Access
to Care and Utilization of Services
Fifty-nine
percent of the decedents were reported to be covered by some form of
private insurance or HMO. Almost 75 percent were covered by Medicare.
Number
and percent of decedents covered by selected insurance programs: United
States, 1993
Selected
coverage programs |
Number |
Percent1 |
Standard
error of
percent |
95
percent
confidence
interval
(+/- percent) |
Private
insurance or HMO |
1,301,000 |
58.7 |
0.9562 |
1.9 |
Medicare |
1,649,000 |
74.4 |
0.7765 |
1.5 |
Medicaid |
554,000 |
25.0 |
0.8355 |
1.6 |
VA |
139,000 |
6.3 |
0.4500 |
0.9 |
Worker's
Compensation |
37,000 |
1.7 |
0.2441 |
0.5 |
1
Percents based on 2,215,000 decedents.
NOTES: Excludes deaths to persons under 15 years of age and those deaths
occurring in South Dakota. Standard errors are estimated using the
statistical software package SUDAAN.
SOURCE: NCHS, National Mortality Followback Survey -- provisional data,
1993.
Of the decedents who
were reported to need but did not receive health care, one-third were
reported to have had problems paying bills. Eighteen percent were reported
to have had problems finding or getting treatment.
Number
and percent of decedents needing but not receiving health care by source
of problem: United States, 1993
Source
of problem |
Number |
Percent1 |
Standard
error of
percent |
95
percent
confidence
interval
(+/- percent) |
Finding
or getting into a facility |
26,000 |
13.4 |
2.2999 |
4.5 |
Finding
or getting treatment |
35,000 |
18.5 |
2.6125 |
5.1 |
Getting
help at home |
13,000 |
6.6 |
1.4177 |
2.8 |
Paying
bills |
63,000 |
32.8 |
3.0377 |
6.0 |
Transportation |
16,000 |
8.2 |
1.7143 |
3.4 |
1
Percents based on 191,000 decedents needing but not receiving health
care.
NOTES: Excludes deaths to persons under 15 years of age and those deaths
occurring in South Dakota. Standard errors are estimated using the
statistical software package SUDAAN.
SOURCE: NCHS, National Mortality Followback Survey -- provisional data,
1993.
Almost an equal number
of decedents living at home during the last year of life were reported to
have used a hospital bed (19-percent) and/or oxygen or a device for
breathing therapy (18-percent).
Number
and percent of decedents living at home during the last year of life who
are reported to have used selected medical equipment: United States, 1993
Medical
equipment |
Number |
Percent1 |
Standard
error of
percent |
95
percent
confidence
interval
(+/- percent) |
Dialysis
machine |
28,000 |
1.4 |
0.2584 |
0.5 |
Hospital
bed |
371,000 |
19.3 |
0.8155 |
1.6 |
Blood
glucose monitor |
134,000 |
7.0 |
0.5704 |
1.1 |
Protective
restraints |
33,000 |
1.7 |
0.2871 |
0.6 |
Infusion
pump |
68,000 |
3.6 |
0.3742 |
0.7 |
Oxygen
or device for breathing therapy |
347,000 |
18.1 |
0.7908 |
1.5 |
1Percents
based on 1,918,000 decedents living at home during the last year of life.
NOTES: Excludes deaths to persons under 15 years of age and those deaths
occurring in South Dakota. Standard errors are estimated using the
statistical software package SUDAAN.
SOURCE: NCHS, National Mortality Followback Survey -- provisional data,
1993.
While 10 percent of the
decedents were reported to have never visited a doctor during their last
year of life, 9 percent were reported to have seen a doctor 50 or more
times.
Number
and percent distribution of decedents by number of times they were seen by
a medical doctor during the last year of life: United States, 1993
Sources
of payment |
Number |
Percent |
Standard
error of
percent |
95
percent
confidence
interval
(+/- percent) |
Total |
2,215,000 |
100.0 |
0.0000 |
0.0 |
Never |
215,000 |
9.7 |
0.5681 |
1.1 |
1
time |
64,000 |
2.9 |
0.3069 |
0.6 |
2
to 4 times |
351,000 |
15.8 |
0.7361 |
1.4 |
5
to 9 times |
314,000 |
14.2 |
0.7102 |
1.4 |
10
to 14 times |
417,000 |
18.8 |
0.7909 |
1.6 |
15
to 24 times |
265,000 |
12.0 |
0.6585 |
1.3 |
25
to 49 times |
193,000 |
8.7 |
0.5529 |
1.1 |
50
times or more |
194,000 |
8.7 |
0.5591 |
1.1 |
Item
nonresponse |
202,000 |
9.1 |
0.5485 |
1.1 |
NOTES:
Excludes deaths to persons under 15 years of age and those deaths
occurring in South Dakota. Figures may not add to totals due to
rounding. Standard errors are estimated using the statistical software
package SUDAAN.
SOURCES: NCHS, National Mortality Followback Survey -- provisional data,
1993.
Ten percent of the
decedents where reported to have used their own or family monies to pay
for most of their health care during the last year of life. An additional
46 percent reported Medicare as the principal source which paid for most
of their health care.
Number
and percent distribution of decedents by source which paid most of medical
expenses during the last year of life: United States, 1993
Number
of times seen by doctor |
Number |
Percent |
Standard
error of
percent |
95
percent
confidence
interval
(+/- percent) |
All
sources |
2,215,000 |
100.0 |
0.0000 |
0.0 |
Decedent’s
own money or savings |
185,000 |
8.3 |
0.5714 |
1.1 |
Family
living with decedent |
24,000 |
1.1 |
0.1745 |
0.3 |
Family
not living with decedent |
13,000 |
0.6 |
0.1426 |
0.3 |
Prepaid
HMO |
84,000 |
3.8 |
0.3569 |
0.7 |
Blue
Cross/Blue Shield |
151,000 |
6.8 |
0.5112 |
1.0 |
Other
private health insurance |
233,000 |
10.5 |
0.6153 |
1.2 |
Medicare |
1,027,000 |
46.3 |
0.9973 |
2.0 |
Medicaid |
239,000 |
10.8 |
0.5731 |
1.1 |
VA |
60,000 |
2.7 |
0.2965 |
0.6 |
Worker’s
Compensation |
5,000 |
0.2 |
0.0926 |
0.2 |
Another
government program |
27,000 |
1.2 |
0.2151 |
0.4 |
Other
source |
11,000 |
0.5 |
0.1273 |
0.2 |
No
payments |
44,000 |
2.0 |
0.1863 |
0.4 |
Item
nonresponse |
114,000 |
5.2 |
0.4356 |
0.9 |
NOTES:
Excludes deaths to persons under 15 years of age and those deaths
occurring in South Dakota. Figures may not add to totals due to
rounding. Standard errors are estimated using the statistical software
package SUDAAN.
SOURCE: NCHS, National Mortality Followback Survey -- provisional data,
1993.
This page last reviewed
January 11, 2007
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