Health Care Access and Quality Cost barrier to care (percent)
|US Median: 15.6||Healthy People 2020 Target: 9|
|1||Suffolk, VA||9.0||6.2 - 12.9|
|2||Leavenworth, KS||9.2||7.5 - 11.3|
|3||Butler, OH||10.8||8.2 - 14.2|
|4||Jefferson, WV||10.8||8.3 - 13.9|
|5||Meade, KY||11.1||7.9 - 15.5|
|6||Floyd, IN||11.6||7.8 - 16.8|
|7||Kenosha, WI||11.7||8.3 - 16.2|
|8||Cecil, MD||12.0||10.1 - 14.2|
|9||Yamhill, OR||13.1||9.8 - 17.2|
|10||Rutherford, TN||13.2||9.9 - 17.4|
|11||Pinal, AZ||13.2||11.0 - 15.8|
|12||Hays, TX||14.1||9.7 - 20.1|
|13||Cleveland, OK||14.3||12.6 - 16.1|
|14||Clark, WA||14.6||13.2 - 16.0|
|15||Pierce, WA||14.6||13.6 - 15.7|
|16||Barrow, GA||14.9||9.7 - 22.4|
|17||Tipton, TN||15.1||11.2 - 20.1|
|18||Kenton, KY||15.3||12.5 - 18.6|
|19||Cabarrus, NC||15.7||13.5 - 18.3|
|20||York, SC||16.4||13.3 - 20.0|
|21||Sumner, TN||17.2||12.0 - 24.0|
|22||St. Bernard, LA||17.6||11.4 - 26.2|
|23||Plaquemines, LA||18.6||12.2 - 27.2|
|24||Galveston, TX||18.9||12.4 - 27.7|
|25||Bartow, GA||20.1||14.5 - 27.2|
|26||Kaufman, TX||27.3||16.9 - 40.9|
NA - Not Available
Access to comprehensive, quality health care services is important for the achievement of health equity and for increasing the quality of a healthy life for everyone. Access to health services means the timely use of personal health services to achieve the best health outcomes and encompasses four components: coverage, services, timeliness, and workforce. Barriers to services include: 1) Lack of availability, 2) High cost, and 3) Lack of insurance coverage. These barriers to accessing health services diminish quality of care and lead to delays in receiving appropriate care, the inability to get preventive services, and hospitalizations that could have been prevented.
CITATION: U.S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. Healthy People 2020. Washington, DC. Available at http://www.healthypeople.gov
Percent of adults 18+ who needed to see a doctor but could not because of cost
Sample respondents aged 18 years and over who needed to see a doctor but could not because of cost in the past 12 months.
Sample adults, aged 18 years or older, who live in households, with valid responses to question on delaying health care due to cost.
Based on the BRFSS question : "Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?"
In 2011, two methodological refinements were made to the Behavioral Risk Factor Surveillance System (BRFSS). The first was to expand the sample to include data received from cell phone users. This change was made to reflect the population better. The second change was to modify the statistical method to weight BRFSS survey data. The new approach simultaneously adjusts survey respondent data to known proportions of demographics such as age, race and ethnicity, and gender. Prior to 2011, the weighting method was post stratification, while in 2011 it is raking. Raking is better able to account for more demographic characteristics and multiple sampling frames. Because of these changes, data collected in 2011 and later cannot be appropriately compared to previous data, although new results should better reflect the health status of the United States (seePrevention Quality Indicators (PQI) version 4.3 software).
In order to create multi-year estimates, two changes were made to the new data. First, respondents who only have cell phones were removed. Second, weights were created specifically for this purpose using the post stratification method. Those two changes make the 2011 data similar to the pre-2011 data and allowed multi-year estimates to be created, even though these estimates will not be as representative of the U.S. population as the single-year estimates using 2011 data without these changes.
The BRFSS estimates are age adjusted to the 2000 U.S. D34 standard populaton (age groups: 18-44, 45-54, 55-64, 65-74, 75+ )
Behavioral Risk Factor Surveillance System (BRFSS). Accessed from: Centers for Disease Control and Prevention, National Center for Health Statistics. Health Indicators Warehouse.