Access to Health Services Objectives and Status Review

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This report assesses the status of access to health services objectives, including measures related to insurance coverage, preventive services, primary care providers, and timeliness of emergency care. The data indicates mixed progress, with some areas showing improvement, while others remain stagnant or deteriorate. Key focus areas include medical, dental, and prescription insurance coverage, ongoing sources of care for different age groups, and wait times for emergency department visits. The analysis encompasses both current status and developmental targets for enhancing healthcare accessibility.


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  1. Appendix

  2. Objective Status: Access to Health Services Target met Improving Little/No change Getting worse Baseline only Developmental AHS-1.1 Proportion of persons with medical insurance AHS-1.2 Proportion of persons with dental insurance AHS-1.3 Proportion of persons with prescription drug insurance AHS-2 Proportion of insured persons with coverage for clinical preventive services AHS-3 Proportion of persons with a usual primary care provider AHS-5.1 Proportion of persons of all ages who have a specific source of ongoing care AHS-5.2 Proportion of children and youth aged 17 years and under who have a specific source of ongoing care AHS-5.3 Proportion of adults 18 to 64 years who have a specific source of ongoing care AHS-5.4 Proportion of adults aged 65 years and older who have a specific source of ongoing care AHS-6.1 Proportion of persons who are unable to obtain or delay in obtaining necessary medical care, dental care, or prescription medicines AHS-6.2 Proportion of persons who are unable to obtain or delay in obtaining necessary medical care AHS-6.3 Proportion of persons who are unable to obtain or delay in obtaining necessary dental care AHS-6.4 Proportion of persons who are unable to obtain or delay in obtaining necessary prescription medicines

  3. Objective Status: Access to Health Services Continued Target met Improving Little/No change Getting worse Baseline only Developmental AHS-7 Proportion of persons who receive appropriate evidence-based clinical preventive services AHS-9.1 Proportion of all hospital and emergency department visits in which the wait time to see an emergency department clinician exceeds the recommended timeframe AHS-9.2 Proportion of Level 1 immediate hospital emergency department visits in which wait time to see an emergency department clinician exceeds the recommended timeframe AHS-9.3 Proportion of Level 2 emergent hospital emergency department visits in which wait time to see an emergency department clinician exceeds the recommended timeframe AHS-9.4 Proportion of Level 3 urgent care emergency department visits in which wait time to see an emergency department clinician exceeds the recommended timeframe AHS-9.5 Proportion of Level 4 semi-urgent hospital emergency department visits in which wait time to see an emergency department clinician exceeds the recommended timeframe

  4. Current HP2020 Objective Status: Access to Health Services Measurable objectives: 17 Total objectives: 26 Getting worse 5.9% (n = 1) 1 65.4% (n = 17) Target met or exceeded 23.5% (n = 4) 3 7.7% (n = 2) Little or no detectable change 41.2% (n = 7) Archived 26.9% (n=7) Improving 29.4% (n=5)

  5. Objective Status: Oral Health Target met Improving Little/No change Getting worse Baseline only Developmental Oral Health of Children and Adolescents OH-1.1 Children aged 3 to 5 years with dental caries experience in their primary teeth OH-1.2 Children aged 6 to 9 years with dental caries experience in their primary or permanent teeth OH-1.3 Adolescents aged 13 to 15 years with dental caries experience in their permanent teeth OH-2.1 Children aged 3 to 5 years with untreated dental decay in their primary teeth OH-2.2 Children aged 6 to 8 years with untreated dental decay in their primary or permanent teeth OH-2.3 Adolescents aged 13 to 15 years with untreated dental decay in their permanent teeth Oral Health of Adults OH-3.1 Adults aged 35 to 44 years with untreated dental decay OH-3.2 Adults aged 65 to 74 years with untreated coronal caries OH-3.3 Adults aged 75 years and older with untreated root surface caries OH-4.1 Adults aged 45 to 64 years who have ever had a permanent tooth extracted because of dental caries or periodontal disease OH-4.2 Adults aged 65 to 74 years who have lost all of their natural teeth OH-5 Adults aged 45 to 74 years with moderate or severe periodontitis OH-6 Oral and pharyngeal cancers detected at the earliest stage

  6. Objective Status: Oral Health Continued Target met Improving Little/No change Getting worse Baseline only Developmental Access to Preventive Services OH-7 Proportion of children, adolescents, and adults who used the oral health care system in the past year OH-8 Proportion of low-income children and adolescents who received any preventive dental service during the past year OH-9.1 Proportion of school-based health centers with an oral health component that includes dental sealants OH-9.2 Proportion of school-based health centers with an oral health component that includes dental care OH-9.3 Proportion of school-based health centers with an oral health component that includes topical fluoride OH-10.1 Proportion of Federally Qualified Health Centers (FQHCs) that have an oral health care program OH-10.2 Proportion of local health departments that have oral health prevention or care programs OH-11 Proportion of patients who receive oral health services at Federally Qualified Health Centers (FQHCs) each year

  7. Objective Status: Oral Health Interventions Target met Improving Little/No change Getting worse Baseline only Developmental Oral Health Interventions OH-12.1 Children aged 3 to 5 years who have received dental sealants on one or more of their primary molar teeth OH-12.2 Children aged 6 to 9 years who have received dental sealants on one or more on one or more of their permanent first molar teeth OH-12.3 Adolescents aged 13 to 15 years how have received dental sealants on one or more of their permanent molar teeth OH-13 Proportion of U.S. population served by community water systems with optimally fluoridated water OH-14.1 Adults who received information from a dentist or dental hygienist focusing on reducing tobacco use or on smoking cessation in the OH-14.2 Adults who received an oral and pharyngeal cancer screening from a dentist or dental hygienist in the past year OH-14.3 Adults who were tested or referred for glycemic control from a dentist or dental hygienist in the past year

  8. Objective Status: Oral Health Surveillance and Instructure Target met Improving Little/No change Getting worse Baseline only Developmental Monitoring, Surveillance Systems OH-15.1 Number of States and the District of Columbia that have a system for recording cleft lips and cleft palates OH-15.2 Number of States and the District of Columbia that have a system for referral for cleft lips and cleft palates to rehabilitative teams OH-16 Number of States and the District of Columbia that have an oral and craniofacial health surveillance system Public Health Infrastructure OH-17.1 Proportion of States (including the District of Columbia) and local health agencies that serve jurisdictions of 250,000 or more persons with a dental public health program directed by a dental professional with public health training OH-17.2 Number of Indian Health Service Areas and Tribal health programs that serve jurisdictions of 30,000 or more persons with a dental public health program directed by a dental professional with public health training

  9. Current HP2020 Objective Status: Oral Health Measurable objectives: 33 Total objectives: 33 Target met or exceeded 45.4% (n = 15) Baseline only 15.2% (n = 5) 1 100.0% (n = 33) Improving 9.1% (n = 3) Little or no detectable change 30.3% (n = 10)

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