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Medical bill problems steady for U.S. families, 2007-2010. 2007-2010年美国家庭医疗账单问题稳定。
Tracking report Pub Date : 2011-12-01
Anna Sommers, Peter J Cunningham
{"title":"Medical bill problems steady for U.S. families, 2007-2010.","authors":"Anna Sommers,&nbsp;Peter J Cunningham","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>More than one in five Americans were in families reporting problems paying medical bills in 2010--about the same proportion as in 2007, according to a new national study by the Center for Studying Health System Change (HSC). Given the severe 2007-09 recession, the sluggish economic recovery and health care costs continuing to increase faster than incomes, it is somewhat surprising that the rate of medical bill problems did not increase between 2007 and 2010. The steady rate of medical bill problems may be a byproduct of decreased use of medical care--both by people who lost jobs and health insurance during the recession and others who cut back on medical care in the face of uncertain economic times. While problems paying medical bills stabilized in recent years, the proportion of Americans in families with medical bill problems remained significantly higher in 2010 compared with 2003--20.9 percent vs. 15.1 percent. And, in 2010, many people in families with problems paying medical bills continued to experience severe financial consequences, with about two-thirds reporting problems paying for other necessities and a quarter considering bankruptcy.</p>","PeriodicalId":85803,"journal":{"name":"Tracking report","volume":" 28","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30357180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Americans' access to prescription drugs stabilizes, 2007-2010. 2007-2010年，美国人获得处方药的机会趋于稳定。
Tracking report Pub Date : 2011-12-01
Ellyn R Boukus, Emily R Carrier
{"title":"Americans' access to prescription drugs stabilizes, 2007-2010.","authors":"Ellyn R Boukus,&nbsp;Emily R Carrier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite the weak economy and more people lacking health insurance, the proportion of Americans reporting problems affording prescription drugs remained level between 2007 and 2010, with more than one in eight going without a prescribed drug in 2010, according to a new national study from the Center for Studying Health System Change (HSC). While remaining stable overall, access to prescription drugs improved for working-age, uninsured people, likely reflecting a decline in visits to health care providers, as well as changes in the composition of the uninsured population. Likewise, elderly people eligible for both Medicare and Medicaid saw a sharp drop in prescription drug access problems. The most vulnerable people--the uninsured, those with low incomes, people in fair or poor health, and those with multiple chronic conditions--continued to face the most unmet prescription needs. For example, 48 percent of uninsured people in fair or poor health went without a prescription drug because of cost concerns in 2010, almost double the rate of insured people with the same reported health status.</p>","PeriodicalId":85803,"journal":{"name":"Tracking report","volume":" 27","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30334017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surprising decline in consumers seeking health information. 寻求健康信息的消费者数量惊人下降。
Tracking report Pub Date : 2011-11-01
Ha T Tu
{"title":"Surprising decline in consumers seeking health information.","authors":"Ha T Tu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 2010, 50 percent of American adults sought information about a personal health concern, down from 56 percent in 2007, according to a new national study from the Center for Studying Health System Change (HSC). The likelihood of people seeking information from the Internet and from friends and relatives changed little between 2007 and 2010, but their use of hardcopy books, magazines and newspapers dropped by nearly half to 18 percent. While the reduced tendency to seek health information applied to consumers across nearly all demographic categories, it was most pronounced for older Americans, people with chronic conditions and people with lower-education levels. Across all individual characteristics, education level remained the factor most strongly associated with con­sumers' inclination to seek health information. Consumers who actively researched health concerns widely reported positive impacts: About three in five said the information affected their overall approach to maintaining their health, and a similar proportion said the information helped them to better understand how to treat an illness or condition.</p>","PeriodicalId":85803,"journal":{"name":"Tracking report","volume":" 26","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30286081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mixed signals: trends in Americans' access to medical care, 2007-2010. 混合信号:美国人获得医疗保健的趋势，2007-2010。
Tracking report Pub Date : 2011-08-01
Ellyn R Boukus, Peter J Cunningham
{"title":"Mixed signals: trends in Americans' access to medical care, 2007-2010.","authors":"Ellyn R Boukus,&nbsp;Peter J Cunningham","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Likely reflecting the severe economic downturn and subsequent decline in demand for health care, the number and proportion of Americans reporting going without or delaying needed medical care declined modestly between 2007 and 2010, according to findings from the Center for Studying Health System Change's (HSC) nationally representative 2010 Health Tracking Household Survey. Despite increases in the number of uninsured, slightly more than one in six Americans--52 million people--reported not getting or delaying needed medical care in 2010, down from one in five--58.6 million people--in 2007. The decline was driven primarily by fewer access problems for insured people, likely reflecting recession-related decreases in the demand for medical care. Nevertheless, the access gap between insured and uninsured people widened in 2010 compared to 2007, especially for lower-income people and those with health problems. Among people reporting problems getting medical care, the cost of care was an even bigger concern than in previous years. Fewer people encountered health system-related barriers, such as getting timely appointments with doctors, possibly reflecting freed-up health system capacity because of lower demand.</p>","PeriodicalId":85803,"journal":{"name":"Tracking report","volume":" 25","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30098674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Financial and health burdens of chronic conditions grow. 慢性病的财政和健康负担增加。
Tracking report Pub Date : 2009-04-01
Ha T Tu, Genna R Cohen
{"title":"Financial and health burdens of chronic conditions grow.","authors":"Ha T Tu,&nbsp;Genna R Cohen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Almost 72 million working-age Americans--18-64 years old--live with chronic conditions, such as diabetes, asthma or depression. In 2007, almost three in 10, or more than 20 million people with chronic conditions, lived in families with problems paying medical bills--a significant increase from 21 percent in 2003, according to a new national study by the Center for Studying Health System Change (HSC). While problems paying medical bills are especially acute and still rising for uninsured people with chronic conditions (62%), medical-bill problems also are significant and growing among people with private insurance and higher incomes. For the more than 20 million chronically ill adults with medical bill problems in 2007, one in four went without needed medical care, half put off care and more than half went without a prescription medication because of cost concerns.</p>","PeriodicalId":85803,"journal":{"name":"Tracking report","volume":" 24","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28091984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Access to prescription drugs for Medicare beneficiaries. 为医疗保险受益人提供处方药。
Tracking report Pub Date : 2009-03-01
James D Reschovsky, Laurie E Felland
{"title":"Access to prescription drugs for Medicare beneficiaries.","authors":"James D Reschovsky,&nbsp;Laurie E Felland","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite the introduction of a Medicare outpatient prescription drug benefit in January 2006, roughly the same proportion of elderly Medicare beneficiaries in 2003 and 2007--about 8 percent--skipped filling at least one prescription drug because of cost concerns, according to a new national study by the Center for Studying Health System Change (HSC). However, over the same period, more working-age adults went without a prescribed drug because of cost, suggesting the new Medicare drug benefit may have prevented a similar deterioration in access for the elderly. But, the proportion of seniors dually eligible for Medicare and Medicaid who went without a prescribed medicine almost doubled between 2003 and 2007--from 10.8 percent to 21.3 percent. And, the new Medicare drug benefit did little to close large, longstanding prescription drug access gaps between elderly white and African-American beneficiaries, healthier and sicker beneficiaries, and lower-income and higher-income beneficiaries. For example, three times as many elderly African-American beneficiaries (17.6%) went without a prescribed medication in 2007 as white beneficiaries (6.2%). In addition, Medicare beneficiaries under age 65--typically eligible because of permanent disability or severe kidney disease--had more than three times the prescription drug access problems (27.5%) as elderly beneficiaries in 2007.</p>","PeriodicalId":85803,"journal":{"name":"Tracking report","volume":" 23","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28071137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
More nonelderly Americans face problems affording prescription drugs. 越来越多的非老年美国人面临支付处方药的问题。
Tracking report Pub Date : 2009-01-01
Laurie E Felland, James D Reschovsky
{"title":"More nonelderly Americans face problems affording prescription drugs.","authors":"Laurie E Felland,&nbsp;James D Reschovsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>More children and working-age Americans are going without prescription drugs because of cost concerns, according to a new national study by the Center for Studying Health System Change (HSC). In 2007, one in seven Americans under age 65 reported not filling a prescription in the previous year because they couldn't afford the medication, up from one in 10 in 2003. Rising prescription drug costs and less generous drug coverage likely contributed to the growth in nonelderly Americans--from 10.3 percent in 2003 to 13.9 percent in 2007--who went without a prescribed medication. The most vulnerable people--those with low incomes, chronic conditions and the uninsured--continue to face the greatest unmet prescription drug needs. Uninsured, working-age Americans saw the biggest jump in unmet prescription drug needs between 2003 and 2007, with the proportion rising from 26 percent to almost 35 percent. At the same time, a growing proportion of working-age Americans with employer-sponsored insurance reported going without prescription medications. The number of Americans who cannot afford prescription medications is likely to grow as the economy continues to decline and the ranks of the uninsured grow.</p>","PeriodicalId":85803,"journal":{"name":"Tracking report","volume":" 22","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28071134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trade-offs getting tougher: problems paying medical bills increase for U.S. families, 2003-2007. 权衡越来越难:2003-2007年，美国家庭支付医疗费用的问题有所增加。
Tracking report Pub Date : 2008-09-01
Peter J Cunningham
{"title":"Trade-offs getting tougher: problems paying medical bills increase for U.S. families, 2003-2007.","authors":"Peter J Cunningham","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>About 57 million Americans were in families with problems paying medical bills in 2007--an increase of 14 million people since 2003, according to a new national study by the Center for Studying Health System Change (HSC). Problems paying medical bills increased for both nonelderly insured and uninsured people. Although the rate of medical bill problems is much higher for uninsured people, most people with medical bill problems--42.5 million--had insurance coverage. About 2.2 million people with medical bill problems were in families that filed for bankruptcy as a result of their medical bills, and a much larger number reported other financial consequences, such as problems paying for other necessities and having to borrow money. The increase in medical bill problems--especially among insured people--is the main reason why more people reported unmet medical needs because of cost in 2007 than in 2003</p>","PeriodicalId":85803,"journal":{"name":"Tracking report","volume":" 21","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27694416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Striking jump in consumers seeking health care information. 寻求医疗保健信息的消费者急剧增加。
Tracking report Pub Date : 2008-08-01
Ha T Tu, Genna R Cohen
{"title":"Striking jump in consumers seeking health care information.","authors":"Ha T Tu,&nbsp;Genna R Cohen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 2007, 56 percent of American adults--more than 122 million people--sought information about a personal health concern, up from 38 percent in 2001, according to a new national study by the Center for Studying Health System Change (HSC). Use of all information sources rose substantially, with the Internet leading the way: Internet information seeking doubled to 32 percent during the six-year period. Consumers across all categories of age, education, income, race/ethnicity and health status increased their information seeking significantly, but education level remained the key factor in explaining how likely people are to seek health information. Although elderly Americans--65 and older--sharply increased their information seeking, they still trail younger Americans by a substantial margin, especially in using Internet information sources. Consumers who actively researched health concerns widely reported positive impacts: More than half said the information changed their overall approach to maintaining their health, and four in five said that the information helped them to better understand how to treat an illness or condition.</p>","PeriodicalId":85803,"journal":{"name":"Tracking report","volume":" 20","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2008-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27657065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Falling behind: Americans' access to medical care deteriorates, 2003-2007. 落后:2003-2007年，美国人获得医疗保健的情况恶化。
Tracking report Pub Date : 2008-06-01
Peter J Cunningham, Laurie E Felland
{"title":"Falling behind: Americans' access to medical care deteriorates, 2003-2007.","authors":"Peter J Cunningham,&nbsp;Laurie E Felland","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The number and proportion of Americans reporting going without or delaying needed medical care increased sharply between 2003 and 2007, according to findings from the Center for Studying Health System Change's (HSC) nationally representative 2007 Health Tracking Household Survey. One in five Americans--59 million people--reported not getting or delaying needed medical care in 2007, up from one in seven--36 million people--in 2003. While access deteriorated for both insured and uninsured people, insured people experienced a larger relative increase in access problems compared with uninsured people. Moreover, access declined more for people in fair or poor health than for healthier people. In addition, unmet medical needs increased for low-income children, reversing earlier trends and widening the access gap with higher-income children. People reporting access problems increasingly cited cost as an obstacle to needed care, along with rising rates of health plan and health system barriers.</p>","PeriodicalId":85803,"journal":{"name":"Tracking report","volume":" 19","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27522797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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