Crawford Raymond Shelton, Wu Julian, Park Dae, Barbour Galen Lane
Division of Health Services Administration, Center for Population Health, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Mil Med. 2007 Oct;172(10):1084-8. doi: 10.7205/milmed.172.10.1084.
This study's objective was to describe: (1) patterns of cancer prevalence and type, (2) patient demographics, and (3) the sources, and cost, of medical care in the military beneficiary population using the Military Health System administrative databases. Calendar year 2002 patient enrollment, inpatient and outpatient encounter, and cost data from the 50 United States were analyzed to determine beneficiary cancer prevalence, demographics, source of care, cost of care, and cancer type. A total of 355,442 military beneficiaries were identified to have a cancer diagnosis (excluding nonmelanoma skin cancers) in 2002. More than two-thirds of these beneficiaries were over the age of 65, 55% were male, and 44% lived in three geographic areas of the country. Cancer of the prostate, breast, lung, and colon were most common. Almost 90% received their care outside of military medical treatment facilities and the overall cost of their care for 2002 was over $1 billion.
(1)癌症患病率和类型模式;(2)患者人口统计学特征;(3)军事受益人群的医疗保健来源和费用。分析了2002年美国50个州的患者登记、住院和门诊就诊情况以及费用数据,以确定受益人的癌症患病率、人口统计学特征、医疗保健来源、医疗保健费用和癌症类型。2002年,共有355,442名军事受益人被确诊患有癌症(不包括非黑色素瘤皮肤癌)。这些受益人中超过三分之二年龄在65岁以上,55%为男性,44%居住在该国的三个地理区域。前列腺癌、乳腺癌、肺癌和结肠癌最为常见。近90%的患者在军事医疗设施之外接受治疗,2002年他们的医疗总费用超过10亿美元。