Estimates and patterns of direct health care expenditures among individuals with back pain in the United States
Estimates and patterns of direct health care expenditures among individuals with back pain in the United States
复制标题
DOI：
10.1097/01.brs.0000105527.13866.0f
复制
发表时间：
2004-01-01
期刊：
影响因子：
3
通讯作者：
Hey, L
中科院分区：
文献类型：
--
作者：
Luo, XM;Pietrobon, R;Hey, L
研究设计。1998年医疗费用小组调查的二次分析。为了估计美国背痛患者的总医疗支出，计算这些个人中因背痛而产生的增量支出，并描述背痛患者的医疗支出模式。背景数据摘要。关于美国背痛患者的医疗保健支出和支出模式，缺乏最新信息。这项研究使用了1998年医疗支出小组调查的数据，这是一项关于卫生保健利用和支出的全国性调查。计算了腰痛患者的医疗保健总支出和人均支出。多变量回归模型被用来估计可归因于背痛的增量支出。通过根据社会人口学特征和医疗诊断对腰痛患者进行分层，并计算每个阶层的人均支出，来检查支出模式。1998年，美国背痛患者的医疗保健总支出达到907亿美元，这些人因背痛而增加的总支出约为263亿美元。平均而言，背痛患者的医疗支出比无背痛患者高出约60%(3,498美元对2,178美元)。在背痛患者中，至少75%的服务支出归因于支出前25%的人，而年龄较大、女性、白人、有医疗保险或患有椎间盘疾病的人的人均支出一般更高。1998年，美国用于治疗背部疼痛的医疗保健支出相当可观。不同临床、人口学和社会经济特征的个体之间的花费差异很大。
Study Design. Secondary analysis of the 1998 Medical Expenditure Panel Survey.Objective. To estimate total health care expenditures incurred by individuals with back pain in the United States, calculate the incremental expenditures attributable to back pain among these individuals, and describe health care expenditure patterns of individuals with back pain.Summary of Background Data. There is a lack of updated information on health care expenditures and expenditure patterns for individuals with back pain in the United States.Methods. This study used data from the 1998 Medical Expenditure Panel Survey, a national survey on health care utilization and expenditures. Total health care expenditures and per- capita expenditures among individuals with back pain were calculated. Multivariate regression models were used to estimate the incremental expenditures attributable to back pain. The expenditure patterns were examined by stratifying individuals with back pain by sociodemographic characteristics and medical diagnosis, and calculating per- capita expenditures for each stratum.Results. In 1998, total health care expenditures incurred by individuals with back pain in the United States reached $ 90.7 billion and total incremental expenditures attributable to back pain among these persons were approximately $ 26.3 billion. On average, individuals with back pain incurred health care expenditures about 60% higher than individuals without back pain ($ 3,498 vs. $ 2,178). Among back pain individuals, at least 75% of service expenditures were attributed to those with top 25% expenditure, and per- capita expenditures were generally higher for those who were older, female, white, medically insured, or suffered from disc disorders.Conclusions. Health care expenditures for back pain in the United States in 1998 were substantial. The expenditures demonstrated wide variations among individuals with different clinical, demographic, and socioeconomic characteristics.