Recommendations for Monitoring Access to Care among Medicaid Beneficiaries at the State-level. Consumer Perceptions from BRFSS

02/01/2013

Indicator: Adults who forewent receiving care because it was unaffordable

Description/Purpose: Number of adults who needed care but could not obtain it due to cost, in the last 12 months

Variable name: MEDCOST

Data sources: BRFSS 2011

Universe:Adults age 18+

Question wording: Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?

Values/labels:

 

 

Frequency

Percent

Weighted Percentage

1

Yes

63,828

12.65

16.91

2

No

439,274

87.09

82.84

7

Don't know/not sure

1,023

0.20

0.18

9

Refused

283

0.06

0.06

 

Potential recodes:

Stratification: Race, ethnicity, age, gender, categorical household income, insurance coverage, state, MSA

 

Indicator: Adults who have usual source of care

Description/Purpose: Number of adults who identify one person that they perceive as their personal doctor or health care provider

Variable name: PERSDOC2

Data sources: BRFSS 2011

Universe: Adults age 18+

Question wording: Do you have one person you think of as your personal doctor or health care provider? (If "No" ask "Is there more than one or is there no person who you think of as your personal doctor or health care provider?".)

Values/labels:

 

 

Frequency

Percent

Weighted Percentage

1

Yes, only one

389,557

77.23

70.77

2

More than one

40,883

8.11

6.85

3

No

72,366

14.35

21.93

7

Don't know/Not Sure

1,062

0.21

0.28

9

Refused

540

0.11

0.16

 

Potential recodes: 1 AND 2 - YES; 3 - NO; 7, 8, 9 = missing

Stratification: Race, ethnicity, age, gender, categorical household income, insurance coverage, state, MSA

 

Indicator: Interval since last routine care visit

Description/Purpose: Length of time since adult last visited a doctor for routine care

Variable name: CHECKUP1

Data sources: BRFSS 2011

Universe: Adults age 18+

Question wording: About how long has it been since you last visited a doctor for a routine checkup? A routine checkup is a general physical exam, not an exam for a specific injury, illness, or condition.

Values/labels:

 

 

Frequency

Percentage

Weighted Percentage

1

Within past year (anytime less than 12 months ago)

360,620

71.49

66.08

2

Within past 2 years (1 year but less than 2 years ago)

60,075

11.91

13.68

3

Within past 5 years (2 years but less than 5 years ago)

36,083

7.15

8.94

4

5 or more years ago

36,007

7.14

8.65

7

Don't know/Not sure

5,989

1.19

1.15

8

Never

5,032

1.00

1.38

9

Refused

602

0.12

0.12

 

Potential recodes: 3 AND 4 = More than 2 years ago; 7, 8, 9 = missing

Stratification: Race, ethnicity, age, gender, categorical household income, insurance coverage, state, MSA

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