Health Care Use & Expenditures for Gynecologic Care

描述(摘要)：妇科疾病是如此常见和有问题 超过三分之一的美国女性最终会接受子宫切除术 针对这些情况的治疗。每年有400多万美国女性 经历妇科疾病，产生了1100多万名医生 办公室来访。然而，人们对这种现象的经济后果知之甚少 妇科疾病，特别是与门诊保健有关的疾病 使用率和支出。此外，很少有人注意到 患者收入、保险等社会经济因素的影响 医疗保健利用和支出的覆盖率和种族 条件。医疗支出小组调查(MEPS)使用的是人口 基于抽样框架，并前瞻性地跟踪卫生保健利用情况和 参与者之间的支出。MEP是一个独特的有价值的数据集 因为它提供了关于医疗保健利用、医疗保健 代表的支出、付款来源和保险范围 美国公民的非制度化人口样本，即 通过反复面谈获得。令人惊讶的是，几乎没有关于 国家妇科保健服务利用数据集 精神错乱。因此，即使是关于医疗费用的基本信息 在美国，没有关于妇科疾病女性的数据。它是 至关重要的是，研究应在国家健康数据集中进行 妇科疾病相关护理利用和费用排序 为了加深我们对这些共同情况对经济影响的理解 并使政策制定者能够衡量系统的影响 对女性重要的问题有什么变化？S健康。利用1997年的欧洲议会议员 这项研究将提供对卫生保健利用率和 在患有一种或多种妇科疾病的美国女性中， 估计增加的医疗保健利用率和相关支出 存在一种或多种妇科疾病，并测量其影响 社会经济和人口因素对卫生保健利用的影响 患有这些疾病的妇女的支出。这项研究将是第一次 不同卫生服务类别卫生服务利用评价研究 一系列常见妇科疾病的使用和支出 将提供对医疗保健具有很高潜在意义的信息 社区。

DESCRIPTION (abstract): Gynecologic disorders are so common and problematic that more than a third of American women eventually undergo hysterectomy as treatment for these conditions. Each year more than 4 + million American women experience a gynecologic disorder, generating more than 11 million physician office visits. However, little is known about the economic consequences of gynecologic disorders, particularly as concerns outpatient health care utilization and expenditures. In addition, little attention has been paid to the effects of socioeconomic factors such as patient income, insurance coverage, and ethnicity on health care utilization and expenditures for these conditions. The Medical Expenditure Panel Survey (MEPS) uses a population based sampling frame and prospectively tracks health care utilization and expenditures among participants. The MEPS is a uniquely valuable data set because it provides information on health care utilization, medical care expenditures, sources of payment and insurance coverage for a representative sample of the noninstitutionalized population of American citizens, which is obtained via repeated interviews. There have been surprisingly few studies in the national data sets on the use of health care services for gynecologic disorders. Consequently, even basic information on medical care expenditures among women with gynecologic disorders in the US is not available. It is critically important that studies be conducted in national data sets on health care utilization and expenditures pertinent to gynecologic disorders in order to further our understanding of the economic impact of these common conditions and provide policymakers with the ability to measure the impact of system changes on issues of importance to women?s health. Utilizing the 1997 MEPS this study will provide estimates of the health care utilization and expenditures among American women who have one or more gynecologic disorders, estimate the incremental health care utilization and expenditures associated with the presence of one or more gynecologic disorders, and measure the impact of socioeconomic and demographic factors on health care utilization and expenditures among women with these disorders. This study will be the first study to estimate health care utilization for different categories of utilization and expenditures across a range of common gynecologic disorders and will provide information of high potential significance to the health care community.