the most recent data available to our team were analyzed; for the majority of measures, this represents data from 2010 and 2011. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh8">Return to Document</a></p>
<h4><a id="figh9" name="figh9"> </a>Figure H.9. Number and proportion of all quality measures for which disparities related to race, ethnicity, income, and activity limitation are improving, not changing, or worsening</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Worsening</th>
<th scope="col">No Change</th>
<th scope="col">Improving</th>
</tr>
<tr>
<td scope="row">Black vs. White (n=168)</td>
<td>12</td>
<td>125</td>
<td>31</td>
</tr>
<tr>
<td scope="row">Hispanic vs. White (n=158)</td>
<td>19</td>
<td>110</td>
<td>29</td>
</tr>
<tr>
<td scope="row">Poor vs. High Income (n=93)</td>
<td>6</td>
<td>70</td>
<td>17</td>
</tr>
<tr>
<td scope="row">Asian vs. White (n=123)</td>
<td>14</td>
<td>89</td>
<td>20</td>
</tr>
<tr>
<td scope="row">AI/AN vs. White (n=88)</td>
<td>15</td>
<td>64</td>
<td>9</td>
</tr>
<tr>
<td scope="row">Complex vs. No Activity Limitation (n=24)</td>
<td>3</td>
<td>20</td>
<td>1</td>
</tr>
<tr>
<td scope="row">Basic vs. No Activity Limitation (n=25)</td>
<td>1</td>
<td>23</td>
<td>1</td>
</tr>
</tbody>
</table>
<p>
<strong>Key:</strong> AI/AN = American Indian or Alaska Native; n = number of measures.<br />
<strong>Improving</strong> = Disparity is getting smaller at a rate greater than 1% per year.<br />
<strong>No Change</strong> = Disparity is not changing or is changing at a rate less than or equal to 1% per year.<br />
<strong>Worsening</strong> = Disparity is getting larger at a rate greater than 1% per year.<br />
<strong>Note: </strong>For the vast majority of measures, trend data are available from 2000-2002 to 2010-2011. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh9">Return to Document</a></p>
<h4><a id="figh10" name="figh10"> </a>Figure H.10. Number and proportion of all access measures for which disparities related to race, ethnicity, income, and activity limitation are improving, not changing, or worsening</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Worsening</th>
<th scope="col">No Change</th>
<th scope="col">Improving</th>
</tr>
<tr>
<td scope="row">Poor vs. High Income (n=14)</td>
<td>1</td>
<td>10</td>
<td>3</td>
</tr>
<tr>
<td scope="row">Hispanic vs. White (n=15)</td>
<td>1</td>
<td>11</td>
<td>3</td>
</tr>
<tr>
<td scope="row">Asian vs. White (n=12)</td>
<td>NA</td>
<td>10</td>
<td>2</td>
</tr>
<tr>
<td scope="row">Black vs. White (n=14)</td>
<td>NA</td>
<td>13</td>
<td>1</td>
</tr>
<tr>
<td scope="row">AI/AN vs. White (n=10)</td>
<td>NA</td>
<td>10</td>
<td>NA</td>
</tr>
<tr>
<td scope="row">Basic vs. No Activity Limitation (n=15)</td>
<td>2</td>
<td>9</td>
<td>4</td>
</tr>
<tr>
<td scope="row">Complex vs. No Activity Limitation (n=15)</td>
<td>1</td>
<td>12</td>
<td>2</td>
</tr>
</tbody>
</table>
<p>
<strong>Key:</strong> AI/AN = American Indian or Alaska Native; n = number of measures.<br />
<strong>Improving</strong> = Disparity is getting smaller at a rate greater than 1% per year.<br />
<strong>No Change</strong> = Disparity is not changing or is changing at a rate less than or equal to 1% per year.<br />
<strong>Worsening</strong> = Disparity is getting larger at a rate greater than 1% per year.<br />
<strong>Note: </strong>For the vast majority of measures, trend data are available from 2000-2002 to 2010-2011. Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh10">Return to Document</a></p>
<h4><a id="figh11" name="figh11"> </a>Figure H.11. Percentage of quality measures in the 2006, 2011, 2012, and 2013 reports for which a reliable estimate could not be generated</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Year</th>
<th scope="col">Asian</th>
<th scope="col">NHOPI</th>
<th scope="col">AI/AN</th>
<th scope="col">Hispanic</th>
<th scope="col">Poor</th>
</tr>
<tr>
<td scope="row">2006 Reports</td>
<td>33%</td>
<td>93%</td>
<td>47%</td>
<td>12%</td>
<td>60%</td>
</tr>
<tr>
<td scope="row">2011 Reports</td>
<td>19%</td>
<td>85%</td>
<td>42%</td>
<td>7%</td>
<td>46%</td>
</tr>
<tr>
<td scope="row">2012 Reports</td>
<td>14%</td>
<td>82%</td>
<td>42%</td>
<td>7%</td>
<td>45%</td>
</tr>
<tr>
<td scope="row">2013 Reports</td>
<td>12%</td>
<td>75%</td>
<td>40%</td>
<td>6%</td>
<td>40%</td>
</tr>
</tbody>
</table>
<p>
<strong>Key:</strong> NHOPI = Native Hawaiian or Other Pacific Islander; AI/AN = American Indian or Alaska Native.<br />
&nbsp;</p>
<p><a href="/research/findings/nhqrdr/nhdr13/highlights.html#figh11">Return to Document</a></p>
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Telephone: (301) 427-1364
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