Household Pulse Survey : Reduced access to care
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Household Pulse Survey : Reduced access to care

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      To rapidly monitor recent changes in mental health, the National Center for Health Statistics (NCHS) partnered with the Census Bureau on an experimental data system called the Household Pulse Survey. This 20-minute online survey was designed to complement the ability of the federal statistical system to rapidly respond and provide relevant information about the impact of the coronavirus pandemic in the U.S. The data collection period for Phase 1 of the Household Pulse Survey occurred between April 23, 2020 and July 21, 2020. Phase 2 data collection occurred between August 19, 2020 and October 26, 2020. Phase 3 data collection occurred between October 28, 2020 and March 29, 2021.Phase 3.1 data collection occurred between April 14, 2021 and July 5, 2021.

      In Phases 1, 2, 3, and 3.1, NCHS included questions about the impact of the coronavirus pandemic on unmet needs for care. These questions were removed for Phase 3.2 data collection. Unmet needs for health care are often the result of cost-related barriers. The National Health Interview Survey (NHIS), conducted by NCHS, is the source for high-quality data to monitor cost-related health care access problems in the U.S. For example, in 2019, 8.3% of adults aged 18 and over did not get needed medical care due to cost in the past 12 months. However, cost is not the only reason someone might delay or not receive needed medical care. As a result of the coronavirus pandemic, people also may not get needed medical care due to cancelled appointments, cutbacks in transportation options, fear of going to the emergency room, or an altruistic desire to not be a burden on the health care system, among other reasons.

      Estimates on this page are derived from the Household Pulse Survey and show the percentage of U.S. adults who delayed getting medical care in the last four weeks or who needed medical care at any time in the last four weeks for something other than coronavirus but did not get it because of the coronavirus pandemic.

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