TABLE 2.
Pooled Annual Estimates of Health Care Access, Utilization, and Out-of-Pocket Spending Burden Among US Adults Aged 18–64 Years, by Insurance Status: Medical Expenditure Panel Survey, 2002–2004
| Measures | Without Chronic Condition | With Chronic Condition | Chronic Condition, No Disability | Chronic Condition, Disability Not Affecting ADL or IADL | Chronic Condition, Disability Affecting ADL or IADL |
| Persons reporting delaying or not receiving general medical services, % (SE) | |||||
| Insured all year | 2.18 (0.15)xyz | 6.43 (0.27)xyz | 4.12 (0.23)xyz | 12.06 (0.64)xyz | 15.75 (1.08)xyz |
| Uninsured 1–5 mo | 4.81 (0.57)wz | 13.00 (0.91)wyz | 8.78 (0.88)wyz | 22.37 (2.64)wyz | 28.03 (5.18)wy |
| Uninsured 6–11 mo | 6.40 (0.69)w | 22.35 (1.40)wx | 14.49 (1.36)wx | 35.51 (3.36)wx | 53.83 (5.15)wxz |
| Uninsured all year | 6.67 (0.39)wx | 20.42 (0.98)wx | 14.95 (1.08)wx | 31.78 (2.00)wx | 38.19 (3.87)wy |
| Annual ambulatory health care visits, mean (SE) | |||||
| Insured all year | 2.85 (0.07)xyz | 9.50 (0.14)xyz | 6.94 (0.12)xyz | 15.07 (0.39)xyz | 21.79 (0.86)xyz |
| Uninsured 1–5 mo | 2.42 (0.14)wz | 7.67 (0.41)wyz | 5.73 (0.37)wyz | 11.60 (1.04)wz | 15.98 (1.93)w |
| Uninsured 6–11 mo | 2.02 (0.14)wz | 5.98 (0.35)wxz | 4.31 (0.31)wx | 8.98 (0.93)w | 12.01 (1.44)w |
| Uninsured all year | 1.07 (0.07)wxy | 4.91 (0.25)wxy | 3.56 (0.24)wx | 6.89 (0.54)wx | 12.66 (1.63)w |
| Persons reporting delaying or not receiving prescription medications, % (SE) | |||||
| Insured all year | 0.80 (0.10)xyz | 5.84 (0.21)xyz | 3.67 (0.19)xyz | 10.75 (0.52)xyz | 15.80 (1.00)yz |
| Uninsured 1–5 mo | 1.78 (0.30)wz | 10.12 (0.85)wyz | 5.94 (0.71)wyz | 20.18 (2.52)wy | 22.12 (4.92)y |
| Uninsured 6–11 mo | 2.81 (0.44)w | 18.81 (1.41)wxz | 12.29 (1.42)wx | 29.38 (2.97)wx | 45.58 (5.61)wx |
| Uninsured all year | 2.64 (0.26)wx | 14.00 (0.86)wxy | 9.08 (0.91)wx | 22.87 (1.62)w | 35.80 (4.45)w |
| Annual prescription medication fills, mean (SE) | |||||
| Insured all year | 2.07 (0.06)xyz | 18.17 (0.28)xyz | 12.76 (0.20)xyz | 29.09 (0.67)xyz | 46.73 (1.62)xyz |
| Uninsured 1–5 mo | 1.67 (0.10)wyz | 12.63 (0.52)wz | 9.08 (0.38)wz | 19.54 (1.51)wz | 28.71 (2.52)w |
| Uninsured 6–11 mo | 1.17 (0.07)wxz | 11.88 (0.59)wz | 8.11 (0.48)w | 17.73 (1.50)w | 28.18 (3.96)w |
| Uninsured all year | 0.76 (0.05)wxy | 10.17 (0.40)wxy | 7.05 (0.32)wx | 15.23 (0.90)wx | 26.21 (2.75)w |
| Persons spending 15% or more of family income on health care services, % (SE) | |||||
| Insured all year | 1.12 (0.10)yz | 4.52 (0.20)xyz | 2.04 (0.13)xyz | 8.61 (0.57)xyz | 20.42 (1.23)yz |
| Uninsured 1–5 mo | 2.04 (0.46)z | 6.78 (0.63)wyz | 3.97 (0.53)wyz | 12.88 (1.72)wyz | 17.12 (4.21)yz |
| Uninsured 6–11 mo | 2.87 (0.46)w | 12.62 (1.06)wxz | 7.29 (0.94)wxz | 21.47 (3.09)wx | 34.08 (5.81)wxz |
| Uninsured all year | 3.57 (0.30)wx | 16.60 (0.77)wxy | 11.04 (0.84)wxy | 24.16 (1.67)wx | 51.48 (4.34)wxy |
Note. ADL = activities of daily living; CI = confidence interval; IADL = instrumental activities of daily living. All results reported are from the period 2002–2004, which, for brevity, we call the “year.” We recorded significant differences (P < .05) after controlling the false discovery rate.
Differs significantly from the estimate for persons insured all year.
Differs significantly from the estimate for persons uninsured 1–5 mo during the year.
Differs significantly from the estimate for persons uninsured 6–11 mo during the year.
Differs significantly from the estimate for persons uninsured all year.