National Health Spending By Medical Condition, 1996–2005
Mental disorders and heart conditions were found to be the most costly.
Charles Roehrig, George Miller,
Health Affairs 28, no. 2 (2009): w358–w367 (published online 24 February 2009; 10.1377/hlthaff.28.2.358)]
DOI 10.1377/hlthaff.28.2.w358 ©2009 Project HOPE–The People-to-People Health Foundation, Inc.
Available online at: http://content.healthaffairs.org/cgi/reprint/hlthaff.28.2.w358v1
”….: This study responds to recent calls for information about how personal health expenditures from the National Health Expenditure Accounts are distributed across medical conditions. It provides annual estimates from 1996 through 2005 for thirty-two conditions mapped into thirteen all-inclusive diagnostic categories. Circulatory system spending was highest among the diagnostic categories, accounting for 17 percent of spending in 2005. The most costly conditions were mental disorders and heart conditions.
Spending growth rates were lowest for lung cancer, chronic obstructive pulmonary disease, pneumonia, coronary heart disease, and stroke, perhaps reflecting benefits of preventive care….”
The national Health Expenditure Accounts (NHEA) provide official estimates of total annual
They routinely track personal health spending by type of service (such as hospital, physician, and prescription drugs) and source of funds (such as private insurance,Medicare, and Medicaid), but they do not track spending by medical condition. Yet such information is critical to a more complete understanding
of what lies behind the increase in spending, what Americans are getting in return, and where we should focus efforts to improve health and health care.
For these reasons, participants at a recent conference to discuss improvements to the NHEA recommended that they be extended to include spending by disease.1 This was consistent with an earlier Institute of Medicine (IOM) recommendation that the Agency for Healthcare Research and Quality (AHRQ) identify
at least fifteen priority conditions, “taking into account frequency of occurrence, health burden and resource use.”…..”
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