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QualityTool Icon QualityTool:

2005 National Healthcare Disparities Report


square iconDescription

The 2005 National Healthcare Disparities Report (NHDR) uses the same measures of quality as its companion, the 2005 National Healthcare Quality Report (NHQR), to monitor the Nation's annual progress toward eliminating disparities in health care among racial, ethnic, and socioeconomic groups. The 2005 report focuses on the same 46 core measures of quality that are tracked in the NHQR, as well as 13 core measures of access to care.

In the 2005 NHDR, four key themes are highlighted:

  • Disparities still exist
  • Some disparities are diminishing
  • Opportunities for improvement remain
  • Information about disparities is improving

This tool includes links to the following:

  • 2005 National Healthcare Disparities Report (PDF)
  • Data Sources Appendix (HTML)
  • Detailed Methods Appendix (HTML)
  • Measure Specifications Appendix (HTML)
  • Data Tables Appendix (HTML)
  • NHQR/NHDR newscast (audio and transcript)
  • NHQR/NHDR highlights (remarks by Carolyn Clancy, Director of the Agency for Healthcare Research and Quality)

The 2005 NHDR full report addresses the following clinical conditions:

  • Cancer
  • Diabetes
  • End-stage renal disease
  • Heart disease
  • HIV and AIDS
  • Mental health and substance abuse
  • Respiratory diseases

It also presents data on the following:

  • Nursing home and home health care

The report includes the following sections:

  • Key themes and highlights
  • Introduction and methods
  • Quality of health care—Measures in this section are organized into four main categories:
    • Effectiveness (i.e., care based on scientific knowledge, provided to all patients who can benefit and not to patients unlikely to benefit)
    • Patient safety (i.e., care that avoids injuring patients with care intended to benefit them)
    • Timeliness (i.e., care that reduces waiting times and delays in care delivery)
    • Patient centeredness (i.e., care that is respectful and responsive to individual patient needs, preferences, and values)
  • Access to health care—Measures in this section are organized into two main categories:
    • Facilitators of and barriers to care (e.g., having health insurance, having a usual source of care, and patient perceptions of need)
    • Health care utilization (e.g., dental care, emergency department visits, potentially avoidable admissions, and mental health care and substance abuse treatment)
  • Priority populations
    • Racial and ethnic minorities
    • Low-income groups
    • Women
    • Children
    • The elderly
    • Residents of rural areas
    • Individuals with special health care needs

Links to the Tool:
This tool is available at: http://www.ahrq.gov/qual/Nhdr05/nhdr05.htm

Developer

Agency for Healthcare Research and Quality

Funding Sources

U.S. Department of Health and Human Services


QualityTool Topic

Benchmarking/Comparative Data


History

  • Release Date: 01/2006
  • Original Summary: 03/2008
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.
QualityTool Classification
Disease/Clinical Category: spacer Acquired immunodeficiency syndrome; Cancer; Heart diseases; HIV; Kidney failure, chronic; Lung diseases; Mental disorders; Substance use disorders
Patient Population: spacer Race and Ethnicity > American Indian or Alaska native; Asian; Black or African American; Hispanic/Latino-Latina; Native Hawaiian or Pacific Islander; Vulnerable Populations > Children; Disabled (physically); Frail elderly; Immigrants; Impoverished; Medically uninsured; Mentally ill; Non-English speaking/limited English proficiency; Racial minorities; Rural populations; Substance abusers; Women
Stage of Care: spacer Preventive care; Primary care; Acute care; Chronic care; Emergency care; Long-term care
Setting of Care: spacer Ambulatory Setting > Dental office, Federally Qualified Health Center; Indian Health Service clinic; Mental health/substance abuse clinic; Physician office (individual); Physician office (group practice); Emergency Setting > Hospital emergency department, Home > Home health care, Residential Facility > Nursing home, Substance abuse residential treatment
Patient Care Process: spacer Preventive Care Processes > Immunizations; Prenatal care; Screening; Primary prevention; Pre-Care Processes > Transportation to care; Waiting time management; Active Care Processes: Diagnosis and Treatment > Behavioral or mental health therapy; Chronic-disease management; Infection control; Medication: ordering, transcription, administration, dispensing; Patient safety; Primary care; Surgery; Patient-Focused Processes/Psychosocial Care > Provider-patient communication; Population Health Processes > Disparities reduction
IOM Domains of Quality: spacer Effectiveness; Efficiency; Equity; Patient-centeredness; Safety; Timeliness
QualityTool Format: spacer Report
QualityTool Topic: spacer Benchmarking/Comparative Data
Developer: spacer Agency for Healthcare Research and Quality
Funding Sources: spacer U.S. Department of Health and Human Services

 

Last updated: April 25, 2008.

 

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