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妇女最终接受子宫切除术， 治疗这些条件。每年有超过400万美国女性 经历妇科疾病，产生超过1100万医生 办公室访问。然而，人们对经济后果知之甚少。 妇科疾病，特别是门诊保健 使用和支出。此外，很少有人注意到 社会经济因素的影响，如病人的收入，保险 覆盖率和种族对医疗保健利用和支出的影响 条件医疗支出专题调查（MEPS）使用人口 基于抽样框架，前瞻性地跟踪医疗保健利用情况， 参与者的支出。MEPS是一个独特的有价值的数据集 因为它提供了关于卫生保健利用的信息， 一名代表的开支、付款来源和保险 美国公民的非制度化人口的样本，这是 通过多次采访获得。令人惊讶的是， 2004年至2005年期间， 紊乱因此，即使是医疗保健支出的基本信息， 在美国妇科疾病的妇女中没有可用的。是 至关重要的是，应在国家卫生数据集中进行研究， 与妇科疾病相关的护理利用和费用 进一步了解这些共同条件的经济影响， 并为决策者提供衡量系统影响的能力 对妇女重要问题的改变？的健康。1997年MEPS 这项研究将提供卫生保健利用的估计， 患有一种或多种妇科疾病的美国妇女的支出， 估计增加的卫生保健利用率和相关支出 与一种或多种妇科疾病的存在，并衡量影响 社会经济和人口因素对卫生保健利用的影响， 在患有这些疾病的妇女中的支出。本研究将首先 研究评估不同类别 一系列常见妇科疾病的使用和支出 并且将提供对健康护理具有高度潜在意义的信息 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.