Reasons high-need New Yorkers had difficulty getting to their last healthcare appointment Figure 6 Figure 8. Reasons high-need New Yorkers had difficulty getting to their last healthcare appointment
2021
2022
40%
35%
Among those facing economic disadvantage:
Among those not facing economic disadvantage:
30%
25%
20%
15%
13%
11% 11%
11%
25%
10%
6% 6%
6%
6%
4%
4%
5%
3%
3%
2%
1%
1% 1%
0%
Distance, transportation,
Pain
Other reason
Distance, transportation,
Pain
Other reason
Source: Poverty Tracker longitudinal survey data; cohorts three and four. Universe includes all high-need New Yorkers. 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. 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. Patient-physician experiences We next explore high-need New Yorkers’ experiences with providers over the course of the pandemic, us- ing the concept of “acceptability.” A key dimension of healthcare access, acceptability captures the extent to which providers’ sociomedical behavior towards patients matches patients’ desires to be treated with respect, heard out, and taken seriously. Acceptability is a major determinant of patients’ trust in the health- care system, their propensity to seek care, and their desire to make appointments in the future. In many cas- es, a lack of acceptability can contribute to the underutilization of healthcare services, shaping preferences for certain places of care over others. 17 We find that, regardless of disadvantage, high-need New Yorkers generally reported more positive experi- ences with healthcare providers in 2022 than they did in 2021. For example, high-need New Yorkers increas- ingly felt that doctors and healthcare professionals listened to their concerns, with about 80% agreeing so in 2022 regardless of economic background (Figure 7). Further, 82% of economically disadvantaged, high- need New Yorkers felt that doctors answered their medical questions, which remained true over the course of the pandemic. More advantaged New Yorkers also increasingly reported feeling this way, from 78% in 2021 to 84% in 2022. In line with these patterns, high-need New Yorkers also increasingly felt that doctors took them and their symptoms seriously. In 2022, 75% of economically disadvantaged New Yorkers felt that healthcare professionals took their symptoms seriously (from 71% in 2021), as did 85% of more-advantaged New Yorkers (from 70% in 2021).
17 Burgess et al., "The association between perceived discrimination and underutilization of needed medical and mental health care in a multi-ethnic community sample."
PLACES OF HEALTHCARE RECEIPT AMONG NEW YORKERS WITH HIGH HEALTHCARE NEED 12
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