Patient-physician experiences among high-need New Yorkers Figure 7 Figure 7. Patient-physician experiences among high-need New Yorkers
2021 2022
10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
85%
84%
82% 82%
80%
79%
78%
75%
72%
71%
70%
65%
Economic disadvantage
No economic disadvantage
Economic disadvantage
No economic disadvantage
Economic disadvantage
No economic disadvantage
Answered their medical questions
Took their symptoms
Listened to their concerns
seriously
However, not all feelings toward providers were positive. In survey year 2022, economically disadvantaged New Yorkers were about three times more likely to report that, in the previous year, they did not seek health- care in order to avoid being discriminated against, judged unfairly, or treated with disrespect—14%, versus 5% of more advantaged New Yorkers (Figure 8). This finding represents a rise in perceived discrimination from 2021, where only 10% of economically disadvantaged and 7% of more-advantaged New Yorkers avoid- ed care for this reason. Medical discrimination can come in many forms, such as being based on one’s race/ ethnicity, health status, income level, or preferred language. This rise in discrimination, especially for dis- advantaged New Yorkers, is also consistent with observed spikes in discrimination and delayed care in the middle of the pandemic. 18 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 doctors/healthcare professionals listen to their concerns, answer questions, or take their symptoms seriously: always, often, sometimes, rarely, or never. The above outcomes are defined as those who responded always or often. 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.
18 Zhang et al., “Associations between racial discrimination and delayed or forgone care amid the COVID-19 pandemic.” ; Lund and Ayers, “Ever-changing but always constant: ‘waves’ of disability discrimination during the COVID-19 pandemic in the United States.”
PLACES OF HEALTHCARE RECEIPT AMONG NEW YORKERS WITH HIGH HEALTHCARE NEED 13
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