Guidance for the National Healthcare Disparities Report -- Copyright -- REVIEWERS -- ACKNOWLEDGMENTS -- PREFACE -- REFERENCE LIST -- Contents -- EXECUTIVE SUMMARY -- GUIDING THE NATIONAL HEALTHCARE DISPARITIES REPORT -- CONCLUSION -- REFERENCE LIST -- 1 COMMITTEE REPORT -- 1-1. MEASUREMENT OF SOCIOECONOMIC STATUS IN DISPARITIES RESEARCH -- 1-2. MEASUREMENT OF DISPARITIES IN ACCESS TO AND WITHIN THE HEALTH CARE SYSTEM -- 1-3. MEASUREMENT OF DISPARITIES IN HEALTH CARE SERVICES AND QUALITY -- 1-4. MEASUREMENT OF GEOGRAPHIC DISPARITIES IN HEALTH CARE -- 1-5. SUBNATIONAL DATASETS -- 1-6. GENERAL ISSUES -- 1-7. CONCLUSION -- Reference List -- 2 MEASURING THE EFFECTS OF SOCIOECONOMIC STATUS ON HEALTH CARE -- 2-1. STUDYING THE EFFECTS OF SOCIOECONOMIC STATUS ON HEALTH -- 2-2. REVIEW OF METHODS USED IN STUDYING THE EFFECTS OF SOCIOECONOMIC STATUS ON HEALTH -- 2-3. REVIEW OF METHODS USED IN STUDYING DISPARITIES IN HEALTH CARE -- 2-4. METHODOLOGICAL ISSUES IN STUDIES OF HEALTH CARE DISPARITIES -- 2-5. CONCLUSION -- Reference List -- 3 MEASURING DISPARITIES IN HEALTH CARE QUALITY AND SERVICE UTILIZATION -- 3-1. RACE, ETHNICITY, AND DIFFERENCES IN HEALTH CARE -- Equalities in Health Care Services and Quality -- Disparities in Health Care Services and Quality -- Hyperdisparities in Health Care Services and Quality -- 3-2. CREATING A NATIONAL HEALTHCARE DISPARITIES REPORT -- Data Sources -- Patient Assessments -- Medical/Administrative Record Data Audits -- Health Status Outcomes -- Approaches to Reporting -- 3-3. CONCLUSION -- Reference List -- 4 MEASURING DISPARITIES IN ACCESS TO CARE -- 4-1. SETTING THE CONTEXT -- 4-2. EVOLVING CONCEPTUAL FRAMEWORKS OF ACCESS TO CARE -- 4-3. ACCESS TO CARE AND THE QUALITY FRAMEWORK -- 4-4. CHALLENGES TO EXAMINING DISPARITIES IN ACCESS -- Data and Measurement -- Socioeconomic Position -- Cumulative Effects -- Managed Care.

Undercounted Populations -- Utilization as a Measure of Access -- 4-5. PRINCIPLES GUIDING MEASUREMENT OF ACCESS IN THE NATIONAL HEALTHCARE DISPARITIES REPORT -- 4-6. CORE MEASURES -- Insurance Status -- Proportion of Adults and Children without a Visit and Their Health Status -- Regular Site of Care and Regular Provider -- IOM Indicators -- Measures Related to Birth Outcomes -- Immunization -- Early Detection and Diagnosis of Treatable Disease -- Reducing Effects of Chronic Disease: Preventable Hospitalizations for Ambulatory Care Sensitive Conditions -- Reducing Morbidity and Pain through Timely Treatment -- 4-7. SUGGESTIONS -- 1. Existing measures -- 2. Readily Constructed Measures -- Insurance -- Staying Healthy -- Getting Better -- Living with Illness or Disability -- Coping with the End of Life -- Indicators Relevant to the Entire Continuum of Care -- 3. Other New Measures -- 4. Measures That Need to Be Developed -- 4-8. CHOOSING AMONG POTENTIAL MEASURES -- 4-9. CONCLUSION -- Reference List -- 5 GEOGRAPHY AND DISPARITIES IN HEALTH CARE -- 5-1. GEOGRAPHY -- 5-2. INTERSTATE GEOGRAPHY -- Regions -- Rural-Urban Areas -- Access to Care in Rural Areas -- Race, Ethnicity, and Rurality -- Distance as a Proxy for Rurality -- 5-3. INTRASTATE GEOGRAPHY -- States -- Communities -- Natural Communities and Social Networks -- Identifying the "Healthy Community" -- Local Health Department Jurisdictions -- Primary Care Service Areas -- Hospital Service Areas -- Census and Postal Geography -- Market Areas -- 5-4. TECHNICAL ISSUES -- Data and Localities -- Technical Problems with Community Indicators -- Geographic Information Systems as Savior? -- 5-5. CONCLUSION -- Reference List -- APPENDIX I WORKSHOP AGENDA -- APPENDIX II PUBLIC TESTIMONY -- APPENDIX III COMMITTEE BIOGRAPHIES.