Figure 6. Share of high-need New Yorkers avoiding care due to healthcare discrimination In the 12 months prior to being surveyed, did you avoid healthcare out of fear of being judged unfairly, treated with disrespect, or discriminated against? Share of high-need New Yorkers avoiding care due to healthcare discrimination Figure 8
2021
2022
40%
30%
20%
14%
10%
7%
10%
4%
0%
Economic disadvantage
No economic disadvantage
Economically disadvantaged New Yorkers were also more likely to report ever being discriminated in the health care system than more-advantaged New Yorkers. In our 2022 data, one in four economically disad- vantaged New Yorkers reported feeling ever discriminated against when seeking medical care (25%), com- pared to one in ten (11%) more-advantaged New Yorkers. These results offer an important explanation for the continued struggles that disadvantaged New Yorkers may face as they navigate the healthcare system. Patient-provider experiences are an important factor in determining where healthcare will be sought, if at all. As the pandemic started to wane, more high-need New Yorkers reported positive clinical interactions, though many economically disadvantaged New Yorkers continued to delay care for reasons related to pro- vider discrimination. Below, we share a story from Paulette, who described her experiences accessing healthcare as a high- need New Yorker, emphasizing the importance of having a reliable healthcare network and trustworthy pa- tient-provider relationships. 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. 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: New Yorkers are asked whether in the 12 months prior to being surveyed they avoided healthcare out of fear of being judged unfairly, treated with disrespect, or discriminated against.
THE PLACES AND PEOPLE OF HEALTHCARE: Paulette’s story
Paulette, 72, manages a life-long psychiatric disorder and suffers from chronic obstructive pulmonary disease (COPD). Since taking early retirement, she receives Social Security, a modest pension, and earnings from very part-time work. She keeps her living expenses low, paying just $550 a month for her studio apartment through the Mitchell-Lama affordable housing program: “It’s a wonderful relief not to have to go to two, three jobs in a day, and all different uniforms. It’s a small amount of money I get, certainly compared to what others get. Because I have this affordable apartment, that’s what gives me the privilege of stay- ing here. I couldn’t afford to live in Kansas for what I can live on in New York.”
PLACES OF HEALTHCARE RECEIPT AMONG NEW YORKERS WITH HIGH HEALTHCARE NEED 14
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