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Published on: February 16, 2011
Patient-centered care categorization of U.S. health care expenditures
Patrick Conway1, Kate Goodrich, Steven Machlin
1Division of General Pediatrics, Hospital Medicine, Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. Conway@CCHMC.org
Objective:
To categorize national medical expenditures into patient-centered categories.
Data Sources:
The 2007 Medical Expenditure Panel Survey (MEPS), a nationally representative annual survey of the civilian noninstitutionalized population.
Study Design:
Descriptive statistics categorizing expenditures into seven patient-centered care categories: chronic conditions, acute illness, trauma/injury or poisoning, dental, pregnancy/birth-related, routine preventative health care, and other.
Data Collection Methods:
MEPS cohort.
Principal Findings:
Nearly half of expenditures were for chronic conditions. The remaining expenditures were as follows: acute illness (25 percent), trauma/poisoning (8 percent), dental (7 percent), routine preventative health care (6 percent), pregnancy/birth-related (4 percent), and other (3 percent). Hospital-based expenditures accounted for the majority for acute illness, trauma/injury, and pregnancy/birth and over a third for chronic conditions.
Conclusions:
This patient-centered viewpoint may complement other methods to examine health care expenditures and may better represent how patients interact with the health care system and expend resources.
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