利用美国人口普查局的《县商业模式》（2000 - 2016年）描述美国的医疗服务提供情况。

Characterizing healthcare delivery in the United States using Census Bureau's County Business Patterns (2000-2016).

作者信息

Kc Astha, Schaefer Melissa K, Stone Nimalie D, Perz Joseph

机构信息

US Centers for Disease Control and Prevention, Atlanta, Georgia.

出版信息

Infect Control Hosp Epidemiol. 2020 Jun;41(6):723-728. doi: 10.1017/ice.2020.78.

DOI:10.1017/ice.2020.78

PMID:32252834

Abstract

BACKGROUND

The US Census Bureau's County Business Patterns (CBP) series provides a unique opportunity to describe the healthcare sector using a single, national data source.

METHODS

We analyzed CBP data on business establishments in the healthcare industry for 2000-2016 for all 50 states and the District of Columbia. Setting and facility types were defined using the North American Industry Classification System.

RESULTS

In 2016, CBP enumerated 707,634 US healthcare establishments (a 34% increase from 2000); 86.5% were outpatient facilities and services followed by long-term care facilities (12.5%) and acute-care facilities (1.0%). Between 2000 and 2016, traditional facilities such as general medical surgical and surgical hospitals (-0.4%) and skilled nursing facilities (+0.1%) decreased or remained flat, while other long-term care and outpatient providers grew rapidly.

CONCLUSION

This analysis highlights the steady growth and increased specialization of the US healthcare sector, particularly in long-term care and outpatient settings.

摘要

背景

美国人口普查局的《县商业模式》（CBP）系列提供了一个独特的机会，可利用单一的全国性数据源来描述医疗保健行业。

方法

我们分析了2000年至2016年期间美国50个州和哥伦比亚特区医疗保健行业商业机构的CBP数据。使用北美行业分类系统定义了机构设置和设施类型。

结果

2016年，CBP统计了707,634家美国医疗保健机构（比2000年增加了34%）；86.5%为门诊设施和服务机构，其次是长期护理机构（12.5%）和急症护理机构（1.0%）。2000年至2016年期间，普通内科外科医院和外科医院等传统机构（-0.4%）以及专业护理机构（+0.1%）数量减少或持平，而其他长期护理和门诊服务提供商则迅速增长。