Thorpe Kenneth E, Florence Curtis S, Joski Peter
Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Health Aff (Millwood). 2004 Jul-Dec;Suppl Web Exclusives:W4-437-45. doi: 10.1377/hlthaff.w4.437.
We calculate the level and growth in health care spending attributable to the fifteen most expensive medical conditions in 1987 and 2000. Growth in spending by medical condition is decomposed into changes attributable to rising cost per treated case, treated prevalence, and population growth. We find that a small number of conditions account for most of the growth in health care spending--the top five medical conditions accounted for 31 percent. For four of the conditions, a rise in treated prevalence, rather than rising treatment costs per case or population growth, accounted for most of the spending growth.
我们计算了1987年和2000年归因于15种最昂贵医疗状况的医疗保健支出水平及增长情况。按医疗状况划分的支出增长被分解为每例治疗病例成本上升、治疗患病率及人口增长所导致的变化。我们发现，少数几种状况占医疗保健支出增长的大部分——前五种医疗状况占31%。对于其中四种状况，治疗患病率的上升而非每例治疗成本的增加或人口增长，是支出增长的主要原因。
