1993财政年度因吸烟导致的医疗补助支出的州估计数。
State estimates of Medicaid expenditures attributable to cigarette smoking, fiscal year 1993.
作者信息
Miller L S, Zhang X, Novotny T, Rice D P, Max W
机构信息
School of Social Welfare, Univ. of California, Berkeley 94720-7400, USA.
出版信息
Public Health Rep. 1998 Mar-Apr;113(2):140-51.
OBJECTIVE
To develop estimates of state Medicaid expenditures attributable to smoking for fiscal year 1993.
METHODS
The smoking-attributable fractions (SAFs) of state Medicaid expenditures were estimated using a national model that describes the relationship between smoking and medical expenditures, controlling for a variety of sociodemographic, economic, and behavioral factors.
RESULTS
In fiscal year 1993, the SAF for all states (all types of expenditures) was 14.4%, with a range from 8.6% in Washington DC to 19.2% in Nevada. On average, SAFs ranged from a low of 7.9% for home health services expenditures to 21.7% for hospital expenditures. An estimated total of $12.9 billion of fiscal year 1993 Medicaid expenditures was attributable to smoking. The relative error of this estimate was 40.3%.
CONCLUSIONS
Cigarette smoking accounts for a substantial portion of annual state Medicaid expenditures, with considerable variation among states. The range in expenditures among the states is due to differences in smoking prevalence, health status, other socioeconomic variables used in the model, and the level and scope of the Medicaid program.
目的
估算1993财年各州医疗补助计划因吸烟导致的支出。
方法
使用一个描述吸烟与医疗支出之间关系的全国性模型，控制各种社会人口统计学、经济和行为因素，来估算各州医疗补助计划的吸烟归因比例（SAF）。
结果
1993财年，所有州（所有支出类型）的SAF为14.4%，范围从华盛顿特区的8.6%到内华达州的19.2%。平均而言，SAF范围从家庭健康服务支出的低至7.9%到医院支出的21.7%。估计1993财年医疗补助计划总支出中有129亿美元归因于吸烟。该估计的相对误差为40.3%。
结论
吸烟占各州年度医疗补助计划支出的很大一部分，各州之间存在相当大的差异。各州支出的差异是由于吸烟流行率、健康状况、模型中使用的其他社会经济变量以及医疗补助计划的水平和范围不同。
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