Anne B. Martin (
Micah Hartman is a statistician in the CMS Office of the Actuary.
Health Aff (Millwood). 2019 Jan;38(1):101377hlthaff201805085. doi: 10.1377/hlthaff.2018.05085. Epub 2018 Dec 6.
Total nominal US health care spending increased 3.9 percent to $3.5 trillion in 2017, slowing from growth of 4.8 percent in 2016. The rate of growth in 2017 was similar to the increases between 2008 and 2013, which preceded the faster growth experienced during 2014-15-a period that was marked by insurance coverage expansion and large increases in prescription drug spending. Slower growth in health care spending in 2017 was mainly attributable to the use and intensity of goods and services, particularly for hospital care, physician and clinical services, and retail prescription drugs. Nearly all major sources of insurance and sponsors of health care experienced slower growth in 2017. On a per capita basis, spending on health care increased 3.2 percent and reached $10,739 in 2017. The share of gross domestic product devoted to health care spending was 17.9 percent in 2017, similar to the share in 2016.
2017 年,美国名义医疗保健总支出增长 3.9%,至 3.5 万亿美元,增幅低于 2016 年的 4.8%。2017 年的增长率与 2008 年至 2013 年期间的增长率相似,在此之前,2014-15 年期间的增长率更快,这一时期以保险覆盖范围扩大和处方药支出大幅增长为标志。2017 年医疗保健支出增长放缓主要归因于商品和服务的使用和强度,特别是医院护理、医生和临床服务以及零售处方药。2017 年,几乎所有主要的保险来源和医疗保健赞助商的增长都有所放缓。按人均计算,2017 年医疗保健支出增长 3.2%,达到 10739 美元。2017 年,医疗保健支出占国内生产总值的 17.9%,与 2016 年的占比相似。