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One in Seven Americans Faces Problems Getting Needed Medical Care
National Tracking Study Details Americans' Access to Care; Nearly Two-Thirds Cite Cost as Barrier
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ASHINGTON, D.C.—More than 41 million Americans reported problems getting needed medical care in 2001, and nearly two-thirds cited cost as the reason, according to a new national tracking study issued today by HSC.
Despite a strong economy, fewer uninsured people and record low unemployment, overall rates of people foregoing or delaying needed care failed to improve between 1997 and 2001, according to results from HSCs Community Tracking Study Household Survey, a nationally representative survey involving about 60,000 people in 33,000 families.
"This failure to improve peoples access to health care during such good economic times is a bad omen," said Paul B. Ginsburg, Ph.D, an economist and president of HSC, a nonpartisan policy research organization funded by The Robert Wood Johnson Foundation.
"Access problems and consumer concerns about costs are likely to increase in light of the weaker economy and the rapidly rising health care costs that are driving double-digit health insurance premium increases," Ginsburg said.
The percentage of Americans reporting they went without needed care at some point in the previous year increased slightly, from 5.2 percent in 1997 to 5.8 percent in 2001, which translates into almost 16 million Americans. Another 26 million people, or 9.8 percent of the population, delayed needed care in the previous 12 months—about the same level as in 1997.
The study findings are detailed in a new HSC Tracking Report—Treading Water: Americans Access to Needed Medical Care, 1997-2001—available by clicking here.
Cost remained the most frequently cited barrier to getting needed care. Among people reporting an unmet need or who delayed care, about 62 percent said cost was the reason in both 1997 and 2001.
"Worries about the cost of care remained the primary reason that people went without care or delayed care," said Peter J. Cunningham, Ph.D., an HSC senior health researcher and co-author of the study.
Contrary to the findings for the general population, childrens ability to get care improved between 1997 and 2001, with the percentage having either an unmet need or delayed care decreasing from 6.3 percent in 1997 to 5.1 percent in 2001. Despite the improved access, which may have been helped by the State Childrens Health Insurance Program, almost 2 million children could not get needed care in 2001, while another 1.7 million children delayed needed care.
The study also found other reasons for concern. For example, people are increasingly facing problems getting timely physician and clinic appointments, having medical providers accept their health insurance and getting their health insurer to pay for services.
Other survey data suggest more Americans are having trouble scheduling appointments, with the percentage of people waiting more than seven days for an appointment for a doctors treatment of an illness or injury increasing from 22.2 percent in 1997 to 28 percent in 2001.
Other key findings of the study, which examines access to care by insurance and health status and income, include:
Ron Pollack, executive director, Families USA, www.familiesusa.org
Karen Ignagni, president and CEO, American Association of Health Plans, www.aahp.org
William Hall, M.D., F.A.C.P., president, American College of Physicians-American Society of Internal Medicine, www.acponline.org
The Center for Studying Health System Change is a nonpartisan policy research organization committed to providing objective and timely research on the nations changing health system to help inform policy makers and contribute to better health care policy. HSC, based in Washington, D.C., is funded by The Robert Wood Johnson Foundation and affiliated with Mathematica Policy Research, Inc.