My Chosen Leading Health Indicator: Access to health (information is attached in the file) list and discuss possible data sources for this information, and explain why you think there has been a lack of progress. Your paper must be formatted in accordance with APA guidelines. It should be 3–4 pages and include support from the required readings and at least one outside source.
Healthy People 2020 Leading Health Indicators:Access to Health ServicesOverviewAccess to and utilization of quality health care greatly affects a person’s health. Increasing access to both routine medical care and medical insurance are vital steps in improving the health of all Americans. Regular and reliable access to health services can prevent disease and disability, detect and treat illnesses or other health conditions, and increase life expectancy.Progress in Numbers** Discrepancies between healthypeople.gov and data in this report may exist due to the timing of data uploads. Data for the measures shown in this report are current as of May 2014.✓Target met1Improving2+Little or no detectable change3–Getting worse4StatusLeading Health Topic and Indicator:Access to Health ServicesBaseline(Year)Most Recent(Year)TargetProgress Toward Target5 Movement Away From Baseline6AHS-1.1 Persons with medical insurance (percent, <65 years)83.2%(2008)83.1%(2012)100.0%—0.1%AHS-3 Persons with a usual primary care provider (percent)76.3%(2007)77.3%(2011)83.9%13.2%—Progress in WordsAHS-1.1 Persons with medical insurance• From 2008 to 2012, the rate of persons under age 65 with health insurance was virtually unchanged, moving from 83.2 percent to 83.1 percent, a change that was not statistically significant. • To meet the Healthy People 2020 target of 100 percent coverage, medical insurance coverage would need to increase about 20 percent from the 2012 rate.AHS-3: Persons with a usual primary care provider• The percentage of persons with a usual primary care provider increased 1.3 percent, from 76.3 percent in 2007 to 77.3 percent in 2011, moving toward the Healthy People 2020 target of 83.9 percent.• Although this objective has achieved about 13 percent of the targeted change, this progress is not statistically significant.www.healthypeople.govHealthy People 2020 Leading Health Indicators:Access to Health Services |Most recent value – Baseline value| ×100.Baseline value Most recent value – Baseline value ×100.HP2020 target – Baseline value Progress in PicturesNOTES (from page 1)1 Target met or exceeded2 Movement is toward the target and is:– Statistically significant when measures of variability are available** – OR –– 10% or more of the targeted change when measures of variability are unavailable**3 Objective demonstrates little or no detectable change, because either:– Movement toward/away from the target is not statistically significant when measures of variability are available** – OR –– Movement is toward the target but the objective has achieved less than 10% of the targeted change when measures of variability are unavailable** – OR –– Movement is away from the target but the objective has moved less than 10% relative to its baseline when measures of variability are unavailable** – OR –– No change between baseline and most recent data point4 Movement is away from the target and is:– Statistically significant when measures of variability are available** – OR –– 10% or more relative to the baseline when measures of variability are unavailable**5 For objectives moving toward their targets, progress is measured as the percent of targeted change achieved, quantified as follows: Percent of targeted change achieved =6 For objectives moving away from their baselines (and, therefore, their targets), progress is measured as the magnitude of the percent change from baseline, quantified as follows: Magnitude of percent change from baseline =** When measures of variability are available, statistical significance of the percent of targeted change achieved or the magnitude of the percent change from baseline is assessed at the 0.05 level using a one-sided test. When measures of variability are unavailable, the percent of targeted change achieved and the percent change from baseline are assessed only for their magnitude (e.g., <10% or ≥10%).DATA SOURCESAHS-1.1 National Health Interview Survey (NHIS), CDC/NCHSAHS-3 Medical Expenditure Panel Survey (MEPS), AHRQMay 2014
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