University of Maryland, College Park, USA.
U.S. Census Bureau, Suitland, MD, USA.
Med Care Res Rev. 2023 Oct;80(5):548-557. doi: 10.1177/10775587231170951. Epub 2023 May 13.
Household surveys are an important source of information on medical spending and burden. We examine how recently implemented post-processing improvements to the Current Population Survey Annual Social and Economic Supplement (CPS ASEC) affected estimates of medical expenditures and medical burden. The revised data extraction and imputation procedures mark the second stage of the CPS ASEC redesign and the beginning of a new time series for studying household medical expenditures. Using data for the calendar year 2017, we find that median family medical expenditures are not statistically different from legacy methods; however, updated processing does significantly reduce the percentage of families estimated to have a high medical burden (medical expenses are at least 10% of family income). The updated processing system also changes the characteristics of families with high medical spending and is primarily driven by changes in imputation of health insurance and medical spending.
家庭调查是了解医疗支出和负担的重要信息来源。我们研究了最近对当前人口调查年度社会经济补充调查（CPS ASEC）进行的后期处理改进如何影响医疗支出和医疗负担的估计。修订的数据提取和插补程序标志着 CPS ASEC 重新设计的第二阶段，也是研究家庭医疗支出的新时间序列的开始。使用 2017 日历年的数据，我们发现家庭医疗支出中位数与传统方法没有统计学差异；然而，更新的处理确实显著降低了估计有高医疗负担的家庭比例（医疗费用至少占家庭收入的 10%）。更新的处理系统还改变了高医疗支出家庭的特征，主要是由于医疗保险和医疗支出的插补变化所致。
