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Access to Health Services

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Explore the latest data for the LHI topic Access to Health Services.Download the latest Access to Health Services data in spreadsheet format [XLSX - 33KB]

Where We’ve Been and Where We’re Going

Over the past decade, the rate of persons aged under 65 years with health insurance has decreased 0.6%, from 83.6% in 2001 to 83.1% in 2012. The proportion of persons with a usual primary care provider also decreased, moving from 78.2% in 2000 to 77.3% in 2011, although this change was not statistically significant. Differences in rates of health insurance exist by race and ethnicity and level of educational attainment and in the proportion of persons with a usual primary care provider by race and ethnicity, level of educational attainment, and type of insurance.

Leading Health Indicators

Explore the latest data and disparities for each indicator.Persons with medical insurance (AHS-1.1)Persons with a usual primary care provider (AHS-3)

Persons with medical insurance (AHS-1.1)
  • Healthy People 2020 objective AHS-1.1 tracks the proportion of persons aged less than 65 years with health (medical) insurance.​
    • HP2020 Baseline: In 2008, 83.2% of persons aged less than 65 years had health insurance.
    • HP2020 Target: 100%, or total coverage.
  • Over the past decade, the rate of persons with health insurance has decreased 1.0% between 2001 and 2012, from 83.6% to 83.1%.
  • Among racial and ethnic groups, the Native Hawaiian and Other Pacific Islander population had the highest rate of health insurance coverage, 87.9% in 2011, whereas the American Indian or Alaska Native population and the Hispanic or Latino population had rates of 73.0% and 69.6%, respectively.​
    • When expressed as persons without health insurance, the rate for the American Indian or Alaska Native population was more than twice that for the Native Hawaiian and Other Pacific Islander population, while the rate for the Hispanic or Latino population was two and a half times that for the Native Hawaiian and Other Pacific Islander population.
  • Females had a higher rate of health insurance coverage (84.6%), compared to males (81.5%) in 2012.

Persons Without Health Insurance by Educational Attainment, 2012


For persons aged 25-64 years,the rate for persons withouta high school educationwas more than 8½ timesthat for persons withan advanced degree
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PERSONS WITHOUT HEALTH INSURANCE BY EDUCATIONAL ATTAINMENTPERSONS WITHOUT HEALTH INSURANCE BY EDUCATIONAL ATTAINMENT

SOURCE: National Health Interview Survey (NHIS), CDC, NCHS.

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Persons Without Health Insurance by Educational Attainment, 2012Education LevelPersons Without Health Insurance by Educational Attainment, 2012< High School43.7%High School25.5%Some college20.2%Assoc. degree16.4%4-year college degree9.4%Advanced degree5.0%

  • Those with an advanced degree had the highest rate of health insurance coverage, 95.0% in 2012, among education groups, whereas those without a high school education had the lowest rate, 56.3% in 2012. When expressed as persons without health insurance, the rate for persons without a high school education was almost nine times the rate for those with an advanced degree.
  • Among income groups, the highest income population (those with family incomes of more than 600% of the federal poverty level) had the highest rate of health insurance coverage, 96.6% in 2012, whereas the near-poor population (those with family incomes between 100% and 199% of the federal poverty level) had the lowest rate, 70.7% in 2012. When expressed as persons without health insurance, the rate for the near-poor population was over eight times the best group rate.
  • Persons aged less than 18 years had the highest rate of health insurance, 93.4% in 2012, among broad age groups. Rates for the other age groups were:
    • 75.2% among 18-44 year olds (lowest rate).
    • 84.4% among 45-64 year olds.
  • When expressed as persons without health insurance, the rate for the 18-44 year olds was nearly four times the rate for persons aged less than 18 years.
  • When further refining the age groups, children aged less than 5 years had the highest rate of health insurance, 95.6% in 2012. Rates for the other age groups were:​
  • 93.7% among 5-11 year olds.
  • 91.3% among 12-17 year olds.
  • 75.5% among 18-24 year olds.
  • 75.1% among 25-44 year olds (lowest rate).
  • 82.3% among 45-54 year olds.
  • 86.8% among 55-64 year olds.
  • When expressed as persons without health insurance, the rate for the 25-44 year olds was more than five and one half times the rate for children aged less than 5 years.
  • Persons born in the United States had a higher rate of health insurance coverage (86.3%), compared to those born outside the United States (64.2%) in 2012. When expressed as persons without health insurance, the rate for the population born outside the United States was more than two and half times that for the population born in the United States.

Endnotes:

  • All disparities described are statistically significant at the 0.05 level of significance. To maintain comparability across indicators, disparities are computed using adverse events.
  • Data for this measure are available annually and come from the National Health Interview Survey (NHIS), CDC/NCHS.
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.

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Persons with a usual primary care provider (AHS-3)
  • Healthy People 2020 objective AHS-3 tracks the proportion of persons with a usual primary care provider.​
  • HP2020 Baseline: In 2007, 76.3% of persons had a usual primary care provider.
  • HP2020 Target: 83.9%, or a 10 percent improvement over baseline.
  • Over the past decade, the proportion of persons with a usual primary care provider decreased 1.1% between 2000 and 2011, from 78.2% to 77.3%, although this change was not statistically significant.

Persons Without a Usual Primary Care Provider by Health Insurance Status, 2011

Infographic: For the population aged less than 65 years, the rate for the uninsured population was more than 3 times that for persons with public insurance.

SOURCE: Medical Expenditure Panel Survey (MEPS), AHRQ.

  • Among racial and ethnic groups, those of two or more races had the highest proportion of persons with a usual primary care provider, 83.9% in 2011, whereas the Hispanic or Latino population had a rate of 68.7% in 2011.
  • Females had a higher proportion of persons with a usual primary care provider (80.1%), compared to males (74.3%) in 2011.
  • Among education groups, those with an advanced degree had the highest proportion of persons with a usual primary care provider, 80.5% in 2011, whereas those without a high school education had the lowest rate, 70.1% in 2011.
  • Among income groups, the highest income population (those with family incomes of more than 600% of the federal poverty level) had the highest proportion of persons with a usual primary care provider, 84.0% in 2011, whereas those with family incomes below the federal poverty level had the lowest proportion, 71.8% in 2011.
  • Persons aged 65 years and over had the highest proportion of persons with a usual primary care provider, 90.2%, among age groups in 2011. Rates for the other age groups were:​
    • 89.8% among persons aged less than 18 years.
    • 61.8% among 18-44 year olds (lowest rate).
    • 80.4% among 45-64 year olds.
  • When expressed as persons without a usual primary care provider, the rate for the 18-44 year olds was nearly four times the rate for persons aged 65 years and over.
  • When further refining the age groups, children less than 5 years had the highest proportion of persons with a usual primary care provider, 93.1% in 2011. Rates for the other age groups were:​
    • 90.2% among 5-11 year olds.
    • 86.6% among 12-17 year olds
    • 58.9% among 18-24 year olds (lowest rate).
    • 62.8% among 25-44 year olds.
    • 76.8% among 45-54 year olds.
    • 84.7% among 55-64 year olds.
    • 90.3% among 65-75 year olds.
    • 90.8% among 75-84 year olds.
    • 88.4% among persons aged 85 years and over.
  • When expressed as persons without a usual primary care provider, the rate for the 18-24 year olds was almost six times the rate for children less than 5 years.
  • Persons born in the United States had a higher proportion of persons with a usual primary care provider (79.6%), compared to those born outside the United States (62.2%) in 2011. When expressed as persons without a usual primary care provider, the rate for the population born outside the United States was almost twice that for the population born in the United States.
  • Among insurance groups for persons aged less than 65 years, those with public insurance had the highest proportion of persons with a usual primary care provider (81.9%), whereas the uninsured had the lowest proportion (42.1%) in 2011. When expressed as persons aged less than 65 years without a usual primary care provider, the rate for the population with public insurance was more than three times that for the uninsured population.

Endnotes:

  • All disparities described are statistically significant at the 0.05 level of significance. To maintain comparability across indicators, disparities are computed using adverse events.
  • Data for this measure are available annually and come from the Medical Panel Expenditure Survey (MEPS), AHRQ.
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.

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