NationalStructural Access Quality Measures Trend Over Time

Trending information is available for NHQDR quality measures with at least four years of data. The time span can vary across measures. Trends are only reported as improving or worsening if the average annual percent change is at least one percent and statistically significant.

Measures That Are Improving
MeasureAverage Annual Percent Change
Children who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed-3.8
People in fair or poor health with a specific source of ongoing care-3.2
People with a specific source of ongoing care-2.9
People under age 65 with health insurance-2.3
Adults who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment-2.2
People under age 65 who were uninsured all year-2.0
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone-1.9
Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as needed-1.6
People who were unable to get or delayed in getting needed medical care in the last 12 months-1.4
People under age 65 with any period of uninsurance during the year-1.3
Adults who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed-1.0
Measures That Are Unchanged
MeasureAverage Annual Percent Change
People who were unable to get or delayed in getting needed dental care in the last 12 months-0.6
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months0.1
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends0.2
People with a usual primary care provider0.3
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist0.4
Adults who reported getting the help or advice they needed the same day they contacted their home health providers0.7
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist2.2
Measures That Are Worsening
MeasureAverage Annual Percent Change
People under age 65 with any private health insurance1.4
Children who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment2.3
Adults age 65 and over with any private health insurance2.3