Address correspondence to Patrick Conway, M.D., M.Sc., Division of General Pediatrics, Hospital Medicine, Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., MLC 2011, Cincinnati, OH 45229; e-mail: Patrick.Conway@CCHMC.org. Kate Goodrich, M.D., M.H.S., is with the Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services, Washington, DC. Steven Machlin, M.S., and Joel Cohen, Ph.D., are with the Agency for Healthcare Research and Quality, Center for Financing Access and Cost Trends, Rockville, MD. Benjamin Sasse, Ph.D., is with the President's Office, Midland University, Fremont, NE.
Patient-Centered Care Categorization of U.S. Health Care Expenditures
Version of Record online: 19 NOV 2010
© Health Research and Educational Trust
Health Services Research
Volume 46, Issue 2, pages 479–490, April 2011
How to Cite
Conway, P., Goodrich, K., Machlin, S., Sasse, B. and Cohen, J. (2011), Patient-Centered Care Categorization of U.S. Health Care Expenditures. Health Services Research, 46: 479–490. doi: 10.1111/j.1475-6773.2010.01212.x
- Issue online: 3 MAR 2011
- Version of Record online: 19 NOV 2010
- National medical expenditures;
- patient-centered care;
- health policy
Objective. To categorize national medical expenditures into patient-centered categories.
Data Sources. The 2007 Medical Expenditure Panel Survey (MEPS), a nationally representative annual survey of the civilian noninstitutionalized population.
Study Design. Descriptive statistics categorizing expenditures into seven patient-centered care categories: chronic conditions, acute illness, trauma/injury or poisoning, dental, pregnancy/birth-related, routine preventative health care, and other.
Data Collection Methods. MEPS cohort.
Principal Findings. Nearly half of expenditures were for chronic conditions. The remaining expenditures were as follows: acute illness (25 percent), trauma/poisoning (8 percent), dental (7 percent), routine preventative health care (6 percent), pregnancy/birth-related (4 percent), and other (3 percent). Hospital-based expenditures accounted for the majority for acute illness, trauma/injury, and pregnancy/birth and over a third for chronic conditions.
Conclusions. This patient-centered viewpoint may complement other methods to examine health care expenditures and may better represent how patients interact with the health care system and expend resources.