PDF 2018

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RAISING THE GRADE on RHEUMATOLOGY CARE in AMERICA

2018

Contents

PREFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 FINDINGS: A STATE-BY-STATE RANKING . . . . . . . . . . . . . . . . . . . . . . . . 3 RHEUMATIC DISEASES IN AMERICA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 OVERALL GRADES: THE HIGHEST AND LOWEST . . . . . . . . . . . . . . . . 5 ACCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 AFFORDABILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 ACTIVITY/LIFESTYLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 METHODOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 CONCLUSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 APPENDIX A: REPORT CARD INDICATORS . . . . . . . . . . . . . . . . . . . . . 16 APPENDIX B: STATE DATA TABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 WORKS CITED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Preface

The Rheumatic Disease Report Card: Raising the Grade on Rheumatology Care in America was created to answer the question: How easy is it to live well with a rheumatic disease in my state? The goal is to both inform and to empower the public and policymakers to address key healthcare access, affordability, and lifestyle issues that impact quality of life for the millions of Americans who live with a doctor-diagnosed rheumatic disease.

This report card ? the first of its kind ? is a project from the American College of Rheumatology (ACR) and its Simple TasksTM public awareness campaign. Using data obtained from the CDC's Behavioral Risk Factor Surveillance Survey, the U.S. Census Bureau's American Community Survey, and the American College of Rheumatology, this report grades each U.S. state and the District of Columbia on the access, affordability, and activity/ lifestyle factors associated with an individual's ability to live well with a rheumatic disease. The Rheumatic Disease Report Card's development was guided by a national task force comprised of leading rheumatology researchers, clinicians, and policy experts.

PAGE 2 | RHEUMATIC DISE ASE REPORT CARD

GRADE DISTRIBUTION

A

B

C

D

F

1

14

2

OVERALL

34

8 14

10

ACCESS

19

AFFORDABILITY 26

3 8

14

15

16

ACTIVITY/ LIFESTYLE

20

Findings: A State-by-State Ranking

OVERALL GRADES

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky

D

Louisiana

C

Maine

C

Maryland

C

Massachusetts

B

Michigan

B

Minnesota

B

Mississippi

C

Missouri

C

Montana

C

Nebraska

C

Nevada

B

New Hampshire

C

New Jersey

B

New Mexico

C

New York

C

North Carolina

C

North Dakota

C

Ohio

C

Oklahoma

C

Oregon

A

Pennsylvania

C

Rhode Island

C

South Carolina

B

South Dakota

C

Tennessee

C

Texas

B

Utah

B

Vermont

C

Virginia

B

Washington

B

West Virginia

C

Wisconsin

B

Wyoming

C

C

C

A

B

C

D

A

B

F

C

D

F

D C C C C C C C C B B C C B C

RHEUMATIC DISE ASE REPORT CARD | PAGE 3

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