TY - JOUR
T1 - Chronic conditions and medical expenditures among non-institutionalized adults in the United States
AU - Lee, De Chih
AU - Shi, Leiyu
AU - Pierre, Geraldine
AU - Zhu, Jinsheng
AU - Hu, Ruwei
N1 - Funding Information:
This study is supported by Johns Hopkins Primary Care Policy Center and the Medical Science Grant (A2013177) of Guangdong province, China.
Publisher Copyright:
© 2014 Lee et al.; licensee BioMed Central Ltd.
PY - 2014
Y1 - 2014
N2 - Introduction: This study sought to examine medical expenditures among non-institutionalized adults in the United States with one or more chronic conditions. Method: Using data from the 2010 Medical Expenditure Panel Survey (MEPS) Household Component (HC), we explored total and out-of-pocket medical, hospital, physician office, and prescription drug expenditures for non-institutionalized adults 18 and older with and without chronic conditions. We examined relationships between expenditure differences and predisposing, enabling, and need factors using recent, nationally representative data. Results: Individuals with chronic conditions experienced higher total spending than those with no chronic conditions, even after controlling for confounding factors. This relationship persisted with age. Out-of-pocket spending trends mirrored total expenditure trends across health care categories. Additional population characteristics that were associated with high health care expenditures were race/ethnicity, marital status, insurance status, and education. Conclusions: The high costs associated with having one or more chronic conditions indicates a need for more robust interventions to target population groups who are most at risk.
AB - Introduction: This study sought to examine medical expenditures among non-institutionalized adults in the United States with one or more chronic conditions. Method: Using data from the 2010 Medical Expenditure Panel Survey (MEPS) Household Component (HC), we explored total and out-of-pocket medical, hospital, physician office, and prescription drug expenditures for non-institutionalized adults 18 and older with and without chronic conditions. We examined relationships between expenditure differences and predisposing, enabling, and need factors using recent, nationally representative data. Results: Individuals with chronic conditions experienced higher total spending than those with no chronic conditions, even after controlling for confounding factors. This relationship persisted with age. Out-of-pocket spending trends mirrored total expenditure trends across health care categories. Additional population characteristics that were associated with high health care expenditures were race/ethnicity, marital status, insurance status, and education. Conclusions: The high costs associated with having one or more chronic conditions indicates a need for more robust interventions to target population groups who are most at risk.
KW - Chronic conditions
KW - Health care expenditures
KW - MEPS
KW - Vulnerable populations
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U2 - 10.1186/s12939-014-0105-3
DO - 10.1186/s12939-014-0105-3
M3 - Article
C2 - 25424127
AN - SCOPUS:84964315590
SN - 1475-9276
VL - 13
JO - International journal for equity in health
JF - International journal for equity in health
IS - 1
M1 - 105
ER -