Multnomah County Health Department and CityMatCH

1

Tri-County Communities in Charge Oregon
Population Survey 2000 Portland Oregon
Metropolitan Area
Clackamas Multnomah Washington
2
Access to Basic Primary Health CareWhy are we
concerned?
3
BecauseWe face a worsening crisis in health
care access

• Population in need is expanding (1998- 10
  2000-17)
• Oregon Health Plan is in crisis (66,000 in our
  region are Open Card)
• Health care safety net is overwhelmed
• Recent economic downturn is worsening all of the
  above

2000 Oregon Population Survey OMAP 09/2001
4
Why is Access Important? Individual and
Community Heath Impacts

• The low-income uninsured are
• Less likely to get needed care
• Three times more likely to have an avoidable
  hospitalization
• More likely to miss work or school because of
  illness
• More likely to experience bankruptcy due to
  medical care expenses

Papas et al 1998
5
Uninsured in the Tri-County AreaA Point in Time
Estimate
Tri-County Residents 1,444,000 (100.0)
Uninsured Any Part Year 240,000 (16.6)
Insured Entire Year 1,204,000 (83.4)
Other Uninsured gt200 FPL 110,000 (7.5)
Low Income Uninsured lt200 FPL 130,000 (9.0)
2000 Oregon Population Survey
6
Time Without InsuranceLow Income Residents
Uninsured Any Part of Year
Up to 3 months 37,942 (29.2)
10-12 months 68,348 (52.6)
4-6 months 18,841 (14.5)
7-9 months 4,678 (3.6)
2000 Oregon Population Survey Tri-County Data
7
Race/EthnicityLow Income Residents Uninsured Any
Part of Year
2000 Oregon Population Survey
8
Race/EthnicityLow Income Residents Uninsured Any
Part of Year
2000 Oregon Population Survey
9
Age Low Income Residents Uninsured Any Part of
Year
45-64 9,745 (8)
20-44 71,726 (55)
65 6,757 (5)
0-19 41,711(32)
2000 Oregon Population Survey Tri-County Data
10
Educational AttainmentLow Income Adults
Uninsured Any Part of Year
1998 Oregon Population Survey Tri-County Data
for 2000 survey sample size too small
11
Employment Status Low Income Adults Uninsured
Any Part of Year
Men 65
Women 63
Women 53
Men 83
2000 Oregon Population Survey Tri-County Data