Figure ES-1. Difficulty Getting Care on Nights, Weekends, Holidays Without Going to ER Percent saying very or somewhat difficult * Significant difference.

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Presentation transcript:

Figure ES-1. Difficulty Getting Care on Nights, Weekends, Holidays Without Going to ER Percent saying very or somewhat difficult * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey. *

Figure ES-2. Under 65: Lab Test Errors Comparisons with U.S. Insured and Uninsured Percent given wrong result or delay in receiving abnormal test result United States Base: Under 65 who have had lab tests in past two years * * * * Significantly different from U.S. insured at p<.05. Uninsured = uninsured at time of survey or any time during the year. Source: Commonwealth Fund 2004 International Health Policy Survey.

Figure 1. Insurance and Cost-Sharing Policies in Four Countries with Universal Public Coverage AUSCANNZUK Private insurance for services covered by public Permitted only for hospital services Prohibited for core services in most provinces Permitted Percent with private coverage 49% 79.9% (to cover benefits excluded from free-of charge public plan) 33%12% Public Plan Patient Cost-Sharing Variable depending on service type and provider None for core services Copayments for many services None for basic services (except Rx and optical) Prescription DrugsCovered Publicly covered for social assistance beneficiaries and in most provinces for seniors Covered Source: B. K. Frogner and G. F. Anderson, Multinational Comparisons of Health Systems Data, 2005 (New York: The Commonwealth Fund, Apr. 2006).

Figure 2. Private Insurance in Four Countries with Universal Coverage Percent who have private insurance in addition to public * * * * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey. *

Figure 3. Insurance Profile of U.S. Adults by Income * * Uninsured = uninsured at time of survey or any time during the year. Below average income numbers do not add up to 100% because of not sure/decline to answer. * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey.

Figure 4. Spent More than US$1,000 Out-of-Pocket for Medical Care in Past Year, by Income * * * Percent * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey.

Figure 5. Health Status by Income Percent:AUSCANNZUKUS Fair/Poor Health: Below Average22*19*22*24*30* Above Average77686 Any of 6 Chronic Illnesses:^ Below Average63*58*62*64*62* Above Average ^ Chronic illnesses include: hypertension, heart disease, diabetes, arthritis, lung problems, and depression. * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey.

Figure 6. Access to Doctor When Sick or Need Medical Attention, by Income Percent waited six days or more for appointment when sick * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey *

Figure 7. ER Visit for Condition a Primary Care Doctor Could Have Treated if Available, by Income Percent Source: Commonwealth Fund 2004 International Health Policy Survey.

Figure 8. Difficulty Getting Care on Nights, Weekends, Holidays Without Going to ER Percent saying very or somewhat difficult * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey. *

Figure 9. Cost-Related Access Problems, by Income Percent reporting any of three access problems because of costs^ ^ Access problems include: Had a medical problem but did not visit a doctor; skipped a medical test, treatment, or follow-up recommended by a doctor; or did not fill a prescription because of cost. * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey. * * * * *

Figure 10. Care Coordination, by Income ^ Coordination problems include: Test results or medical records not available at time of appointment, received conflicting information from different doctors, or doctor ordered duplicate medical test. * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey. Percent reporting any of three care coordination problems^ Base: Have seen a doctor in past two years *

Figure 11. Did Not Receive Test Results or Results Not Clearly Explained, by Income * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey. Base: Adults with test in past two years Percent * *

Figure 12. Percent of Patients Whose Doctor Has Not Reviewed All Medications, by Income Source: Commonwealth Fund 2004 International Health Policy Survey. Base: Adults taking prescriptions regularly Percent

* Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey. Figure 13. Rated Doctor Fair or Poor, by Income * *

Figure 14. Had Blood Pressure Check in Past Year, by Income Percent * * * * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey.

Figure 15. Had Pap Test in Past Three Years, by Income Base: Women ages 25–64 * Significant difference between below and above average income groups within country at p<.05. Source: Commonwealth Fund 2004 International Health Policy Survey Percent * * * * *

Figure 16. Under 65: ER Use Comparisons with U.S. Insured and Uninsured Percent under 65 with ER visit in past two years United States * Significantly different from U.S. insured at p<.05. Uninsured = uninsured at time of survey or any time during the year. Source: Commonwealth Fund 2004 International Health Policy Survey. * *

Figure 17. Under 65: Coordination Problem Comparisons with U.S. Insured and Uninsured Percent under 65 with at least one of three coordination problems^ United States ^ Coordination problems include: Test results or medical records not available at time of appointment, received conflicting information from different doctors, or doctor ordered duplicate medical test. * Significantly different from U.S. insured at p<.05. Uninsured = uninsured at time of survey or any time during the year. Source: Commonwealth Fund 2004 International Health Policy Survey. *

Figure 18. Under 65: Lab Test Errors Comparisons with U.S. Insured and Uninsured Percent given wrong result or delay in receiving abnormal test result United States Base: Under 65 who have had lab tests in past two years * * * * Significantly different from U.S. insured at p<.05. Uninsured = uninsured at time of survey or any time during the year. Source: Commonwealth Fund 2004 International Health Policy Survey.

Figure 19. Health Care Experiences by Income and Insurance: U.S. Adults Ages 19–64 * Significantly different from insured below average income group at p<.05. Uninsured = uninsured at time of survey or any time during the year. Source: Commonwealth Fund 2004 International Health Policy Survey. Rated doctor fair/poor Lab error Access problem because of cost Duplication of tests * * * * * *

General access (4) Access because of cost (4) Coordination (9) Doctor– Patient (8) Prevention (5) Total (30) AUS CAN NZ UK US Source: Commonwealth Fund 2004 International Health Policy Survey. Figure 20. Ranking of Below Average Income Adults Experiences by Country Number of Measures Where Below Average Income Adults Experiences in Country Was the Worst Compared with Below Average Income Adults in the Other Four Countries

* Inequity counted when significant difference between income groups where p.05 and gap of >5%; for U.S. p 5%, or gap>5%. General access (4) Access because of cost (4) Coordination (9) Doctor– Patient (8) Prevention (5) Total (30) AUS CAN NZ UK US Source: Commonwealth Fund 2004 International Health Policy Survey. Figure 21. Inequity Summary: Number of Measures Where Below Average Income Adults Have More Negative Experiences