The Primary Care Collaborative (PCC) and the AAFP Robert Graham Center released PCC’s 2022 Evidence Report, Relationships Matter. How Usual is Usual Source of (Primary) Care?
More Americans lack a consistent source of health care – most often primary care – despite the pandemic, which does not bode well for Americans’ future overall health. Persistent differences between racial/ethnic groups in usual source of care (USC) are likely contributors to ongoing health disparities, made worse by the COVID-19 pandemic.
This comprehensive report puts USC data from 2000-2020 in context and examines trends by age, demographic group, insurance product, and geography. The USC metric matters because a usual source of care is associated with better population health, more equity, and lower costs.
The Report by the Numbers:
- Hispanic individuals had a 66% higher rate of no USC (34.3%) as compared to their White counterparts (20.7%) in 2019
- Non-Hispanic Black individuals had a 38% higher rate of no USC (28.4%) as compared to their White counterparts (20.7%) in 2019
- There was a 10% decline in USC for those with dual coverage (Medicare & Medicaid) between 2015 – 2020
- 46% of 18–34-year-olds had no USC in 2019, up from 34% in 2014
- In 2020, there was a spread of 27% points in USC across 50 state