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16 Orange County, NC 2016 Population Health Dashboards Summary: Orange County generally has comparable rates of uninsured residents to North Carolina; however, low income residents are twice as likely to be uninsured, as compared to the average county resident. And in 2013, a higher percentage of low income youth under 19 were uninsured in Orange County [15% (+/- 3.2%)] as compared to North Carolina [9.2% (+/- 0.7%)]. However, across all populations Orange County has seen a decrease in uninsured rates from 2011 to 2013. In terms of resources, Orange County leads the state in physician density, and the supply of physicians grew from 2012 to 2013 (+176, +13.6%). While Orange County ranks first in dentist density, the county also showed the largest numerical decrease in the state in 2013 (-6, -4.2%). Low Health Literacy is strongly tied with poorer health outcomes and increased cost. It is mediated by age, race, education and income. Basic HL is rudimentary prose comprehension and quantitative abilities, insufficient for many interactions with health information. Below basic HL is extremely low or non-existent comprehension. Increase HL by (1) increasing patient skills and abilities & (2) decreasing provider demand and complexity. Health LiteracyHealth LiteracyHealth LiteracyHealth Literacy Current Basic prose illiteracy9% Always understands doctor*84% Always understands discharge*88% Always understands medicine info*69% *Consider biases. Best used in comparison w/ other HCAHPS elements. Orange County PeerNCUS 11%14%14% - 83%81% - 86%85% - 65%64% Compare to Affordability and InsuranceAffordability and InsuranceAffordability and InsuranceAffordability and Insurance ScoreIconCurrentTargetPreviousProgressPeerNCUS % Uninsured (<65 years old)15.3%8.0%16.4%↓18.6%18.1%13.4% % Low-income Uninsured (<65 years old, <200% FPL)31.8%NA 36.2%↓32.7%32.7%19.0% % Children Uninsured (<19 years old)7.3%NA 9.0%↓6.5%6.9%6.0% % Low Income Children Uninsured (<19 years old, <200% FPL)15.0%NA 20.0%↓9.2%9.2%8.0% Resources and PreventionResources and PreventionResources and PreventionResources and Prevention ScoreIconCurrentTargetPreviousProgressPeerNCUS Physicians Rate per 10,000 105.4 NA 93.6 ↑38.122.724.5 Primary Care Physician Rate per 10,000 24.9 NA 20.8 ↑14.68.67.6 Dentist Rate per 10,000 9.9 NA 10.4 ↓7.24.66.0 ProgressOrange CountyTrendCompare to ProgressOrange CountyTrendCompare to Performing better than four or more benchmarks Performing better than two or three benchmarks Performing better than one or no benchmarks Benchmarks include Target, Previous, Peer, NC, and US Significant change from previous No trend Trend cannot be assessed Positive trend Negative trend Neutral trend Data Notes: See the Public Health Dashboard FAQ Document for more on data methodology. Sources: SAHIE, Sheps Center, Kaiser Family Foundation Additional information from the 2014 Board of Health Access to Care Dashboard are re-printed below.