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PHOM Indicator Profile Report of Cost as a Barrier to Health Care

Why Is This Important?

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 2003-2018

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confidence limits

Data Sources

  • 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 Notes

Age 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: [].

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 was 12.9% in 2018. The percentage (crude rate) was the highest for adults aged 25-34 (17.1%) and lowest for Utah adults aged 65 and older (4.1%). In 2018, Utah adults with low incomes had a higher age-adjusted rate (29.5%) of reporting cost as a barrier to health care than those with higher incomes (6.2%), as did those without health insurance (31.9%) versus the insured (9.8%).

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.

Date Indicator Content Last Updated: 09/23/2019

Other Views

The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site ( The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 31 May 2020 1:28:40 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: ".

Content updated: Fri, 18 Oct 2019 12:25:53 MDT