Health Care Spending Slowdown From 2000 To 2010 Was Driven By Lower Growth In Cost Per Case, According To A New Data Source

Health Care Spending Slowdown From 2000 To 2010 Was Driven By Lower Growth In Cost Per Case, According To A New Data Source
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DOI:
10.1377/hlthaff.2015.1109
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发表时间:
2016-01-01
期刊:
影响因子:
9.7
通讯作者:
Whitmire, Bryn
Whitmire, Bryn
中科院分区:
医学1区
文献类型:
--
作者:
Dunn, Abe;Rittmueller, Lindsey;Whitmire, Bryn

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2015年,经济分析局发布了一套名为医疗保健卫星账户的试验性措施,根据健康状况跟踪全国医疗保健支出。这些统计数据通过将医疗索赔数据和调查数据结合在一起,提出按情况衡量国家支出和治疗费用,从而提高了对卫生保健部门的了解。本文介绍了新账户的主要方面,并利用它来研究2000-10年期间发生的医疗支出放缓。我们对账户的分析显示,经济放缓是由单位成本增长减少推动的,但支出趋势在不同情况下差异很大,对经济放缓的影响也不同。整体放缓的一半以上是由循环状况支出放缓造成的。然而,与癌症等其他类别的支出相比,内分泌系统和肌肉骨骼疾病等类别的支出放缓幅度更大。
In 2015 the Bureau of Economic Analysis released an experimental set of measures referred to as the Health Care Satellite Account, which tracks national health care spending by medical condition. These statistics improve the understanding of the health care sector by blending medical claims data and survey data to present measures of national spending and cost of treatment by condition. This article introduces key aspects of the new account and uses it to study the health spending slowdown that occurred in the period 2000-10. Our analysis of the account reveals that the slowdown was driven by a reduction of growth in cost per case but that spending trends varied greatly across conditions and differentially affected the slowdown. More than half of the overall slowdown was accounted for by a slowdown in spending on circulatory conditions. However, there were more dramatic slowdowns in spending on categories such as endocrine system and musculoskeletal conditions than in spending on other categories, such as cancers.