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2018 National Healthcare Quality and Disparities Report

2018 National Healthcare Quality and Disparities Report. Executive Summary. Access to Care. From 2000 to 2017: More than half of access measures showed improvement: For example, there were significant gains in the percentage of people who reported having health insurance.

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2018 National Healthcare Quality and Disparities Report

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  1. 2018 National HealthcareQuality and Disparities Report • Executive Summary

  2. Access to Care • From 2000 to 2017: • More than half of access measures showed improvement: • For example, there were significant gains in the percentage of people who reported having health insurance. • One-third of access measures did not show improvement. • Fourteen percent showed worsening.

  3. Quality • Quality of healthcare improved overall from 2000 through 2016-2017, but the pace of improvement varied by priority area: • Person-Centered Care: Almost 70% of measures were improving. • Patient Safety: More than 60% of measures were improving. • Healthy Living: Almost 60% of measures were improving. • Effective Treatment: Almost half of measures were improving. • Care Coordination: One-third of measures were improving. • Care Affordability: No care affordability measures changed.

  4. Disparities • Some disparities were getting smaller from 2000 through 2016-2017, but disparities persist, especially for poor and uninsured populations in all priority areas. • Racial and ethnic disparities vary by group: • Blacks, American Indians and Alaska Natives (AI/ANs), and Native Hawaiians/Pacific Islanders (NHPIs) received worse care than Whites for about 40% of quality measures. • Disparities were improving for only 4 measures for Blacks, 2 measures for AI/ANs, and 1 measure for NHPIs.

  5. Disparities (cont’d.) • Racial and ethnic disparities vary by group: • Hispanics received worse care than Whites for about 35% of quality measures. • From 2000 to 2017, disparities were improving for 5 measures for Hispanics. • Asians received worse care than Whites for 27% of quality measures but better care than Whites for 28% of quality measures. • Disparities were improving for only 2 measures for Asians.

  6. Report Background • Mandated by Congress to provide a comprehensive overview of the quality of healthcare received by the general U.S. population and disparities in care experienced by different racial and socioeconomic groups. • More than 250 measures that span structure, process, and outcome measures for which existing national data sources can be used. • Supported by a U.S. Department of Health and Human Services Interagency Work Group.

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