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CLOSING THE DIVIDE:HOW MEDICAL HOMES PROMOTE
EQUITY IN HEALTH CARE
Results from theCommonwealth Fund 2006 Health Care Quality Survey
THECOMMONWEALTH
FUND
Anne C. Beal, Michelle M. Doty, Susan E. Hernandez,Katherine Shea, and Karen Davis
June 2007
THECOMMONWEALT
HFUND
EXECUTIVE SUMMARY
THECOMMONWEALT
HFUND
17 13 1710
811
835
14
9
0
25
50
75
Total White African
American
Hispanic Asian
American
Uninsured now Insured now, time uninsured in past year
Percent of adults 18–64
2621
28
18
49*
Figure ES-1. Nearly Half of Hispanics and One of FourAfrican Americans Were Uninsured for All or Part of 2006
* Compared with whites, differences remain statistically significant after adjusting for income.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
Figure ES-2. Indicators of a Medical Home(adults 18–64)
Total Percent by Race
IndicatorEstimated millions Percent White
African American Hispanic
Asian American
Regular doctoror source of care 142 80 85 79 57 84
Among those with a regular doctor or source of care . . .
Not difficult to contact provider over telephone
121 85 88 82 76 84
Not difficult to get care or medical advice after hours
92 65 65 69 60 66
Doctors’ office visits are always or often well organized and running on time
93 66 68 65 60 62
All four indicatorsof medical home 47 27 28 34 15 26
Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
20 9
5461 54
39
27 30 34
4512
16*
0
25
50
75
100
Total Insured all year,
income at or above
200% FPL
Insured all year,
income below
200% FPL
Any time
uninsured
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Percent of adults 18–64
Figure ES-3. Uninsured Are Least Likely to Have aMedical Home and Many Do Not Have a Regular Source of Care
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with insured with income at or above 200% FPL, differences are statistically significant.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
74767474
50525352
343138
44
0
25
50
75
100
Total White African American Hispanic
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Figure ES-4. Racial and Ethnic Differences in Getting Needed Medical Care Are Eliminated When Adults Have Medical Homes
Percent of adults 18–64 reporting alwaysgetting care they need when they need it
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
64646665
49485452
22 23 2521
0
25
50
75
100
Total White African American Hispanic
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Figure ES-5. When African Americans and HispanicsHave Medical Homes They Are Just as Likely as Whites
to Receive Reminders for Preventive Care Visits
Percent of adults 18–64 receiving a reminderto schedule a preventive visit by doctors’ office
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
65 67
5347
30*17*
0
25
50
75
100
Insured all year Any time uninsured
Medical home
Regular source of care, not a medical homeNo regular source of care/ER
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with medical home, differences are statistically significant.Source: Commonwealth Fund 2006 Health Care Quality Survey.
Figure ES-6. Patients with Medical Homes—Whether Insured or Uninsured—Are Most Likely
to Receive Preventive Care Reminders
Percent of adults 18–64 receiving a reminderto schedule a preventive visit by doctor’s office
THECOMMONWEALT
HFUND
Figure ES-7. Adults with a Medical Home Are More Likelyto Report Checking Their Blood Pressure Regularly
and Keeping It in Control
2942
25
1510
17
56 48 58
0
25
50
75
100
Total Medical home Regular source of care,
not a medical home
Does not check BP
Checks BP, not controlled
Checks BP, controlled
Percent of adults 18–64with high blood pressure
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
Figure ES-8. Indicators of a Medical Homeby Usual Health Care Setting
(adults 18–64)
Usual Health Care Setting
Indicator TotalDoctors’
office
Community health center
or public clinic
Other settings*
Regular doctor or source of care 80% 95% 78% 63%
Among those with a regular doctoror source of care . . .
Not difficult to contact provider over telephone 85 87 77 77
Not difficult to get care ormedical advice after hours 65 67 54 69
Always or often find visits to doctors’ office well organizedand running on time
66 68 56 60
All four indicators of a medical home 27 32 21 22
* Includes hospital outpatient departments and other settings.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
HEALTH CARE COVERAGEAND A MEDICAL HOME
FOR MINORITIES
THECOMMONWEALT
HFUND
17 13 1710
811
835
14
9
0
25
50
75
Total White African
American
Hispanic Asian
American
Uninsured now Insured now, time uninsured in past year
Percent of adults 18–64
2621
28
18
49*
Figure 1. Nearly Half of Hispanics and One of FourAfrican Americans Were Uninsured for All or Part of 2006
* Compared with whites, differences remain statistically significant after adjusting for income.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
78 8275
84
53*
0
25
50
75
100
Total White African
American
Hispanic Asian
American
* Compared with whites, differences remain statistically significant after adjusting for income.Source: Commonwealth Fund 2006 Health Care Quality Survey.
Percent of adults 18–64 insured all year withat least one full-time worker in their family
Figure 2. Hispanics Are Least Likely to HaveContinuous Insurance Coverage Even Whena Family Member Has Full-Time Employment
THECOMMONWEALT
HFUND
Percent of adults 18–64 with following insurance sources at time of survey
^ Includes Medicare and Medicaid.* Compared with whites, results are statistically significant even after controlling for income.Source: Commonwealth Fund 2006 Health Care Quality Survey.
63
68
71
12
9
7
8
10
6
6
17
13
10
3543
54
16
23*
12
17
Total
White
Asian American
African American
Hispanic
Employer Public^ Individual/Military/Other Uninsured
Figure 3. Hispanics and African Americans Are Least Likelyto Have Health Insurance Through an Employer
THECOMMONWEALT
HFUND
* Compared with insured with income at/above 200% poverty, differences are statistically significant.Source: Commonwealth Fund 2006 Health Care Quality Survey.
5561 61
36*
0
25
50
75
Total Insured all year,
income at or above
200% FPL
Insured all year,
income below
200% FPL
Any time
uninsured
Figure 4. Uninsured Are Less Likely to Report Always Getting the Care They Need When They Need It; Low-Income Adults, When Insured,
Are as Satisfied as Higher-Income Adults
Percent of adults 18–64 reporting alwaysgetting care they need when they need it
THECOMMONWEALT
HFUND
54 55
3644
28*30
5056
0
25
50
75
100
Total White African
American
Hispanic Total White African
American
Hispanic
Percent of adults 18–64 receiving a reminderto schedule a preventive visit by doctor’s office
Figure 5. When Insured, Minorities Are Just as Likelyas Whites to Receive Reminders for Preventive Care Visits; Rates Are
Low for All Uninsured Adults, Especially Hispanics
Insured all year Any time uninsured
* Compared with whites, differences are statistically significant.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
2015 16
21*
43*
0
25
50
75
Total White African
American
Hispanic Asian
American
Percent of adults 18–64 with no regular doctor or source of care
Figure 6. Hispanics Are Most Likely to Be Withouta Regular Doctor or Source of Care
* Compared with whites, differences remain statistically significant after adjusting for age, income, and insurance.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
Figure 7. Indicators of a Medical Home(adults 18–64)
Total Percent by Race
IndicatorEstimated millions Percent White
African American Hispanic
Asian American
Regular doctoror source of care 142 80 85 79 57 84
Among those with a regular doctor or source of care . . .
Not difficult to contact provider over telephone
121 85 88 82 76 84
Not difficult to get care or medical advice after hours
92 65 65 69 60 66
Doctors’ office visits are always or often well organized and running on time
93 66 68 65 60 62
All four indicatorsof medical home 47 27 28 34 15 26
Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
15 16
54 58 45
42
59
27 28 26
20 2143
15*34*
0
25
50
75
100
Total White African
American
Hispanic Asian
American
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Percent of adults 18–64
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with whites, differences remain statistically significant after adjusting for income and insurance. Source: Commonwealth Fund 2006 Health Care Quality Survey.
Figure 8. African Americans and Hispanics Are More Likelyto Lack a Regular Provider or Source of Care;
Hispanics Are Least Likely to Have a Medical Home
THECOMMONWEALT
HFUND
THE IMPORTANCE OFA MEDICAL HOME:
ACCESS
THECOMMONWEALT
HFUND
20 9
5461 54
39
27 30 34
4512
16*
0
25
50
75
100
Total Insured all year,
income at or above
200% FPL
Insured all year,
income below
200% FPL
Any time
uninsured
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Percent of adults 18–64
Figure 9. Uninsured Are Least Likely to Have a Medical Home and Many Do Not Have a Regular Source of Care
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with insured with income at or above 200% FPL, differences are statistically significant.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
55
74
52*
38*
0
25
50
75
100
Total Medical home Regular source of
care, not a medical
home
No regular source
of care/ER
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with medical home, differences remain statistically significant after adjusting for income or insurance.Source: Commonwealth Fund 2006 Health Care Quality Survey.
Figure 10. The Majority of Adults with a Medical HomeAlways Get the Care They Need
Percent of adults 18–64 reporting always getting care they need when they need it
THECOMMONWEALT
HFUND
55 57 56
46* 48*
0
25
50
75
100
Total White African
American
Hispanic Asian
American
* Compared with whites, differences remain statistically significant after adjusting for income.Source: Commonwealth Fund 2006 Health Care Quality Survey.
Figure 11. Hispanics and Asian Americans Are Less Likelyto Report Always Getting Medical Care When Needed
Percent of adults 18–64 reporting always getting care they need when they need it
THECOMMONWEALT
HFUND
74767474
50525352
343138
44
0
25
50
75
100
Total White African American Hispanic
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Figure 12. Racial and Ethnic Differences in Getting Needed Medical Care Are Eliminated When Adults Have Medical Homes
Percent of adults 18–64 reporting always getting care they need when they need it
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
77747776
586462
55*43444643
0
25
50
75
100
Total White African American Hispanic
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Figure 13. African American and Hispanic Adults Who Have Medical Homes Have Rapid Access to Medical Appointments
Percent of adults 18–64 able to getan appointment same or next day
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with whites, differences are significant within category of medical home.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
THE IMPORTANCE OFA MEDICAL HOME:
PREVENTION
THECOMMONWEALT
HFUND
Figure 14. Adults Who Are Sent Reminders Are More Likelyto Receive Preventive Screening
Women ages 40–64who received
a mammogramin past two years
* Compared with reminders, differences remain statistically significant after adjusting for income or insurance.Source: Commonwealth Fund 2006 Health Care Quality Survey.
82 7970
37*
62*
50*
0
25
50
75
100
Reminder No reminder
Adults ages 18–64who had their
cholesterol checkedin past five years
Men ages 40–64who received a screen
for prostate cancerin past two years
Percent
THECOMMONWEALT
HFUND
49
6552*
22*
0
25
50
75
100
Total Medical home Regular source
of care, not a
medical home
No regular
source of
care/ER
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with medical home, differences remain statistically significant after adjusting for income or insurance.Source: Commonwealth Fund 2006 Health Care Quality Survey.
Figure 15. Nearly Two-Thirds of Adults with Medical Homes Receive Reminders for Preventive Care
Percent of adults 18–64 receiving a reminderto schedule a preventive visit by doctors’ office
THECOMMONWEALT
HFUND
49 53 4939* 37*
0
25
50
75
100
Total White African
American
Hispanic Asian
American
* Compared with whites, differences remain statistically significant after adjusting for income or insurance.Source: Commonwealth Fund 2006 Health Care Quality Survey.
Figure 16. Hispanics and Asian Americans Are Less Likelyto Receive a Reminder for Preventive Care Visits
Percent of adults 18–64 receiving a reminderto schedule a preventive visit by doctors’ office
THECOMMONWEALT
HFUND
64646665
49485452
22 23 2521
0
25
50
75
100
Total White African American Hispanic
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Figure 17. When African Americans and HispanicsHave Medical Homes They Are Just as Likely as Whites
to Receive Reminders for Preventive Care Visits
Percent of adults 18–64 receiving a reminderto schedule a preventive visit by doctors’ office
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
6676 72
34*
0
25
50
75
100
Total Medical home Regular source
of care, not a
medical home
No regular
source of
care/ER
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with medical home, differences remain statistically significant after adjusting for income or insurance.Source: Commonwealth Fund 2006 Health Care Quality Survey.
Figure 18. Missed Opportunities for Preventive Carefor Adults Who Lack a Regular Source of Care:Just One-Third Had Their Cholesterol Screened
Percent of adults 18–64 who had theircholesterol checked in past five years
THECOMMONWEALT
HFUND
66 67 6356*
62*
0
25
50
75
100
Total White African
American
Hispanic Asian
American
* Compared with whites, differences remain statistically significant after adjusting for income or insurance.Source: Commonwealth Fund 2006 Health Care Quality Survey.
Figure 19. Hispanics and Asian Americans Are Less Likelyto Have Their Cholesterol Checked
Percent of adults 18–64 who had theircholesterol checked in past five years
THECOMMONWEALT
HFUND
69737576 73697172
34 36 36 36
0
25
50
75
100
Total White African American Hispanic
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Figure 20. African Americans and Hispanics with Medical Homes Are Equally as Likely as Whites to Receive Cholesterol Checks
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.Source: Commonwealth Fund 2006 Health Care Quality Survey.
Percent of adults 18–64 who had theircholesterol checked in past five years
THECOMMONWEALT
HFUND
THE IMPORTANCE OFA MEDICAL HOME:
CHRONIC CARE
THECOMMONWEALT
HFUND
12 8
57 60 49 57
32 32
102617
55
34*20*
31
0
25
50
75
100
Total White African
American
Hispanic Asian
American
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with whites, differences remain statistically significant after adjusting for income and insurance. Source: Commonwealth Fund 2006 Health Care Quality Survey.
Percent of adults 18–64with a chronic disease
Figure 21. Only One-Third of Patients withChronic Conditions Have Medical Homes;
Hispanics Are Least Likely to Have a Medical Home
THECOMMONWEALT
HFUND
3531
36
48*54*
0
25
50
75
Total White African
American
Hispanic Asian
American
Figure 22. About Half or More of Hispanics and Asian Americans with Chronic Conditions Were Not Given Plans
to Manage Their Condition at Home
Percent of adults ages 18–64 with any chronic condition who were not given a plan from a doctor or nurse to manage condition at home
* Compared with whites, differences remain statistically significant after adjusting for income or insurance.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
3523
35
65*
0
25
50
75
100
Total Medical home Regular source
of care, not a
medical home
No regular
source of
care/ER
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with medical home, differences remain statistically significant after adjusting for income or insurance.Source: Commonwealth Fund 2006 Health Care Quality Survey.
Figure 23. Less than One-Quarter of Adults with Medical Homes Did Not Receive Plans to Manage Their Conditions at Home
Percent of adults ages 18–64 with any chronic condition who were not given a plan from a doctor or nurse to manage condition at home
THECOMMONWEALT
HFUND
80
6573 69
39* 34*
0
25
50
75
100
Insured all year Any time uninsured
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Percent of obese or overweight adults 18–64 whowere counseled on diet and exercise by doctor
Figure 24. Adults with a Medical Home Have Higher Ratesof Counseling on Diet and Exercise Even When Uninsured
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with medical home, differences are statistically significant.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
Figure 25. Missed Opportunities for Blood PressureManagement Exist Across All Groups, Especially Hispanics
29 31
15 10 23 39
56 59 50
2327
37*
0
25
50
75
100
Total White African American Hispanic
Does not check BP
Checks BP, not controlled
Checks BP, controlled
* Compared with whites, differences remain statistically significant after adjusting for income and insurance. Source: Commonwealth Fund 2006 Health Care Quality Survey.
Percent of adults 18–64with high blood pressure
THECOMMONWEALT
HFUND
Figure 26. Adults with a Medical Home Are More Likelyto Report Checking Their Blood Pressure Regularly
and Keeping It in Control
2942
25
1510
17
56 48 58
0
25
50
75
100
Total Medical home Regular source of care,
not a medical home
Does not check BP
Checks BP, not controlled
Checks BP, controlled
Percent of adults 18–64with high blood pressure
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
73807773
51
655858
0
25
50
75
100Medical home Regular source of care, not a medical home
Percent of adults ages 18–64 who haveseen a specialist in past two years
Figure 27. Patients with a Medical Home Report Better Coordination Between Their Regular Provider and Specialist
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time. Source: Commonwealth Fund 2006 Health Care Quality Survey.
Regular provider helped decide who
to see
Regular provider communicated with
specialist about medical history
After seeing specialist, regular
provider seemed up to date
Regular provider helped you understand
information from specialist care
THECOMMONWEALT
HFUND
THE IMPORTANCE OFSAFETY NET PROVIDERS
THECOMMONWEALT
HFUND
Uninsured any time46.8 million
Insured, income below 200% poverty22.2 million
Community health center
20%
Note: Percentages may not sum to 100% because of rounding.Source: Commonwealth Fund 2006 Health Care Quality Survey.
ER12%
Doctor’s office65%
Doctor’s office41%
Community health center
20%
ER4%
Hospital outpatient
5%
Hospital outpatient
4%
No regular place of care15%
No regular place of care
2%Other6%
Other6%
Figure 28. Community Health Centers Serve Large Numbersof Uninsured Adults and Insured Adults with Low Incomes
THECOMMONWEALT
HFUND
Percent of adults 18–64
69
77
75
11
9
13
9
6
10
12
5
3
4
6
5
4
62*
44* 21*
7
12
8
12*
1
15
Total
White
Asian American
African American
Hispanic
Doctor's office Community health center Hospital outpatient/Other
ER No regular place of care
Figure 29. Hispanics and African Americans AreMore Likely to Rely on Community Health Centers
as Their Regular Place of Care
* Compared with whites, differences remain statistically significant after adjusting for insurance or income.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
Figure 30. Indicators of a Medical Homeby Usual Health Care Setting
(adults 18–64)
Usual Health Care Setting
Indicator TotalDoctors’
office
Community health center
or public clinic
Other settings*
Regular doctor or source of care 80% 95% 78% 63%
Among those with a regular doctoror source of care . . .
Not difficult to contact provider over telephone 85 87 77 77
Not difficult to get care ormedical advice after hours 65 67 54 69
Always or often find visits to doctors’ office well organizedand running on time
66 68 56 60
All four indicators of a medical home 27 32 21 22
* Includes hospital outpatient departments and other settings.Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
56
74
4555
32
49
2535
0
25
50
75
100
Preventive reminders Cholesterol checked
Doctor's officeCommunity health centerOther regular source of careNo regular source of care/ER
Figure 31. Preventive Care Reminders and Cholesterol Screening Are More Common in Doctors’ Offices,
But Community Health Centers Are Not Far Behind
Percent of adults 18–64
Source: Commonwealth Fund 2006 Health Care Quality Survey.
THECOMMONWEALT
HFUND
65 67
5347
30*17*
0
25
50
75
100
Insured all year Any time uninsured
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with medical home, differences are statistically significant.Source: Commonwealth Fund 2006 Health Care Quality Survey.
Figure 32. Patients with Medical Homes—Whether Insured or Uninsured—Are Most Likely
to Receive Preventive Care Reminders
Percent of adults 18–64 receiving a reminderto schedule a preventive visit by doctor’s office
THECOMMONWEALT
HFUND
78
6475
59
31*38*
0
25
50
75
100
Insured all year Any time uninsured
Medical home
Regular source of care, not a medical home
No regular source of care/ER
Figure 33. Even When Uninsured, Adults with a Medical Home Have Higher Rates of Cholesterol Screening
Percent of adults 18–64 who had their cholesterol checked in past five years
Note: Medical home includes having a regular provider or place of care, reporting nodifficulty contacting provider by phone or getting advice and medical care on weekendsor evenings, and always or often finding office visits well organized and running on time.* Compared with medical home, differences are statistically significant.Source: Commonwealth Fund 2006 Health Care Quality Survey.