The Denver Post

Coloradans get high marks for health outcomes in U.S.

- By Anna Staver

Colorado ranks seventh in the nation for health care across 40 key measures, but the Centennial State still struggles to get its most atrisk residents to the doctor, according to a new study.

The WalletHub study compared each U.S. state and the District of Columbia on cost, access and outcomes such as the number of hospital beds per capita, life expectancy and average monthly insurance premium.

Colorado received the best marks for health outcomes, low cancer rates and low rates of heart disease. Where the state failed was getting people to the doctor. Only two states had a higher percentage of atrisk adults with no routine doctor visits in the past two years.

The poor score is likely a reflection of the difficulti­es western states have in bringing health care to rural communitie­s. New Mexico, Oregon and Washington were all at the bottom of that list.

In Colorado, Park and Crowley counties don’t have a single primary care physician and 13 counties don’t have a hospital. People in those places are often faced with the daunting task of driving hundreds of miles for routine checkups.

Boulder, Douglas and Denver county residents have the highest access to care in Colorado while Bent, Conejos and Crowley counties have the lowest, according to the most recent access study put together by the Colorado Health Institute.

“Even when there is sufficient infrastruc­ture to help people get care, obstacles can remain…,” according to the report. “The nine factors include the affordabil­ity of care, transporta­tion difficulti­es and timely treatment by providers.”

The Colorado Health Institute’s county maps also highlighte­d the rural-urban divide in health care. From 2013 to 2017, urban residents increased their access to health care while rural residents, mostly those along the southern border, saw their access decline.

It’s not just rural Coloradans who need to go to the doctor more. Minorities and people with low incomes have lower access scores too.

“This is mostly driven by difference­s in the realized access category, including rates of prenatal care, dental care and well-child visits,” according to the report.

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