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National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to healthcare
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Topics
- (-) Access to Care (5)
- Community-Based Practice (1)
- Disparities (3)
- Emergency Department (1)
- Healthcare Cost and Utilization Project (HCUP) (1)
- Healthcare Utilization (2)
- Health Insurance (1)
- (-) Health Status (5)
- Medical Expenditure Panel Survey (MEPS) (2)
- Mortality (1)
- Newborns/Infants (1)
- Racial and Ethnic Minorities (2)
- Rural/Inner-City Residents (1)
- Rural Health (1)
- Social Determinants of Health (2)
- Surgery (1)
大象APPResearch Studies
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Research Studies is a compilation of published research articles funded by 大象APPor authored by 大象APPresearchers.
Results
1 to 5 of 5 Research Studies DisplayedClark NM, Hernandez AH, Bertalan MS
Travel time as an indicator of poor access to care in surgical emergencies.
This retrospective cohort study examined how travel time to emergency care affects disease complexity and outcomes for patients with surgical emergencies. Using 2021 statewide databases from Florida and California, researchers analyzed 190,311 adults with common emergency surgical conditions. Among these patients, 3.8% lived more than 60 minutes from their initial emergency care facility. The study found that longer travel times correlated with higher odds of complex disease presentation, particularly for travel times exceeding 120 minutes compared to 15 minutes or less. Patients traveling 60+ minutes were more likely to need operative intervention, inpatient admission, interfacility transfer, longer hospital stays, and incurred higher charges. The researchers suggest that travel time may serve as a more useful metric than static measures like rurality for informing policy decisions regarding access to care.
Citation: Clark NM, Hernandez AH, Bertalan MS .
Travel time as an indicator of poor access to care in surgical emergencies.
JAMA Netw Open 2025 Jan 2; 8(1):e2455258. doi: 10.1001/jamanetworkopen.2024.55258.
Keywords: Healthcare Cost and Utilization Project (HCUP), Rural Health, Rural/Inner-City Residents, Access to Care, Surgery, Emergency Department, Healthcare Utilization, Health Status
Cheng TL, Mistry KB
大象APPAuthor: Mistry KB
Clarity on disparity: who, what, when, where, why, and how.
This purpose of this article was to explain a comprehensive framework of health disparities descriptors that can offer a systematic approach to advance the understanding of causes of health disparities and facilitate action steps to ensure health equity.
AHRQ-authored.
Citation: Cheng TL, Mistry KB .
Clarity on disparity: who, what, when, where, why, and how.
Pediatr Clin North Am 2023 Aug; 70(4):639-50. doi: 10.1016/j.pcl.2023.03.003..
Keywords: Disparities, Social Determinants of Health, Newborns/Infants, Mortality, Health Status, Racial and Ethnic Minorities, Access to Care
Biener AI, Zuvekas SH
大象APPAuthor: Zuvekas SH
Do racial and ethnic disparities in health care use vary with health?
Researchers used Medical Expenditure Panel Survey (MEPS) data from 2010-2014 to evaluate health care use between black-white and Hispanic-white adults. They found that there was the widest disparity in health care use in adults in excellent health between Hispanics and whites but the opposite was true for blacks and whites. Differences are attributed to health insurance coverage and access to health care overall.
AHRQ-authored.
Citation: Biener AI, Zuvekas SH .
Do racial and ethnic disparities in health care use vary with health?
Health Serv Res 2019 Feb;54(1):64-74. doi: 10.1111/1475-6773.13087..
Keywords: Access to Care, Disparities, Healthcare Utilization, Health Insurance, Health Status, Medical Expenditure Panel Survey (MEPS), Racial and Ethnic Minorities
Bernard DM, Selden TM
大象APPAuthor: Bernard DM, Selden TM
Access to care among nonelderly veterans.
This study compared access to care for nonelderly adult veterans versus comparable non-veterans, overall and within subgroups defined by simulated eligibility for health care from the Veterans Health Administration and by insurance status. Its results showed that uninsured Veterans, the most policy-relevant group, have better access to care than comparable non-veterans.
AHRQ-authored.
Citation: Bernard DM, Selden TM .
Access to care among nonelderly veterans.
Med Care 2016 Mar;54(3):243-52. doi: 10.1097/mlr.0000000000000508.
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Keywords: Medical Expenditure Panel Survey (MEPS), Access to Care, Social Determinants of Health, Health Status
Lebrun-Harris LA, Baggett TP, Jenkins DM
大象APPAuthor: Ngo-Metzger Q
Health status and health care experiences among homeless patients in federally supported health centers: findings from the 2009 patient survey.
This study examined health status and health care experiences of homeless patients in health centers and compared them to nonhomeless counterparts. It found that homeless patients had worse health status (chronic conditions, mental health problems, and substance abuse) compared with housed respondents. They were also twice as likely to have unmet medical needs in the past year.
AHRQ-authored
Citation: Lebrun-Harris LA, Baggett TP, Jenkins DM .
Health status and health care experiences among homeless patients in federally supported health centers: findings from the 2009 patient survey.
Health Serv Res. 2013 Jun;48(3):992-1017. doi: 10.1111/1475-6773.12009..
Keywords: Health Status, Community-Based Practice, Access to Care, Disparities
