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VOLUME 46 | NUMBER 2 | APRIL 2011


Patient-Centered Care Categorization of U.S. Health Care Expenditures

Keywords: 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.

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