The Medical Expenditure Panel Survey A National Information Resource to Support Healthcare Cost Research and Inform Policy and Practice
The Medical Expenditure Panel Survey A National Information Resource to Support Healthcare Cost Research and Inform Policy and Practice
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DOI：
10.1097/mlr.0b013e3181a23e3a
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发表时间：
2009-07-01
期刊：
影响因子：
3
通讯作者：
Banthin, Jessica S.
中科院分区：
文献类型：
--
作者：
Cohen, Joel W.;Cohen, Steven B.;Banthin, Jessica S.
背景：医疗支出小组调查（MEPS）从具有全国代表性的美国人样本中收集有关医疗保健服务使用和支付的详细信息。该调查旨在为分析人员提供所需的数据，以支持有关美国医疗保健费用、利用、保险覆盖范围和可及性的政策相关研究，并为政策制定者提供做出明智决策所需的结果和数据。目的：本文总结了这一基础广泛且公开可用的信息资源的能力，以支持旨在更好地了解美国医疗保健动态并更好地描述其现状的研究工作。方法：MEPS包括一个具有全国代表性的美国平民非机构人口样本，并收集了2年来个人及其医疗保健经历的综合数据。住户调查数据是通过计算机辅助个人访谈收集的，这些数据由直接从调查参与者使用的医疗服务提供者处收集的信息补充。保险数据既从家庭收集，也通过对商业机构进行单独的州和全国代表性调查收集，后者收集美国雇主提供的健康保险信息。结果：MEPS已被广泛用于科学出版物和已发表的报告中，也被联邦和州政府用于检查美国医疗保健的交付和融资。结论：MEPS产生的分析结果是促进制定、实施和评估美国医疗保健及其相关成本的政策和实践的关键投入。最近为协调欧洲议会收入和国家卫生支出账户所做的努力有可能为研究和政策分析提供更准确和更有力的数据工具。
Background: The Medical Expenditure Panel Survey (MEPS) collects detailed information regarding the use and payment for health care services from a nationally representative sample of Americans. The survey is designed to provide analysts with the data they need to support policy-relevant research on health care expenses, utilization, insurance coverage, and access in the United States and to provide policymakers with the results and data they need to make informed decisions.Objectives: This article summarizes the capacity of this broad-based and publicly available information resource to support research efforts directed towards achieving a better understanding of the dynamics of American healthcare and to better characterize its current state.Methods: The MEPS comprises a nationally representative sample of the civilian noninstitutionalized population in the United States, and collects comprehensive data on individuals and their health care experiences over a span of 2 years. Household survey data are collected by means of computer-assisted personal interviews, and those data are supplemented by information collected directly from the medical providers used by survey participants. Insurance data are collected both from households and through a separate state and nationally representative survey of business establishments, which collects information on health insurance provided by United States employers.Results: The MEPS has been used extensively in scientific publications and published reports, as well as by the Federal and state governments to examine the delivery and financing of healthcare in the United States. Conclusions: The analytical findings generated by the MEPS are key inputs to facilitate the development, implementation, and evaluation of policies and practices addressing health care in the United States and its related costs. Recent efforts to reconcile MEPS and the National Health Expenditure Accounts have the potential to provide an even more accurate and powerful data toot for research and policy analysis.