Figure 2. Physical healthcare receipt among high-need New Yorkers who reported needing care
Physical healthcare receipt among high-need New Yorkers who reported needing care Figure 2
Delayed Received
Forgone
43%
47%
35%
16%
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: Results are among high-need New Yorkers who reported needing physical healthcare, as shown in Figure 1. Due to rounding, some figures may not total to 100%.
High-need New Yorkers facing economic disadvantage were slightly more likely to delay or forgo physical healthcare in 2022 (47%) than in 2021 (43%). Moreover, in 2022, they were almost three times more likely to delay or forgo physical healthcare than their more advantaged counterparts (47% versus 16%, respec- tively). Forgoing physical healthcare entirely was also more common among economically disadvantaged New Yorkers in 2022—17% went without care in 2022 versus 4% of more-advantaged New Yorkers—despite some decline in forgone care among both groups over the pandemic. In terms of care received, more-advantaged New Yorkers experienced a substantial increase in the receipt of needed physical healthcare from 2021 (66%) to 2022 (84%) (Figure 2). On the other hand, between 2021 and 2022, economically disadvantaged New Yorkers became less likely to receive the care they needed, from 58% in 2021 to 52% in 2022. All told, economically disadvantaged high-need New Yorkers were 31 per- centage points more likely to delay or forgo physical healthcare than their more-advantaged counterparts in 2022, up from an eight percentage point gap in 2021. This change suggests that economically disadvan- taged New Yorkers struggling with their health continued to experience persistent barriers to care even as the pandemic started to wane, while barriers to care likely declined for their more-advantaged counterparts. Turning to mental health, economically disadvantaged New Yorkers were roughly 1.5 times more likely to need mental healthcare services, such as therapy or counseling, than more-advantaged New Yorkers during the pandemic (Figure 1). Despite greater need, economically disadvantaged New Yorkers were less
PATTERNS OF DELAYED HEALTHCARE AMONG NEW YORKERS WITH HIGH HEALTHCARE NEED 7
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