Dunn Abe, Rittmueller Lindsey, Whitmire Bryn
Abe Dunn (
Lindsey Rittmueller is an economist in the Bureau of Economic Analysis.
Health Aff (Millwood). 2016 Jan;35(1):132-40. doi: 10.1377/hlthaff.2015.1109.
In 2015 the Bureau of Economic Analysis released an experimental set of measures referred to as the Health Care Satellite Account, which tracks national health care spending by medical condition. These statistics improve the understanding of the health care sector by blending medical claims data and survey data to present measures of national spending and cost of treatment by condition. This article introduces key aspects of the new account and uses it to study the health spending slowdown that occurred in the period 2000-10. Our analysis of the account reveals that the slowdown was driven by a reduction of growth in cost per case but that spending trends varied greatly across conditions and differentially affected the slowdown. More than half of the overall slowdown was accounted for by a slowdown in spending on circulatory conditions. However, there were more dramatic slowdowns in spending on categories such as endocrine system and musculoskeletal conditions than in spending on other categories, such as cancers.
2015年,美国经济分析局发布了一组被称为“医疗保健卫星账户”的实验性指标,该账户按医疗状况追踪全国医疗保健支出。这些统计数据通过整合医疗理赔数据和调查数据,以呈现按状况划分的全国支出和治疗成本指标,从而增进了对医疗保健行业的理解。本文介绍了新账户的关键方面,并利用它来研究2000年至2010年期间出现的医疗支出放缓情况。我们对该账户的分析表明,支出放缓是由每例成本增长的下降推动的,但支出趋势在不同状况之间差异很大,对放缓的影响也各不相同。总体放缓中超过一半是由循环系统疾病支出放缓造成的。然而,内分泌系统和肌肉骨骼疾病等类别的支出放缓比癌症等其他类别的支出放缓更为显著。