估计美国的初级保健支出:走向一种共同的方法
Chunliu Zhan1, Lingrui Liu, Matthew Simpson
1Agency for Healthcare Research and Quality, Rockville, MD.
Medical care
|May 21, 2025
概括
由于定义和数据不一致,跟踪美国的初级保健支出具有挑战性. 这项研究使用了两个数据集的新框架,揭示了每人初级保健支出的趋势和变化,以及总医疗成本的百分比.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 追踪美国的初级保健支出受到缺乏标准化定义和数据源的阻碍.
- 之前的努力受限于方法上的不一致性和数据稀缺性.
研究的目的:
- 探索在美国估计初级保健支出的一致方法.
- 将新的框架应用于现有的数据集,以进行全面的分析.
主要方法:
- 利用最近开发的初级保健服务框架.
- 将框架应用于医疗支出小组调查 (MEPS) 和MarketScan数据集.
- 从2010年至2021年进行了横截面和趋势分析,以估计每人每年 (PPPY) 的支出,并作为医疗保健总支出 (PTHS) 的百分比.
主要成果:
- 在2019年,初级保健支出估计为504美元PPPY (8.07%PTHS) 使用MEPS和378美元PPPY (6.30%PTHS) 使用MarketScan.
- 从2010年到2021年,PPPY的初级保健支出在两个数据集中都呈现出稳定的增长.
- 在研究期间,初级保健的医疗保健总支出的百分比在6%至9%之间略有波动.
结论:
- 通过明确的定义和透明的方法,可以实现初级保健支出的可比和可重复估计.
- 量化估计不确定性对于准确评估和跟踪初级保健支出至关重要.
- 该研究强调了监测国家医疗保健支出的标准化方法的重要性.
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