Chronic conditions and medical expenditures among non-institutionalized adults in the United States

De Chih Lee, Leiyu Shi, Geraldine Pierre, Jinsheng Zhu, Ruwei Hu

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)105
Number of pages1
JournalInternational Journal for Equity in Health
Volume13
DOIs
StatePublished - 2014

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Health Expenditures
Delivery of Health Care
Physicians' Offices
Insurance Coverage
Prescription Drugs
Health Services Needs and Demand
Marital Status
Population Characteristics
Population Groups
Causality
Education
Costs and Cost Analysis

ASJC Scopus subject areas

  • Medicine(all)

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Chronic conditions and medical expenditures among non-institutionalized adults in the United States. / Lee, De Chih; Shi, Leiyu; Pierre, Geraldine; Zhu, Jinsheng; Hu, Ruwei.

In: International Journal for Equity in Health, Vol. 13, 2014, p. 105.

Research output: Contribution to journalArticle

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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.

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