Using Satellite National Health Accounts to Understand Health and Cost Changes

描述(由申请人提供)：尽管医疗保险和医疗补助服务中心以及经济分析局仔细跟踪了美国的医疗支出，但与这些支出相关的健康结果并未得到跟踪。为了满足这一需要，我们过去的研究利用现有的国家数据制定了人口健康和医疗支出的详细衡量标准，以便系统和联合地衡量医疗保健的好处和成本。开发这些方法是为了作为一个卫星国家卫生账户，使人们能够更好地了解美国的卫生部门。我们提出了使用这些工具的两种新的分析途径，这将极大地扩大我们对整个美国人口的健康变化与成本的关系的理解。第一个是结合所有年龄段的人--包括老年人、中年人、年轻人和儿童--以及不同的社会经济群体的费用来检查健康状况。第二是检查那些患有不同疾病的人的健康状况，并具体了解每种疾病与健康和医疗支出的关系随着时间的推移发生了什么变化。该项目的一个主要成果是为美国制作了一个卫星国民健康账户。 作为一个整体，它提供了关于特定疾病随时间、总体和不同社会人口群体的健康结果和医疗支出的重要信息。

DESCRIPTION (provided by applicant): Though health expenditures in the U.S. are carefully tracked by the Centers for Medicare and Medicaid Services and the Bureau of Economic Analysis, the health outcomes associated with these expenditures are not. To address this need, our past research has developed detailed measures of population health and medical spending using existing national data, in order to systematically and jointly measure the benefits and the costs of medical care. These methods have been developed to serve as a Satellite National Health Account, enabling a better understanding of the health sector in the United States. We propose two new avenues of analysis using these tools that will greatly expand our understanding of health change in relation to costs across the U.S. population. The first is to examine health in conjunction with costs among all age groups- -including the elderly, middle-aged, young adults, and children-and among different socioeconomic groups. The second is to examine the health of those with different diseases, and understand specifically how it has changed over time in terms of the relationship of each disease to health and medical spending. A major output of the project is the production of a satellite National Health Account for the U.S. population as a whole, that gives critical information on health outcomes and medical expenditures for specific diseases over time, overall and among different sociodemographic groups.