1. Racial and Ethnic Inequality in Health Care Access and Quality: Ohio Family Health Survey 2008/9 Jennifer Malat, PhD Jeffrey Timberlake, PhD Department of Sociology

2. Background Defining race and ethnicity Racial and ethnic disparities in health and health care –Access to health care –Quality of care –Past research on explanations

3. Research Questions What are the extent of racial/ethnic differences in access to health care and health care quality among adult Ohioans in 2008/9? What are the trends in access to health care and health care quality for the racial/ethnic groups between 2003/4 and 2008/9? To what extent do insurance coverage and type as well as other individual-level factors account for racial/ethnic differences in health care access and quality in 2008/9?

4. Access to Care: Source of Care

6. Access to Care: Usual Health Care Provider Note: Only among those with a usual source of health care

7. Access to Care: Unmet Health Care Need

8. Access to Care: Travel Time to Care Note: Only among those with a usual source of health care

9. Quality of Care: Patient Satisfaction

10. Policy Implications Complexity of problem of disparities Increase insurance coverage Income and education equality Community health centers Translation services

11. Policy Implications, continued Transportation vouchers Electronic medical records Public and provider awareness Greater overall equality

12. Handout Appendix: Table of Means