Total family expenditures for health care: United States, 1980.
Total family expenditures for health care: United States, 1980.
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发表时间：
1987-09
期刊：
影响因子：
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通讯作者：
Sunshine Jh;M. Dicker
中科院分区：
文献类型：
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作者：
Sunshine Jh;M. Dicker
本报告提供了1980年家庭保健总支出的资料。总支出是向家庭收取的总金额（实际或估算），无论这些金额是由家庭自付，由私人医疗保险或公共医疗保险计划支付，还是未支付。这里讨论的数据收集在全国医疗保健利用和支出调查（NMCUES）的全国家庭样本。在这个样本中，收集了1980年整个日历年美国平民非制度化人口中大约6,800个家庭的健康问题、获得的医疗保健、护理支出、医疗保险和相关主题的信息。调查排除了所有在机构或军队中的个人。本报告还完全排除了以军人为户主的家庭，即使这些家庭有一些平民成员。在本报告中，家庭最初的定义是：（1）两个或两个以上共同生活的人，他们有血缘、婚姻、收养或正式的寄养关系;或（2）生活在这种关系之外的单身人士。由于这些家庭的数据是在整整一年中收集的，因此发展了“纵向家庭”的重要概念。这一概念是必要的，因为家庭的组成可能会随着时间的推移而改变，家庭可能会随着时间的推移而产生和消失。由于数据是根据家庭这一动态概念得出的，所有用于护理的支出都按年率计算。家庭数据对于理解医疗保健系统很重要，因为寻求和使用医疗保健的决定通常是家庭决定，医疗保健通常由家庭资源支付，并且健康相关变量的家庭分布与个人分布不同。本报告涉及卫生保健消费者抽样报告的卫生保健总支出。这些类型的数据受到受访者对账单总额的了解的限制。由于各种原因，被调查者往往不知道账单总额，这些在文中有详细讨论。因此，本报告中的统计数据应被视为比前两份家庭报告中的统计数据有更多的局限性：“家庭使用保健：美国，1980年”（Dicker和Sunshine，1987年）和“家庭自付保健支出：美国，1980年”（Sunshine和Dicker，1987年）。
Information on total family expenditures for health care in 1980 is presented in this report. Total expenditures are the total amounts billed (either actual or imputed) to families whether these amounts are paid out-of-pocket by the family, paid by private health insurance or a public health care coverage program, or remain unpaid. The data discussed here were gathered in the national household sample of the National Medical Care Utilization and Expenditure Survey (NMCUES). In this sample, information was collected on health problems, health care received, expenditures for care, health insurance, and related topics throughout calendar year 1980 from approximately 6,800 families in the civilian noninstitutionalized population of the United States. The survey excluded all individuals who were in institutions or in the military. This report also entirely excludes families with military heads, even if they had some civilian members. For this report, a family was initially defined as (1) two or more persons living together who were related by either blood, marriage, adoption, or a formal foster care relationship or (2) a single person living outside such relationships. Because data on these families were collected across an entire year, the important concept of "longitudinal family" was developed. This concept was necessary to deal with the fact that the composition of a family could change over time and that families could come into existence and go out of existence over time. As the data are based on this dynamic concept of families, all measures of expenditures for care are calculated in annual rates. Family data are important for understanding the health care system because decisions to seek and use health care are usually family decisions, health care is usually paid for out of family resources, and family distributions for health-related variables differ from the distributions found for individuals. This report deals with total expenditures for health care as reported by a sample of consumers of health care. These types of data are limited by the knowledge the respondent has as to the amount of the total bill. For various reasons, which are discussed in detail in the text, the respondent often doesn't know the amount of the total bill. Therefore, the statistics in this report should be regarded as having more limitations than the statistics in two previous family reports: "Family Use of Health Care: United States, 1980" (Dicker and Sunshine, 1987) and "Family Out-of-Pocket Expenditures for Health Care: United States, 1980" (Sunshine and Dicker, 1987).