Subject Area: Women’s Access to Health Care 

This section of the report card evaluates states based on their performance on key measures of women’s access to health care services, including physician access, access to basic preventive care, and access to family planning and reproductive care services. Data on race and ethnicity are included wherever available.

This section includes basic measures of primary care physician population and the share of women who have a primary care doctor from the Centers for Disease Control, including the number of primary care physicians per 100,000 population and the percentage of adult women who report having one person as their personal doctor. It includes basic utilization measures that indicate to what extent women in each state have access to basic health care services from the Department of Health & Human Services and Kaiser Family Foundation, including data on routine check-ups, dental care visits, women age 40 and above who have had a mammogram in the past two years, and women between 21 and 65 who had a pap test in the past three years. And it includes data on women’s access to family planning and reproductive health care from the Guttmacher Institute, including the number of women in each state in need of publicly-funded contraception, the percentage of need met by publicly-funded family planning clinics in each state, and the percentage of women in each state who live in counties without an abortion provider.

KEY FINDINGS ON WOMEN’S ACCESS TO HEALTH CARE

Best and Worst Access Rankings

The states with the best rankings in the area of women’s access to health care are Massachusetts (#1), Delaware (#2), Rhode Island (#3), Connecticut (#4), and Vermont (#5). The states with the worst overall rankings are Idaho (#50), Nevada (#49), Wyoming (#48), Mississippi (#47), and Oklahoma (#46).

States Rejecting Medicaid Expansion

As with the coverage subject area, many of the states that have rejected federal funding to expand Medicaid received poor grades on women’s access to health care. Six of the states that have rejected Medicaid expansion received an F grade, six more received a D, and six more received a C. Of the 21 states rejecting Medicaid expansion as of September 2014, 18 received a C-level grade or worse for women’s access to health care. 3

AccessGrades


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Sources: 1. Hing, Esther, M.P.H., and Chun-Ju Hsiao, Ph.D., “State Variability in Supply of Office-based Primary Care Providers: United States, 2012,” Centers for Disease Control and Prevention (CDC), National Center for Health Statistics, Data Brief #151, May 2014, available at: http://www.cdc.gov/nchs/data/databriefs/db151.pdf;
2. CDC, 2012 Behavioral Risk Factor Surveillance System (BRFSS), available at: http://www.healthstatus2020.com/OwhExplore/select_variables.aspx;
3. Kaiser Family Foundation, KFF analysis of CDC 2012 BRFSS, available at:
http://kff.org/womens-health-policy/state-indicator/percent-of-women-who-had-dental-visit/


AccessChart2

Source: Centers for Disease Control and Prevention (CDC), 2012 Behavioral Risk Factor Surveillance System (BRFSS), available at: http://www.healthstatus2020.com/OwhExplore/select_variables.aspx


AccessChart3

Source: Centers for Disease Control and Prevention (CDC), 2012 Behavioral Risk Factor Surveillance System (BRFSS), available at: http://www.healthstatus2020.com/OwhExplore/select_variables.aspx


AccessChart4

Source: Centers for Disease Control and Prevention (CDC), 2012 Behavioral Risk Factor Surveillance System (BRFSS), available at: http://www.healthstatus2020.com/OwhExplore/select_variables.aspx


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Sources: 1. Frost JJ, Zolna MR and Frohwirth L, “Contraceptive Needs and Services, 2012 Update,” New York: Guttmacher Institute, 2014, available at: http://www.guttmacher.org/datacenter/table.jsp; 2. Jones RK and Jerman J, “Abortion Incidence and Service Availability in the United States,” 2011, Perspectives on Sexual and Reproductive Health, 2014, 46(1), 2014, available at: http://www.guttmacher.org/datacenter/table.jsp

Download a PDF version of the report:

WomensHealth-Cover

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