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

02/01/2013

Indicator: Persons that delayed medical care due to cost

 

Description/Purpose: All persons that delayed medical care due to cost in the last 12 months

Variable name: PDMED12M

Data sources: NHIS 2011 Person file

Universe: All persons that need care and did not receive it due to cost.

Question wording: DURING THE PAST 12 MONTHS, has medical care been delayed for {person} because of worry about the cost? (Do not include dental care)

Values/labels:

 

 

Frequency

Percent

1

Yes

9080

8.91

2

No

92718

91.01

7

Refused

26

0.03

8

Not ascertained

0

0.00

9

Don't know

51

0.05

 

Potential recodes:

Stratification: Race, ethnicity, age, gender, family income relative to poverty, Medicaid enrollment, type of insurance coverage, state, urban/rural residence

 

Indicator: Interval since last doctor visit

Description/Purpose: Duration of time since last doctor's visit

Variable name: AMDLONGR

Data sources: NHIS 2011 Sample Adult file

Universe: Sample adults aged 18+ years

Question wording: About how long has it been since you last saw or talked to a doctor or other health care professional about your own health? Include doctors seen while a patient in a hospital.

Values/labels:

 

 

Frequency

Percent

0

Never

355

1.08

1

6 months or less

22130

67.03

2

More than 6 mos, but not more than 1 yr ago

4807

14.56

3

More than 1 yr, but not more than 2 yrs ago

2543

7.70

4

More than 2 yrs, but not more than 5 yrs ago

1796

5.44

5

More than 5 years ago

1056

3.20

7

Refused

21

0.06

8

Not ascertained

250

0.76

9

Don't know

56

0.17

 

Potential recodes: <= 1 year, 1 year and more

Stratification: Race, ethnicity, age, gender, family income relative to poverty, Medicaid enrollment, type of insurance coverage, state, urban/rural residence

 

Indicator: Adult: Usual source of care

Description/Purpose: Whether or not an adult reported having a usual source of care that they can rely on when sick or in need of medical advice

Variable name: AUSUALPL

Data sources: NHIS 2011 Sample Adult file

Universe: Sample adults aged 18+ years

Question wording: Is there a place that you USUALLY go to when you are sick or need advice about your health?

Values/labels:

 

 

Frequency

Percent

1

Yes

27494

83.28

2

There is NO place

5061

15.33

3

There is MORE THAN ONE place

348

1.05

7

Refused

10

0.03

8

Not ascertained

92

0.28

9

Don't know

9

0.03

 

Potential recodes:

Stratification: Race, ethnicity, age, gender, family income relative to poverty, Medicaid enrollment, type of insurance coverage, state, urban/rural residence

 

Indicator: Adults: Type of usual source of care

Description/Purpose: For adults who report a usual source of care, what type of resources do they typically rely on?

Variable name: APLKIND

Data sources: NHIS 2011 Sample Adult file

Universe: Sample adults aged 18+ years with one or more usual place(s) to go when sick/in need of health advice

Question wording: What kind of place do you go to most often - a clinic, doctor's office, emergency room, or some other place?

Values/labels:

 

 

Frequency

Percent

1

Clinic or health center

6835

24.55

2

Doctor's office or HMO

19539

70.18

3

Hospital emergency room

468

1.68

4

Hospital outpatient department

453

1.63

5

Some other place

320

1.15

6

Doesn't go to one place most often

218

0.78

7

Refused

3

0.01

8

Not ascertained

3

0.01

9

Don't know

3

0.01

 

Potential recodes:

Stratification: Race, ethnicity, age, gender, family income relative to poverty, Medicaid enrollment, type of insurance coverage, state, urban/rural residence

 

Indicator: Adults who experienced trouble finding a doctor

Description/Purpose: Number of adults who experienced trouble finding a doctor in the past 12 months

Variable name: APRVTRYR

Data sources: NHIS 2011 Sample Adult file

Universe: Sample adults aged 18+ years

Question wording: DURING THE PAST 12 MONTHS, did you have any trouble finding a general doctor or provider who would see you?

Values/labels:

 

 

Frequency

Percent

1

Yes

1109

3.36

2

No

31762

96.21

7

Refused

14

0.04

8

Not ascertained

104

0.32

9

Don't Know

25

0.08

 

Potential recodes:

Stratification: Race, ethnicity, age, gender, family income relative to poverty, Medicaid enrollment, type of insurance coverage, state, urban/rural residence

 

Indicator: Adults who were not accepted as new patients

Description/Purpose: Number of adults who reported not being accepted by doctors as new patients in the last 12 months

Variable name: ADRNANP

Data sources: NHIS 2011 Sample Adult file

Universe: Sample adults aged 18+ years

Question wording: DURING THE PAST 12 MONTHS, were you told by a doctor's office or clinic that they would not accept you as a new patient?

Values/labels:

 

 

Frequency

Percent

1

Yes

913

2.77

2

No

31948

96.77

7

Refused

15

0.05

8

Not ascertained

108

0.33

9

Don't Know

30

0.09

 

Potential recodes:

Stratification: Race, ethnicity, age, gender, family income relative to poverty, Medicaid enrollment, type of insurance coverage, state, urban/rural residence

 

Indicator: Adults who visited doctors' offices that did not accept their form of health insurance

Description/Purpose: Number of adults whose form of health care coverage was refused by a doctor's office or clinic during the past 12 months.

Variable name: ADRNAI

Data sources: NHIS 2011 Sample Adult file

Universe: Sample adults aged 18+ years

Question wording: DURING THE PAST 12 MONTHS, were you told by a doctor's office or clinic that they did not accept your health care coverage?

Values/labels:

 

 

Frequency

Percent

1

Yes

1110

3.36

2

No

31724

96.09

7

Refused

15

0.05

8

Not ascertained

110

0.33

9

Don't know

55

0.17

 

Potential recodes:

Stratification: Race, ethnicity, age, gender, family income relative to poverty, Medicaid enrollment, type of insurance coverage, state, urban/rural residence

 

Indicator: Adults who delayed getting medical care because they could not get an appointment soon enough

Description/Purpose: Number of adults who reported delaying medical care in the past 12 months because they could not get an appointment soon enough

Variable name: AHCDLYR2

Data sources: NHIS 2011 Sample Adult file

Universe: Sample adults aged 18+ years

Question wording: There are many reasons people delay getting medical care. Have you delayed getting care for any of the following reasons in the PAST 12 MONTHS? ..... You couldn't get an appointment soon enough

Values/labels:

 

 

Frequency

Percent

1

Yes

2013

6.10

2

No

30839

93.41

7

Refused

18

0.05

8

Not ascertained

121

0.37

9

Don't know

23

0.07

 

Potential recodes:

Stratification: Race, ethnicity, age, gender, family income relative to poverty, Medicaid enrollment, type of insurance coverage, state, urban/rural residence

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