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Women's Health USA 2013 An illustrated collection of current and historical data, published annually.

Health Care Quality

Narrative

High quality health care can support effective disease prevention, detection, and treatment as well as opportunities to promote health and wellness. The quality of health care can be measured in many ways, including patient safety, receipt of evidence-based clinical services, care coordination, the timeliness of care and the extent to which patients feel that they are able to communicate with their doctors and engage in health care decision-making.1,2

In 2010, nearly one-sixth of women reported that they were only sometimes or never able to make an appointment for routine care and sick care as soon as they wanted (13.9 and 13.1 percent, respectively). This varied by race and ethnicity. For example, non-Hispanic Asian/Pacific Islander and Hispanic women (30.0 and 19.4 percent, respectively) were more likely to report difficulty in making timely appointments for routine care than non-Hispanic Black (14.5 percent), non-Hispanic White (12.1 percent), or non-Hispanic American Indian/Alaska Native women (11.8 percent).

Patient centeredness refers to health care that is delivered in partnership with patients (and their families) and prioritizes informed patient engagement in health care decision-making.3 In 2010, approximately three in five women who reported going to a doctor’s office or clinic in the previous 12 months reported that their health care provider always listened carefully to them (61.1 percent); a similar proportion reported that their provider always explained things clearly (60.9 percent). Nearly two-thirds (65.0 percent) reported that their provider showed respect for what they had to say, while only about half reported that their provider always spent enough time with them (50.4 percent). Among women younger than 65 years of age, privately insured women were more likely than publicly insured and uninsured women to report that their health care providers always engaged in each type of patient-provider communication. For example, 62.8 percent of privately insured women reported that their provider always explained things clearly compared to about 54 percent of publicly insured and uninsured women.

1 Agency for Healthcare Research and Quality link leaves hrsa.gov site. 2012 National Healthcare Quality Report. Rockville, MD: Agency for Healthcare Research and Quality, June 2013. Accessed 08/26/13.

2 U.S. Department of Health and Human Services link leaves hrsa.gov site, Agency for Healthcare Research and Quality link leaves hrsa.gov site. Guide to Health Care Quality. Accessed 08/26/13.

3 Hurtado MP, Swift EK, Corrigan JM, eds .Envisioning the National Health Care Quality Report. National Academies of Science link leaves hrsa.gov site, Institute of Medicine. Accessed 08/26/13.

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Graphs

Data

Trouble Making Appointments* for Routine and Sick/Injured Health Care Among Women Aged 18 and Older, by Race/Ethnicity, 2010
Race/Ethnicity Percent of Women, Routine Care Percent of Women, Sick/Injured Care
*Sometimes or never able to get an appointment as soon as desired among women who reported making an appointment for routine health care in the past 12 months.
**Separate estimates for Asians, Native Hawaiians, and other Pacific Islanders were not available. Source: U.S. Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey 2010, Summary Data Tables. Data tabulated interactively by the Maternal and Child Health Bureau.
Non-Hispanic White 12.1 11.7
Non-Hispanic Black 14.5 14.7
Hispanic 19.4 15.2
Non-Hispanic American Indian/Alaska Native (Includes individuals of multiple races) 11.8 Estimate does not meet standards of reliability or precision.
Non-Hispanic Asian/Pacific Islander** 30.0 26.7
Total 13.9 13.1
Patient Centeredness Experienced by Women Aged 18 and Older* by Health Insurance Coverage,** 2010
Patient Centeredness Percent of Women, Any Private Insurance Percent of Women, Public Insurance Only Percent of Women, Uninsured Percent of Women, Total
*Among women who reported going to a doctor’s office or clinic in the past 12 months.
**Insurance type is presented for women under 65 years of age, consistent with the data source; totals include all women aged 18 and older. Private coverage includes persons with any private insurance, either alone or in combination with public coverage; public includes those covered only by government programs such as Medicaid, Medicare, military plans, and state-sponsored health plans. Source: U.S. Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey 2010, Summary Data Tables. Data tabulated interactively by the Maternal and Child Health Bureau.
Provider Always Listened Carefully 61.6 55.5 49.8 61.1
Provider Always Explained Things Clearly 62.8 53.6 53.7 60.9
Provider Always Showed Respect 65.8 58.2 55.3 65.0
Provider Always Spent Enough Time 50.9 43.4 40.7 50.4