Health Indicator Report of Cost as a Barrier to Health Care
Access to health care is still a problem for many Utahns. Individuals who cannot obtain needed health care tend to have higher rates of death and disability from chronic disease. Cost is the most commonly reported barrier to getting needed health care.
Adults Reporting Cost as a Barrier to Care in Past Year, Utah and U.S., 1991-2000 and 2003-2017
NotesAge adjusted to U.S. 2000 standard population. U.S. data are the average for all states and the District of Columbia but do not include the U.S. territories. Note: At the time of this update, the BRFSS U.S. dataset did not include an age variable but did include five age categories up to age 80+ (vs. the typical weighting scheme that includes 85+). Comparisons with both weighting schemes were compared using Utah data, and the difference was about 1/100 of a percentage point. **This question was not asked in 2001 or 2002. The data in this graph include estimates from the old landline-only methodology, and from the new methodology that includes both landline and cell phone respondent interviews along with a new weighting methodology called iterative proportional fitting, or raking. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf].
- Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
- U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services
Data Interpretation IssuesQuestion Text: "Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?" Starting in 2009, the BRFSS included both landline and cell phone respondent interviews along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf]. As with all surveys, some error results from nonresponse (e.g., refusal to participate in the survey or to answer specific questions), and measurement (e.g., social desirability or recall bias). Error was minimized by use of strict calling protocols, good questionnaire design, standardization of interviewer behavior, interviewer training, and frequent, on-site interviewer monitoring and supervision.
DefinitionPercentage of adults aged 18 years and older who reported they were unable to receive needed health care in the past year due to cost.
NumeratorNumber of survey respondents who reported they were unable to receive needed health care in the past year due to cost.
DenominatorTotal number of survey respondents excluding those with missing, "Don't know/Not sure", and "Refused" answers.
Other ObjectivesRelated to HP2020 Objective AHS-6.2: Reduce the proportion of persons who are unable to obtain or delay in obtaining necessary medical care[[br]]'''U.S. Target:''' 4.2%
How Are We Doing?The age-adjusted percentage of Utah adults who reported being unable to see a doctor in the past 12 months due to cost increased to 13.4% in 2017. This level is the highest it has been since 2014, when the rate was 14.1%. The percentage (crude rate) was the highest for adults aged 25-34 (18.0%) and lowest for Utah adults aged 65 and older (4.6%). In 2017, Utah adults with low incomes had a higher age-adjusted rate (26.9%) of reporting cost as a barrier to health care than those with higher incomes (6.5%), as did those without health insurance (32.3%) versus the insured (10.6%).
How Do We Compare With the U.S.?When comparing Utah to the U.S. as a whole, the age-adjusted percentage of adults who reported they were unable to get needed health care in the past year due to cost has been similar over the years. In 2017, this percentage was 14.0% in the U.S. compared to 13.4% in Utah.
What Is Being Done?The Utah Department of Health administers programs to improve access to care, such as Medicaid, the Children's Health Insurance Program (CHIP), the Primary Care Network (PCN), UPP (Utah's Premium Partnership for Health Insurance), primary care grants, and clinics for children with disabilities. Local health departments provide preventive services such as immunizations and screenings at low or no cost to eligible persons who cannot afford them. Members of the Association for Utah Community Health (AUCH), including Federally Qualified Health Centers and other providers, strive to meet the needs of the medically underserved in Utah.
Available ServicesUtah Medicaid Program: [[br]] phone 1-800-662-9651, or visit [http://www.health.utah.gov/medicaid/] Utah Department of Health's Primary Care Network (PCN): [[br]] phone 1-888-222-2542 or visit [http://www.health.utah.gov/pcn/] Utah Children's Health Insurance Program (CHIP): [[br]] phone 1-877-KIDS-NOW (1-877-543-7669) or visit [http://www.health.utah.gov/chip] UPP (Utah's Premium Partnership for Health Insurance): [[br]] phone: 1-888-222-2542 (M - F, 8 a.m. -5 p.m.) [[br]] or visit [http://www.health.utah.gov/upp] The Association for Utah Community Health (AUCH) is the primary care association for the state of Utah. AUCH members include Federally Qualified Health Centers (FQHC) and other providers who strive to meet the needs of the medically underserved. AUCH 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. Association for Utah Community Health [[br]] 860 East 4500 South [[br]] Salt Lake City, UT 84107 [[br]] Phone: (801) 974-5522 [[br]] [http://www.auch.org]
Page Content Updated On 10/15/2018, Published on 10/23/2018