HHS Strategic Plan, Fiscal Years 2007–2012 (Strategic Plan). Changes in Disparities

11/22/2015

For racial and ethnic minorities, some disparities in quality of care are improving and some are worsening. Of disparities in quality experienced by Blacks or African-Americans, Asians, American Indians and Alaska Natives, and Hispanics,5 about a quarter were improving and about a third were worsening; two-thirds of disparities in quality experienced by poor people were worsening.

Some examples of changes in differences related to the quality of health care follow:

  • From 2000–2003, the proportion of adults who received care for illness or injury as soon as wanted decreased for Whites but increased for Blacks or African-Americans. From 2000–2004, the rate of new AIDS cases remained about the same for Whites but decreased for Blacks or African-Americans.
  • From 1999–2004, the proportion of adults age 65 and over who did not receive a pneumonia vaccine decreased for Whites but increased for Asians. From 1998–2004, the proportion of children ages 19 to 35 months who did not receive all recommended vaccines decreased somewhat for Whites but even more for Asians.
  • From 2000–2003, the proportion of adults who had not received a recommended screening for colorectal cancer decreased for Whites but increased for American Indians and Alaska Natives. From 2002–2003, the proportion of adults who reported communication problems with providers decreased somewhat for Whites but even more for American Indians and Alaska Natives.
  • From 2001–2003, the rate of pediatric asthma hospitalizations remained the same for non-Hispanic Whites but increased for Hispanics. From 2001–2003, the proportion of children without a vision check decreased somewhat for non-Hispanic Whites but even more for Hispanics.
  • From 2000–2003, the proportion of adults age 40 and older who did not receive three recommended services for diabetes decreased substantially for high-income persons but less for poor persons. From 2001–2003, the proportion of children whose parents reported communication problems with providers remained about the same for high-income persons but decreased for poor persons.

     

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