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<h1 class="page__title title" id="page-title">National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013</h1>
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<div class="field field-name-field-subtitle field-type-text field-label-hidden"><div class="field-items"><div class="field-item even">Access to Care: Problems Accessing Care</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"><p><a id="top" name="top"> </a></p>
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<h3>Measures</h3>
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<p><a href="#problems1">People unable to get or delayed in getting medical care in the last 12 months</a><br />
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<a href="#problems2">People unable to get or delayed in getting dental care in the last 12 months</a><br />
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<a href="#problems3">People unable to get or delayed in getting prescription medicine in the last 12 months</a><br />
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<a href="#problems4">People with a usual source of care—excluding hospital emergency rooms—whose care source has office hours at night or on weekends</a><br />
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<a href="#problems5">People with difficulty contacting their usual source of care during regular business hours over the telephone about a health problem</a><br />
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<a href="#problems6">Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist</a><br />
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<a href="#problems7">Adults who needed to see a specialist in the last 6 months who sometimes or never found it easy to see a specialist</a><br />
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<a href="#problems8">Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist</a><br />
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<a href="#problems9">Adults who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get the care, tests, or treatments</a><br />
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<a href="#problems10">Children who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get the care, tests, or treatments</a><br />
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</p>
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<hr />
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<p><a id="problems1" name="problems1"> </a></p>
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<h3>Measure Title</h3>
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<p>People unable to get or delayed in getting medical care in the last 12 months</p>
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<h3>Measure Source</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>National</p>
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<h4>Years Available</h4>
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<p>2002-2010</p>
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<h4>Population Subgroups</h4>
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<p>Activity limitation, age, education, employment status, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, sex, U.S. born</p>
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<h3>Data Sources</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Denominator</h3>
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<p>U.S. civilian noninstitutionalized population</p>
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<h3>Numerator</h3>
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<p>Subset of the denominator who did not receive or delayed receiving needed medical care in the last 12 months</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<hr />
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<p><a id="problems2" name="problems2"> </a></p>
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<h3>Measure Title</h3>
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<p>People unable to get or delayed in getting dental care in the last 12 months</p>
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<h3>Measure Source</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>National</p>
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<h4>Years Available</h4>
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<p>2002-2010</p>
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<h4>Population Subgroups</h4>
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<p>Activity limitation, age, education, employment status, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, sex, U.S. born</p>
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<h3>Data Sources</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Denominator</h3>
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<p>U.S. civilian noninstitutionalized population</p>
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<h3>Numerator</h3>
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<p>Subset of the denominator who did not receive or delayed receiving needed dental care in the last 12 months</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<hr />
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<p><a id="problems3" name="problems3"> </a></p>
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<h3>Measure Title</h3>
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<p>People unable to get or delayed in getting prescription medicine in the last 12 months</p>
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<h3>Measure Source</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>National</p>
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<h4>Years Available</h4>
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<p>2002-2010</p>
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<h4>Population Subgroups</h4>
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<p>Activity limitation, age, education, employment status, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, sex, U.S. born</p>
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<h3>Data Sources</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Denominator</h3>
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<p>U.S. civilian noninstitutionalized population</p>
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<h3>Numerator</h3>
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<p>Subset of the denominator who did not receive or delayed receiving needed prescription medicine in last 12 months</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<hr />
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<p><a id="problems4" name="problems4"> </a></p>
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<h3>Measure Title</h3>
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<p>People with a usual source of care—excluding hospital emergency rooms—whose care source has office hours at night or on weekends</p>
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<h3>Measure Source</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>National</p>
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<h4>Years Available</h4>
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<p>2002-2010</p>
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<h4>Population Subgroups</h4>
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<p>Activity limitation, age, education, employment status, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, sex, U.S. born</p>
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<h3>Data Sources</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Denominator</h3>
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<p>U.S. civilian noninstitutionalized population who reported having a usual source of care</p>
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<h3>Numerator</h3>
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<p>Subset of the denominator who reported that their provider has night or weekend office hours</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<hr />
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<p><a id="problems5" name="problems5"> </a></p>
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<h3>Measure Title</h3>
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<p>People with difficulty contacting their usual source of care during regular business hours over the telephone about a health problem</p>
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<h3>Measure Source</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>National</p>
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<h4>Years Available</h4>
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<p>National: 2002-2010</p>
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<h4>Population Subgroups</h4>
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<p>Activity limitation, age, education, employment status, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, sex, U.S. born</p>
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<h3>Data Sources</h3>
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||
<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Denominator</h3>
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<p>U.S. civilian noninstitutionalized population who report having a usual source of care</p>
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<h3>Numerator</h3>
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<p>Subset of the denominator who reported that they have difficulty contacting their provider over the telephone during regular business hours</p>
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||
<p class="size2"><a href="#top">Top of Page</a></p>
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<hr />
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<p><a id="problems6" name="problems6"> </a></p>
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<h3>Measure Title</h3>
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<p>Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist</p>
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<h3>Measure Source</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Table Description</h3>
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||
<h4>Geographic Representation</h4>
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||
<p>National</p>
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<h4>Years Available</h4>
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||
<p>2002-2010</p>
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<h4>Population Subgroups</h4>
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<p>Activity limitation, age, education, employment status, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, sex, U.S. born</p>
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<h3>Data Sources</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Denominator</h3>
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<p>U.S. civilian noninstitutionalized adults age 18 and over who reported that, during the previous 12 months, they or a doctor thought they needed to see a specialist</p>
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<h3>Numerator</h3>
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<p>Subset of the denominator who reported problems getting a referral to a specialist in the past year</p>
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<h3>Comments</h3>
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<p>Data are from the MEPS Self-Administered Questionnaire (SAQ).</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<hr />
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<p><a id="problems7" name="problems7"> </a></p>
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<h3>Measure Title</h3>
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<p>Adults who needed to see a specialist in the last 6 months who sometimes or never found it easy to see a specialist</p>
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<h3>Measure Source</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS<sup>®</sup> (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database (NCBD)</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>State</p>
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<h4>Years Available</h4>
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<p>2010, 2011</p>
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<h3>Data Sources</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Denominator</h3>
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<p>Adults age 18 and over, with Medicaid, Medicare managed care, Medicare fee for service, or commercial insurance, as appropriate, that had a doctor’s office or clinic visit in the last 6 months</p>
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<h3>Numerator</h3>
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<p>Subset of the denominator who responded "Sometimes" or "Never" to being able to get an appointment with a specialist in the last 6 months</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<hr />
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<p><a id="problems8" name="problems8"> </a></p>
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<h3>Measure Title</h3>
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<p>Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist</p>
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<h3>Measure Source</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>National, State</p>
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<h4>Years Available</h4>
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<p>National: 2008-2010</p>
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<p>State: 2010-2011</p>
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<h4>Population Subgroups</h4>
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||
<p>Age, children with special health care needs, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, sex, U.S. born</p>
|
||
<h3>Data Sources</h3>
|
||
<h4>National</h4>
|
||
<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
|
||
<h4>State</h4>
|
||
<p>Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS<sup>®</sup> (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database (NCBD)</p>
|
||
<h3>Denominator</h3>
|
||
<p>U.S. civilian noninstitutionalized children under age 18 whose parents reported that, during the previous 12 months, they or a doctor thought they needed to see a specialist</p>
|
||
<h3>Numerator</h3>
|
||
<p>Subset of the denominator whose parent reported problems getting a referral to a specialist in the past year</p>
|
||
<p class="size2"><a href="#top">Top of Page</a></p>
|
||
<hr />
|
||
<p><a id="problems9" name="problems9"> </a></p>
|
||
<h3>Measure Title</h3>
|
||
<p>Adults who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get the care, tests, or treatments</p>
|
||
<h3>Measure Source</h3>
|
||
<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
|
||
<h3>Table Description</h3>
|
||
<h4>Geographic Representation</h4>
|
||
<p>National</p>
|
||
<h4>Years Available</h4>
|
||
<p>2008-2010</p>
|
||
<h4>Population Subgroups</h4>
|
||
<p>Activity limitation, age, education, employment status, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, sex, U.S. born</p>
|
||
<h3>Data Sources</h3>
|
||
<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
|
||
<h3>Denominator</h3>
|
||
<p>U.S. civilian noninstitutionalized adults (age 18 and over) who needed care, tests, or treatments in the last 12 months</p>
|
||
<h3>Numerator</h3>
|
||
<p>Subset of the denominator who sometimes or never found it easy to get the care, tests, or treatments in the last 12 months</p>
|
||
<h3>Comments</h3>
|
||
<p>Data were obtained from the MEPS Self-Administered Questionnaire (SAQ).</p>
|
||
<p class="size2"><a href="#top">Top of Page</a></p>
|
||
<hr />
|
||
<p><a id="problems10" name="problems10"> </a></p>
|
||
<h3>Measure Title</h3>
|
||
<p>Children who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get the care, tests, or treatments</p>
|
||
<h3>Measure Source</h3>
|
||
<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
|
||
<h3>Table Description</h3>
|
||
<h4>Geographic Representation</h4>
|
||
<p>National</p>
|
||
<h4>Years Available</h4>
|
||
<p>2008-2010</p>
|
||
<h4>Population Subgroups</h4>
|
||
<p>Age, children with special health care needs, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, sex, U.S. born</p>
|
||
<h3>Data Sources</h3>
|
||
<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
|
||
<h3>Denominator</h3>
|
||
<p>U.S. civilian noninstitutionalized children under age 18 who needed care, tests, or treatments in the last 12 months</p>
|
||
<h3>Numerator</h3>
|
||
<p>Subset of the denominator who sometimes or never found it easy to get the care, tests, or treatments in the last 12 months</p>
|
||
<p class="size2"><a href="#top">Top of Page</a></p>
|
||
<p class="size2"><a href="/research/findings/nhqrdr/nhqrdr13/measurespec/index.html">Return to Contents</a><br />
|
||
<a href="/research/findings/nhqrdr/nhqrdr13/measurespec/access-utilization.html">Proceed to Next Section</a></p>
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</div></div></div><div class="field field-name-field-last-reviewed field-type-datestamp field-label-hidden">
|
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<div class="field-items">
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<div class="field-item even">
|
||
Page last reviewed <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2014-07-01T00:00:00-04:00">July 2014</span> <br />Page originally created July 2014 </div>
|
||
</div>
|
||
</div>
|
||
<div id="block-ahrq-citation" class="block block-ahrq first odd">
|
||
|
||
|
||
Internet Citation: National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013. Content last reviewed July 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/findings/nhqrdr/nhqrdr13/measurespec/access-problems.html<div class="citation-flag"></div>
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