美国个人医疗保健和公共卫生支出,1996-2013年
Joseph L Dieleman1, Ranju Baral2, Maxwell Birger1
1Institute for Health Metrics and Evaluation, Seattle, Washington.
JAMA
|December 28, 2016
概括
从1996年到2013年,美国的医疗保健支出大幅增加,糖尿病,心脏病和背部/部疼痛是最昂贵的疾病. 支出增长因病情和护理类型而异.
科学领域:
- 健康经济学
- 公共卫生
- 流行病学
背景情况:
- 美国的医疗保健支出占全国经济的17%以上.
- 根据年龄和时间,对具体情况的支出变化的详细了解是有限的.
研究的目的:
- 综合估计美国个人和公共医疗保健支出.
- 通过条件,年龄,性别和护理类型来分层支出.
主要方法:
- 从1996年至2013年使用了183个数据来源,包括政府预算,保险索赔和调查.
- 对155种疾病的估计开支, 根据治疗的健康状况进行调整.
- 按患者年龄,性别和护理类型分类的支出.
主要成果:
- 从1996年到2013年, 个人医疗支出总额达到了301万亿美元.
- 2013 年,糖尿病 (1014 亿美元),缺血性心脏病 (881 亿美元) 和腰部/部疼痛 (876 亿美元) 的支出最高.
- 对143种疾病的支出增加,其中背部/部疼痛和糖尿病的增加最大.
- 紧急护理和药品的支出增长速度最快.
结论:
- 美国医疗保健支出在1996年至2013年间大幅增加.
- 糖尿病,缺血性心脏病和腰部/部疼痛是主要的成本驱动因素.
- 各种情况和护理类型的支出增长率的变化凸显了成本控制努力的潜在领域.
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