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Complete Health Indicator Report of Personal Doctor or Health Care Provider

Definition

Percentage of adults who reported having one or more persons they think of as their personal doctor or health care provider.

Numerator

Number of adults who reported having at least one person they think of as their personal doctor or health care provider.

Denominator

Total number of adults interviewed during the same survey period.

Data Interpretation Issues

Question Text: "Do you have one person you think of as your personal doctor or health care provider?" Respondents can answer "Yes, only one", "Yes, more than one" or "No." For this indicator, the two "Yes" responses have been combined. Beginning in 2011, BRFSS data include both landline and cell phone respondent data 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 (up to 15 calls were made to reach each household), good questionnaire design, standardization of interviewer behavior, interviewer training, and frequent, on-site interviewer monitoring and supervision.

Why Is This Important?

As each new health care need arises, an individual's first point of contact with the health care system is typically his or her personal doctor. In most cases a personal doctor can effectively and efficiently manage a patient's medical care because they understand that person's medical history and social background. Having a regular source of health care is also an indicator of overall access to care.

Healthy People Objective AHS-3:

Increase the proportion of persons with a usual primary care provider
U.S. Target: 83.9 percent

Other Objectives

One of Utah's 42 Community Health Indicators.

How Are We Doing?

In 2016, 72.7% (crude rate) of Utah adults reported having at least one person they think of as their personal doctor or health care provider. However, 27.3% of Utahns did not have a personal doctor or health care provider. Lack of a primary care provider was more common among young adults, especially men ages 18 to 34 (only 52.2% reported having a personal doctor) in 2016. In 2015-2016, the San Juan County Small Area (52.4%) had the lowest age-adjusted rate of people who reported having a primary care provider among all of the Utah Small Areas.

How Do We Compare With the U.S.?

In 2016, Utah (73.8%) had a similar age-adjusted rate of persons reporting a primary care provider when compared with the U.S. (76.9%), though the Utah rate was statistically significantly lower than that for the U.S.

What Is Being Done?

The Utah Department of Health has programs such as Medicaid, Children's Health Insurance Program (CHIP), Utah's Premium Partnership for Health Insurance (UPP), and the Primary Care Network (PCN) to pay health care costs for low-income children and adults and those with disabilities.

Available Services

For information on the Medicaid program: [[br]] MEDICAID: In the Salt Lake City area, call 538-6155.[[br]] In Utah, Idaho, Wyoming, Colorado, New Mexico, Arizona, and Nevada, call toll-free 1-800-662-9651.[[br]] From other states, call 1-801-538-6155.[[br]] Medicaid Customer Service staff are available to take inquiries.[[br]] [[br]] Call the Health Resource Line: 1-888-222-2542 for information on CHIP and the PCN.[[br]] CHIP: Children's Health Insurance Program (for children 0-18)[[br]] Or visit the CHIP website at [http://health.utah.gov/chip/] [[br]] [[br]] PCN: Utah Primary Care Network (for low-income adults) at [http://health.utah.gov/pcn/]


Related Indicators

Relevant Population Characteristics

Lack of a primary provider was more common among young adults, especially men aged 18 to 34 (only 52.2% reported having a personal doctor) in 2016.

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:


Risk Factors

In 2015, males were significantly less likely than females to have a personal doctor or health care provider (69.5% and 80.5%, respectively, age-adjusted rates).

Health Status Outcomes

Persons who have a personal doctor or health care provider are more likely to have routine medical visits and health screenings, such as blood pressure and cancer screening exams. By identifying diseases early, they can be more effectively treated, and disease and disability averted.

Related Health Status Outcomes Indicators:




Graphical Data Views

At Least One Primary Provider by Age and Sex, Utah, 2016

::chart - missing::
confidence limits

Males vs. FemalesAge GroupPercentage of AdultsLower LimitUpper Limit
Record Count: 10
Male18-3452.2%48.8%55.7%
Male35-4961.3%57.6%64.9%
Male50-6481.8%78.8%84.5%
Male65+91.0%88.6%92.9%
Female18-3467.3%63.7%70.6%
Female35-4980.1%77.1%82.8%
Female50-6486.7%84.0%89.0%
Female65+93.0%90.9%94.6%

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


At Least One Primary Provider by Ethnicity, Utah, 2016

::chart - missing::
confidence limits

Hispanic EthnicityAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 2
Hispanic59.0%54.2%63.7%
Non-Hispanic75.9%74.7%77.0%

Data Notes

Age-adjusted to the U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


At Least One Primary Provider by Race, Utah, 2014-2016

::chart - missing::
confidence limits

RaceAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 5
American Indian/Native Alaskan59.9%54.4%65.3%
Asian69.9%64.4%74.8%
Black61.9%55.0%68.3%
Pacific Islander68.6%61.5%75.0%
White75.3%74.7%75.9%

Data Notes

Age-adjusted to the U.S. 2000 standard population based on 3 age groups: 18-34, 35-49, and 50+.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


At Least One Primary Provider by Local Health District, Utah, 2016

::chart - missing::
confidence limits

Local Health DistrictAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 15
Bear River77.8%73.4%81.7%
Central83.0%78.5%86.6%
Davis County77.3%74.1%80.3%
Salt Lake County72.4%70.2%74.5%
San Juan69.5%58.5%78.6%
Southeast74.5%68.2%80.0%
Southwest73.0%68.4%77.1%
Summit76.9%69.8%82.7%
Tooele75.7%70.0%80.7%
TriCounty72.2%67.3%76.7%
Utah County75.5%72.9%78.0%
Wasatch84.7%77.7%89.8%
Weber-Morgan69.1%65.3%72.7%
State of Utah73.8%72.7%75.0%
U.S.76.8%76.6%77.1%

Data Notes

Age-adjusted to U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


At Least One Primary Provider by Utah Small Area, 2015-2016

::chart - missing::
confidence limits

Utah Small AreasAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 66
Brigham City81.8%73.9%87.8%
Box Elder Co (Other)82.1%72.2%87.8%
Logan73.4%68.5%77.8%
Cache Co (Oth)/Rich Co (All)81.5%75.4%86.4%
Ben Lomond67.1%61.1%72.5%
Morgan Co (All)/Weber Co (E)71.9%65.9%77.2%
Ogden (Downtown)67.2%60.6%73.1%
South Ogden69.7%62.4%76.2%
Roy/Hooper75.5%69.4%80.7%
Riverdale69.4%60.6%76.9%
Clearfield/Hill AFB74.8%69.8%79.2%
Layton74.2%69.3%78.5%
Syracuse/Kaysville80.8%76.1%84.7%
Farmington/Centerville89.9%84.4%93.6%
Woods Cross/North Salt Lake81.8%74.5%87.4%
Bountiful75.0%69.1%80.1%
SLC (Rose Park)65.7%57.5%73.0%
SLC (Avenues)74.9%65.4%82.5%
SLC (Foothill/U of U)72.4%64.5%79.1%
Magna64.3%53.9%73.4%
SLC (Glendale)72.6%60.6%70.9%
West Valley (West)66.0%58.4%74.9%
West Valley (East) V267.1%67.3%78.5%
SLC (Downtown)73.3%62.4%80.4%
South Salt Lake72.3%72.9%83.4%
Millcreek78.6%70.2%83.1%
Holladay77.3%65.9%78.2%
Cottonwood78.1%70.7%84.0%
Kearns V260.3%52.6%67.4%
Taylorsville (E)/Murray (W)71.7%64.4%78.1%
Taylorsville (West)80.0%73.2%85.4%
Murray81.2%75.0%86.2%
Midvale69.4%60.3%77.2%
West Jordan (NE) V284.1%76.9%89.3%
West Jordan (SE)76.1%67.9%82.7%
West Jordan (W)/Copperton75.3%68.5%81.0%
South Jordan76.6%70.7%81.7%
Sandy (Center)70.4%63.9%76.2%
Sandy (NE)79.0%69.0%86.4%
Sandy (SE)73.3%64.0%80.9%
Riverton/Draper76.7%72.6%80.4%
Tooele Co75.8%71.2%79.8%
Lehi/Cedar Valley82.3%78.0%85.9%
American Fork/Alpine80.6%75.1%85.0%
Pleasant Grove/Lindon82.9%77.2%87.4%
Orem (North)75.3%67.6%81.7%
Orem (West)75.5%68.6%81.3%
Orem (East)79.6%71.3%86.0%
Provo (North)/BYU72.0%64.5%78.5%
Provo (South)67.7%60.7%74.1%
Springville/Spanish Fork76.5%71.7%80.6%
Utah Co (South)73.2%66.0%79.4%
Summit Co71.7%66.1%76.6%
Wasatch Co76.3%68.5%82.7%
TriCounty LHD71.3%67.0%75.1%
Juab/Millard/Sanpete Co80.0%75.3%83.9%
Sevier/Piute/Wayne Co87.1%82.4%90.6%
Carbon/Emery Co75.9%70.3%80.7%
Grand County76.8%66.2%84.8%
San Juan County52.4%41.6%52.9%
St George76.8%71.8%81.2%
Washington Co (Other)69.3%63.1%74.9%
Cedar City74.7%68.7%79.9%
Southwest LHD (Other)78.1%69.7%84.8%
State74.5%73.7%75.2%

Data Notes

Age-adjusted to U.S. 2000 standard population. A description of the Utah Small Areas may be found on IBIS at the following URL: [http://ibis.health.utah.gov/resource/Help.html].

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


At Least One Primary Provider, Utah and U.S., 2007-2016

::chart - missing::
confidence limits

BRFSS Utah vs. U.S.YearAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 22
UT Old Methodology200779.2%77.7%80.7%
UT Old Methodology200878.1%76.5%79.5%
UT Old Methodology200978.1%76.9%79.2%
UT Old Methodology201079.2%78.0%80.3%
US Old Methodology200779.5%79.2%79.8%
US Old Methodology200880.1%79.8%80.4%
US Old Methodology200980.3%80.0%80.6%
US Old Methodology201080.5%80.2%80.8%
UT New Methodology200975.1%74.0%76.2%
UT New Methodology201075.3%74.2%76.2%
UT New Methodology201174.6%73.6%75.6%
UT New Methodology201275.6%74.5%76.6%
UT New Methodology201373.4%72.4%74.4%
UT New Methodology201472.4%71.5%73.3%
UT New Methodology201575.1%74.1%76.1%
UT New Methodology201673.8%72.7%75.0%
US New Methodology201177.9%77.7%78.2%
US New Methodology201276.8%76.5%77.0%
US New Methodology201375.1%74.8%75.4%
US New Methodology201475.9%75.6%76.2%
US New Methodology201577.2%71.9%82.5%
US New Methodology201676.9%76.6%77.1%

Data Notes

Age-adjusted to the 2000 standard population. 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. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf]. 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.

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

More Resources and Links

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 11/06/2017, Published on 11/29/2017
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 21 January 2018 7:52:14 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 29 Nov 2017 17:09:28 MST