• Access to health care means having "the timely utilize of personal wellness services to accomplish the best health outcomes" (IOM, 1993).
  • Admission to health care consists of four components (Healthy People 2020):
    • Coverage: facilitates entry into the health care arrangement. Uninsured people are less likely to receive medical care and more probable to take poor health status.
    • Services: Having a usual source of care is associated with adults receiving recommended screening and prevention services.
    • Timeliness: power to provide health care when the need is recognized.
    • Workforce: capable, qualified, culturally competent providers.

Coverage

  • Health insurance facilitates entry into the wellness intendance arrangement.
    • Uninsured people are less probable to receive medical care and more likely to have poor health status (Healthy People 2020).
    • Many people rely on public health insurance, such equally Medicaid.
      • Public health insurance also includes Children'south Health Insurance Plan (CHIP), Country-sponsored or other government-sponsored wellness plans, Medicare, and armed forces plans.
      • For access measures in this chartbook, a small number of people were covered past both public and private plans and were included in both categories.

Measures of Coverage

  • People under age 65 without health insurance coverage at the fourth dimension of interview by:
    • Age.
    • Race/ethnicity.
    • Poverty condition.
Uninsurance, past Age

People under age 65 who were uninsured at the fourth dimension of interview, by historic period, 2010-2015 Q3

Line graph shows people under age 65 who were uninsured at the time of interview, by age. Text description is below the image.

Quarter Total 0-17 18-29 30-64
2010 Q1 17.v vii.4 30.6 18.2
Q2 xix.ii nine.ane 31.9 20
Q3 18.8 8.2 32 xix.7
Q4 17.ii 6.5 29.1 xviii.six
2011 Q1 17.4 six.9 27.9 xix.ii
Q2 17.4 7.7 27.vi eighteen.nine
Q3 17.iii 7.ane 28.one 18.8
Q4 16.9 half dozen.5 27.two 18.seven
2012 Q1 17.6 6.7 28.2 19.4
Q2 16 half dozen.iv 25.ane 17.7
Q3 17 half dozen.8 27.4 18.6
Q4 17.2 vi.four 26.nine nineteen.two
2013 Q1 17.1 seven.1 26.5 18.9
Q2 16.iv vii.ane 25.1 eighteen.1
Q3 16.5 5.nine 25.9 18.seven
Q4 16.two 6 26.viii 17.eight
2014 Q1 xv.ii 6.half-dozen 22.2 17.1
Q2 12.9 5.6 nineteen.viii 14.one
Q3 xiii.two 5.3 21.5 14.3
Q4 12.1 4.2 19.1 xiii.7
2015 Q1 10.7 4.6 17.2 xi.5
Q2 10.3 4.5 15.2 11.4
Q3 x.8 iv.5 16.ix 11.9

October 2013: Affordable Intendance Act Market place Enrollment Begins.

Primal: Q = quarter.
Source: National Center for Health Statistics, National Health Interview Survey, Jan 2010-September 2015.
Note: For this measure out, lower rates are better. Information available for 2015 quarters 1-three only. Quarter 3 data were made bachelor later the release of the 2015 National Healthcare Quality and Disparities Report and 5th Anniversary Update on the National Quality Strategy.

  • Trends:
    • From Jan 2010 to September 2015, the percentage of people under age 65 who were uninsured at the time of interview decreased from 17.five% to 10.8%.
    • The pct of people who were uninsured at the fourth dimension of interview decreased for all age groups under age 65. Adults ages xviii-29 experienced the largest declines.
Uninsurance, by Race/Ethnicity

People under age 65 who were uninsured at the time of interview, by race/ethnicity, 2010-2015 Q3

Line graph shows people under age 65 who were uninsured at the time of interview, by race/ethnicity. Text description is below the image.

Race/Ethnicity White Black Hispanic
2010 Q1 xv.6 27.9 42.4
Q2 17 26.five 44.ix
Q3 16.7 28.six 44.1
Q4 16.one 25.six 41.5
2011 Q1 16.i 23.9 42
Q2 15.8 24.ii 41.4
Q3 xv.7 25 42.6
Q4 14.eight 26.2 42.seven
2012 Q1 16 26 42.6
Q2 fourteen.2 21.9 39.7
Q3 15.one 24.1 40.5
Q4 fifteen.1 22.6 42.2
2013 Q1 xv.two 25.five 41.4
Q2 13.9 23.6 41.3
Q3 14.vii 25.nine 39.5
Q4 14 24.half-dozen 40.3
2014 Q1 thirteen.5 20.2 35.7
Q2 eleven.i xv.9 33.2
Q3 11.four 17.5 34
Q4 10.5 17.2 31.8
2015 Q1 8.7 15.6 28.iii
Q2 eight.8 13.5 26.1
Q3 viii.9 14.7 29.3

October 2013: Affordable Care Deed Marketplace Enrollment Begins.

Key: Q = quarter.
Source: National Eye for Wellness Statistics, National Health Interview Survey, January 2010-September 2015.
Annotation: For this measure out, lower rates are better. Data available for 2015 quarters 1-3 only. White and Black are not-Hispanic. Hispanic includes all races.

  • Trends: From January 2010 to September 2015, the pct of people under historic period 65 who were uninsured at the time of interview decreased for all racial/ethnic groups.
  • Groups With Disparities:
    • In all quarters, Blacks and Hispanics were more probable to be uninsured than Whites.
    • Gaps related to race/ethnicity were getting smaller over fourth dimension.
Uninsurance, by Poverty Status

People nether age 65 who were uninsured at the fourth dimension of interview, by poverty status, 2010-2015 Q3

Line graph shows people under age 65 who were uninsured at the time of interview, by poverty status. Text description is below the image.

Quarter Poor Near Poor Not Poor
2010 Q1 44 43.8 xi.5
Q2 43.5 44.2 xiii.2
Q3 43.seven 43.9 13.2
Q4 38.1 xl.2 12.iv
2011 Q1 39.8 40.3 12
Q2 37.ii 42.one 12.v
Q3 42.2 39 12
Q4 41.1 39.2 11.6
2012 Q1 42.7 41 xi.5
Q2 38.9 37.8 11.iii
Q3 41 38 xi.iii
Q4 37.6 twoscore 11.seven
2013 Q1 39.1 39.2 xi.7
Q2 38.9 38.4 11.4
Q3 40.2 37.9 12
Q4 39.two 38.6 10.5
2014 Q1 34.9 34.4 10.1
Q2 33.5 28.v eight.half-dozen
Q3 32 31.3 8.5
Q4 29.1 29.ii 8.iii
2015 Q1 28 23.8 7.5
Q2 25 24 7.five
Q3 25.2 24.four 8.1

October 2013: Affordable Care Act Marketplace Enrollment Begins.

Fundamental: Q = quarter.
Source: National Middle for Wellness Statistics, National Wellness Interview Survey, January 2010-September 2015.
Note: For this measure, lower rates are better. Data available for 2015 quarters ane-3 just. Poverty categories are based on the Federal Poverty Level (FPL). Poor = below the FPL; Near Poor = 100% to <200% of the FPL; Not Poor = 200% or more of the FPL.

  • Trends: From January 2010 to June 2015, the per centum of people under age 65 who were uninsured at the fourth dimension of interview decreased for all poverty status groups.
  • Groups With Disparities:
    • In all quarters, people in poor and near-poor households were more likely to be uninsured than people in households that were not poor.
    • Gaps in rates of uninsurance between people who were poor and those who were non poor and between people who were near poor and those who were non poor were getting smaller over fourth dimension.

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Page last reviewed June 2018

Page originally created May 2016

Net Citation: Elements of Access to Wellness Intendance. Content concluding reviewed June 2018. Agency for Healthcare Research and Quality, Rockville, Physician.
https://www.ahrq.gov/enquiry/findings/nhqrdr/chartbooks/access/elements.html

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