Complete Indicator Profile - Health Care - Cost as a Barrier (HA2020 Leading Health Indicator: 23)

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State of Alaska

Complete Indicator Profile of Health Care - Cost as a Barrier (HA2020 Leading Health Indicator: 23)

Definition

Percentage of adults aged 18 years and older who reported they were unable to receive needed health care in the past year due to cost.

Numerator

Number of adults (18+) who responded yes to the question: "Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?"

Denominator

Number of adults with valid responses to the question, excluding those with missing, "Don't know/Not sure" and "Refused" answers.

Why Is This Important?

Access to quality healthcare is influenced by a number of factors, including: having a usual source of care, having health insurance, and being able to afford care. Inadequate prenatal care--including late initiation of care, infrequent prenatal visits, or no care at all--is associated with poor infant and maternal outcomes, including low birth weight or preterm infants and for the mothers an increased risk for pregnancy-related mortality and complications of childbirth. Preventable hospitalizations are a set of conditions for which hospitalization could be avoided if patients had early access to good quality outpatient healthcare; this metric can be used to assess the effectiveness and accessibility of primary healthcare. A study using the National Hospital Discharge Survey found that 12% of all hospitalizations in 1990 (3.1 million) were for potentially preventable conditions.[1]

References:
1. Pappas G, Hadden WC, Kozak LJ, Fisher GF. Potentially avoidable hospitalizations: inequalities in rates between US socioeconomic groups. Am J Public Health. 1997 May; 87(5): 811-816.

Healthy People Objective AHS-6.2:

Reduce the proportion of individuals who are unable to obtain or delay in obtaining necessary medical care, dental care, or prescription medicines: Individuals--medical care
U.S. Target: 4.2 percent
State Target: Healthy Alaskans 2020 Target: 14.0%

How Are We Doing?

The crude percentage of Alaska adults who reported being unable to see a doctor in the past 12 months due to cost was 14.7% in 2010. Alaska adults with low incomes were much more likely to report cost as a barrier to health care than those with higher incomes as were those without health insurance versus the insured.

What Is Being Done?

The Alaska Department of Health administers programs to improve access to care, such as Medicaid, the Children's Health Insurance Program (CHIP), and primary care grants, and clinics for children with disabilities. Federally Qualified Health Centers provide preventive services such as immunizations and screenings at low or no cost to eligible persons who cannot afford them.

Federally Qualified Health Centers and other providers strive to meet the needs of the medically underserved in Alaska.

Available Services

The Alaska Department of Health and Social Services administers programs to improve access to care, such as Medicaid and the Children's Health Insurance Program (CHIP).

Federally Qualified Health Centers and other providers strive to meet the needs of the medically under-served in Alaska.



Related Indicators

Relevant Population Characteristics

Persons with low incomes were much more likely to report problems with access to care than persons with higher incomes. Young adults were more likely to report cost as a barrier to care than older adults.

Related Relevant Population Characteristics Indicator Profiles:


Health Care System Factors

Persons without health insurance are more likely to report cost as a barrier to care than those with health insurance coverage.


Health Status Outcomes

Persons without access to health care tend to delay getting care until a problem becomes too painful or dangerous to avoid dealing with it. At this point, health problems are often expensive to treat and sometimes have serious long term implications for the individual's health. The health status of these persons may suffer due to lack of appropriate care.

Related Health Status Outcomes Indicator Profiles:




Graphical Data Views

Percentage of adults (aged 18+) reporting cost as a barrier to care in past year, all Alaskans, Alaska Natives, and U.S., 2000-2020

::chart - missing::

Alaska Comparisons Year Pecentage of adults reporting cost as a barrier Lower Limit Upper Limit
Record Count: 50
All Alaskans 2000 12.3% 10.2% 14.9%
All Alaskans 2001 **
All Alaskans 2002 **
All Alaskans 2003 12.3% 10.8% 14.0%
All Alaskans 2004 13.5% 11.8% 15.4%
All Alaskans 2005 14.8% 12.9% 16.8%
All Alaskans 2006 14.7% 12.8% 16.9%
All Alaskans 2007 15.7% 13.5% 18.2%
All Alaskans 2008 16.4% 14.8% 18.2%
All Alaskans 2009 15.9% 14.2% 17.8%
All Alaskans 2010 14.7% 12.8% 17.0%
All Alaskans 2011 17.6% 16.0% 19.2%
All Alaskans 2012 14.7% 13.4% 16.1%
All Alaskans 2013 14.1% 12.9% 15.4%
Alaska Natives 2000 12.6% 9.2% 17.0%
Alaska Natives 2001 **
Alaska Natives 2002 **
Alaska Natives 2003 14.6% 11.2% 18.8%
Alaska Natives 2004 14.9% 11.3% 19.3%
Alaska Natives 2005 13.1% 10.3% 16.5%
Alaska Natives 2006 17.7% 14.0% 22.1%
Alaska Natives 2007 17.3% 12.3% 23.7%
Alaska Natives 2008 17.1% 14.2% 20.4%
Alaska Natives 2009 16.4% 13.3% 20.1%
Alaska Natives 2010 13.2% 10.1% 17.1%
Alaska Natives 2011 17.4% 14.2% 21.0%
Alaska Natives 2012 15.3% 12.7% 18.3%
Alaska Natives 2013 13.9% 11.5% 16.7%
U.S. 2000 9.9%
U.S. 2001 8.3%
U.S. 2002 **
U.S. 2003 12.0%
U.S. 2004 12.8%
U.S. 2005 13.3%
U.S. 2006 12.4%
U.S. 2007 12.5%
U.S. 2008 13.5%
U.S. 2009 13.7%
U.S. 2010 13.4%
U.S. 2011 16.1%
U.S. 2012 15.2%
U.S. 2013 15.3%
Healthy Alaskans Goal 2013 14.0%
Healthy Alaskans Goal 2014 14.0%
Healthy Alaskans Goal 2015 14.0%
Healthy Alaskans Goal 2016 14.0%
Healthy Alaskans Goal 2017 14.0%
Healthy Alaskans Goal 2018 14.0%
Healthy Alaskans Goal 2019 14.0%
Healthy Alaskans Goal 2020 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.

Data Sources

  • Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion
  • U.S. Data: National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS)


References and Community Resources

Alaska Medicaid Program: visit http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx or one of the regional centers:

ANCHORAGE DISTRICT OFFICE
400 Gambell Street
Anchorage, AK 99501
(907) 269-6599 - Phone
(907) 269-6450 - Fax

BETHEL DISTRICT OFFICE
P.O. Box 365
Bethel, AK 99559
(907) 543-2686 - Phone (1-800-478-2686)
(907) 543-5912 - Fax

COASTAL FIELD OFFICE
3601 C Street, Suite 410
P.O. Box 240249
Anchorage, AK 99524
(907) 269-8950 - Phone
1-800-478-4372
(907) 562-1619 - Fax

EAGLE RIVER JOB CENTER
11723 Old Glenn Highway, Sp. B-4
Eagle River, AK 99577-7595
(907) 694-7008
(907) 694-1490 - Fax

FAIRBANKS DISTRICT OFFICE
675 7th Avenue, Station D
Fairbanks, AK 99701
(907) 451-2850 - Phone (1-800-478-2850)
(907) 451-2923 - Fax
1-877-451-2923 toll free fax

HOMER DISTRICT OFFICE
New address!
Homer District Office
3670 Lake Street, # 200
Homer, AK 99603
(907) 226-3040 - Phone
(907) 235-6176 - Fax

JUNEAU FIELD OFFICE
10002 Glacier Hwy, Suite 200
Juneau, AK 99801
(907) 465-3537 - Phone (1-800-478-3537)
(907) 465-4657 - Fax

KENAI PENINSULA JOB CTR
11312 Kenai Spur Hwy, Suite #2
Kenai, AK 99611
(907) 283-2900 - Phone (1-800-478-9032)
(907) 283-6619 - Fax

KETCHIKAN DISTRICT OFFICE
2030 Sea Level Dr., Suite 301
Ketchikan, AK 99901
(907) 225-2135 - Phone (1-800-478-2135)
(907) 247-2135 - Fax

KODIAK DISTRICT OFFICE
211 Mission Road, Suite 101
Kodiak, AK 99615
(907) 486-3783 - Phone (1-888-480-3783)
(907) 486-3116 - Fax

KOTZEBUE DISTRICT OFFICE
P.O. Box 1210
Kotzebue, AK 99752
(907) 442-3451 - Phone
(907) 442-2151 - Fax

MAT-SU DISTRICT OFFICE
855 W. Commercial Drive
Wasilla, AK 99654
(907) 376-3903 - Phone (1-800-478-7778)
(907) 373-1136 - Fax

MULDOON DISTRICT OFFICE
1251 Muldoon Rd, Suite 111B
Anchorage, AK 99504
(907) 269-0001 - Phone
(907) 269-0070 - Fax

NOME DISTRICT OFFICE
P.O. Box 2110
Nome, AK 99762
(907) 443-2237 - Phone (1-800-478-2236)
(907) 443-2307 - Fax

SOUTHEAST ADULT PUBLIC ASSISTANCE & SPECIALIZED MED
10002 Glacier Hwy, Suite 200
Juneau, AK 99801
(907) 465-3537 - Phone (1-800-478-3537)
(907) 465-4657 - Fax

SITKA DISTRICT OFFICE
201 Katlian Street, Suite 107
Sitka, AK 99835
(907) 747-8234 - Phone (1-800-478-8234)
(907) 747-8224 - Fax

Denali KidCare is Alaska's Children's Health Insurance Program (CHIP):
If you have questions or need further information, please call Denali KidCare:

Within the Anchorage area, phone 269-6529.
From other areas of the state, you may phone toll free 1-888-318-8890.
If you prefer, you may fax your application to 1-855-769-0986.
In Anchorage, our office is located at 3601 C Street, 1st floor of the Frontier Building.
Outside of Anchorage, please view Public Assistance office locations.
If you have questions about Denali KidCare or would like an application or renewal mailed to you, please email denali.kid.care@alaska.gov


The Alaska Primary Care Association (APCA) is the primary care association for the state of Alaska. APCA members include Federally Qualified Health Centers (FQHC) and other providers who strive to meet the needs of the medically underserved. APCA and its member organizations are part of a statewide and national movement to reduce barriers to health care by enhancing primary care service delivery through prevention, health promotion, and community participation.

Alaska Primary Care Association
903 W Northern Lights Blvd.
Suite 200
Anchorage, AK 99503
Tel: 907.929.2722
Fax: 907.929.2734
Email: info@alaskapca.org

More information on the Behavioral Risk Factor Surveillance System may be found on the website of the Centers for Disease Control and Prevention - http://www.cdc.gov/brfss/

More Resources and Links

Alaska and national goals may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 10/12/2013, Published on 10/12/2014
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Mon, 20 October 2014 13:11:09 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov".

Content updated: Sun, 12 Oct 2014 15:22:36 AKDT