Experiences making healthcare appointments among high-need New Yorkers Figure 4 Figure 4. Experiences making healthcare appointments among high-need New Yorkers
2021
2022
100%
90%
79%
80%
75% 77%
71%
67% 67%
70%
57%
60%
54%
50%
40%
33%
31%
30%
20%
19%
20%
10% 0%
Economic disadvantage
No economic disadvantage
Economic disadvantage
No economic disadvantage
Economic disadvantage
No economic disadvantage
Getting to appointments High-need New Yorkers may face other barriers that impede their ability to receive healthcare. “Accessibil- ity,” or patients’ ability to geographically reach the healthcare they need, is a core dimension of healthcare access. Over the course of the pandemic, high-need New Yorkers experienced less difficulty getting to their health- care appointments, regardless of economic disadvantage (Figure 5). From 2021 to 2022, the share of New Yorkers who found it very or somewhat difficult to get to appointments declined from 25% to 17% among those with economic disadvantage, while difficulty declined from 15% to 11% among the more-advantaged. This decline suggests that barriers presented by the pandemic, such as transit and mobility restrictions, became less prominent as the pandemic started to wane. However, in both time periods, economically dis- advantaged New Yorkers were still more likely overall to report difficulty getting to their healthcare appoint- ments than more-advantaged New Yorkers—and in fact, the share of those who found it very difficult to get to appointments actually grew (Figure 5). Source: Poverty Tracker longitudinal survey data, cohorts three and four. High-need refers to New Yorkers with high healthcare needs, such as multiple chronic health conditions, serious psychological distress, or a work-limiting health condition. Note: On the Poverty Tracker survey, New Yorkers are asked how often they can get healthcare outside of standard hours, or how often they are able to make and/or change a healthcare appointment by themselves: always, often, sometimes, rarely, or never. The above outcomes are defined as those who responded always or often. Similarly, New Yorkers are asked how confident they feel filling out medical forms by themselves: not at all, a little bit, somewhat, quite a bit, or extremely. Feeling confident is defined as those who responded quite a bit or extremely confident. Note: On the Poverty Tracker survey, New Yorkers are asked how often they can get healthcare outside of standard hours, or how often they are able to make and/or change a healthcare appointment by themselves: always, often, sometimes, rarely, or never. The above outcomes are defined as those who responded always or often. Similarly, New Yorkers are asked how confident they feel filling out medical forms by themselves: not at all, a little bit, somewhat, quite a bit, or extremely. Feeling confident is defined as those who responded quite a bit or extremely confident. Source: Poverty Tracker longitudinal survey data; cohorts three and four. High-need refers to New Yorkers with high healthcare needs, such as multiple chronic health conditions, serious psychological distress, or a work-limiting health condition.
PLACES OF HEALTHCARE RECEIPT AMONG NEW YORKERS WITH HIGH HEALTHCARE NEED 10
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