National Health Spending In 2011: Overall Growth Remains Low, But Some Payers And Services Show Signs Of Acceleration

National Health Spending In 2011: Overall Growth Remains Low, But Some Payers And Services Show Signs Of Acceleration
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DOI:
10.1377/hlthaff.2012.1206
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发表时间:
2013-01-01
期刊:
影响因子:
9.7
通讯作者:
Catlin, Aaron
Catlin, Aaron
中科院分区:
医学1区
文献类型:
--
作者:
Hartman, Micah;Martin, Anne B.;Catlin, Aaron

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2011年,美国医疗保健支出增长3.9%,达到2.7万亿美元,连续第三年增长相对缓慢。2010年和2011年,国家卫生支出的增长与名义国内生产总值(GDP)的增长密切相关,2009年至2011年,卫生支出占GDP的比例保持稳定,为17.9%。尽管国家一级的支出增长保持稳定,但2011年个人医疗保健支出增长加快(从3.7%增至4.1%),部分原因是处方药、医生和临床服务支出增长较快。2011年支出增长的趋势也各不相同,这取决于支付来源:医疗补助支出增长放缓,而医疗保险、私人医疗保险和自付支出增长加快。总体而言,2011年收入、就业和GDP的增长相对缓慢,这引发了人们对美国医疗保健支出是否会在未来几年反弹的疑问,因为过去的经济衰退通常会出现反弹。
In 2011 US health care spending grew 3.9 percent to reach $2.7 trillion, marking the third consecutive year of relatively slow growth. Growth in national health spending closely tracked growth in nominal gross domestic product (GDP) in 2010 and 2011, and health spending as a share of GDP remained stable from 2009 through 2011, at 17.9 percent. Even as growth in spending at the national level has remained stable, personal health care spending growth accelerated in 2011 (from 3.7 percent to 4.1 percent), in part because of faster growth in spending for prescription drugs and physician and clinical services. There were also divergent trends in spending growth in 2011 depending on the payment source: Medicaid spending growth slowed, while growth in Medicare, private health insurance, and out-of-pocket spending accelerated. Overall, there was relatively slow growth in incomes, jobs, and GDP in 2011, which raises questions about whether US health care spending will rebound over the next few years as it typically has after past economic downturns.