Advance data最新文献

{"title":"National Hospital Ambulatory Medical Care Survey: 1999 emergency department summary.","authors":"L F McCaig,&nbsp;C W Burt","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>This report describes ambulatory care visits to hospital emergency departments (ED's) in the United States. Statistics are presented on selected hospital, patient, and visit characteristics. Highlights of trends in ED utilization from 1992 through 1999 are also presented.</p><p><strong>Methods: </strong>The data presented in this report were collected from the 1999 National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS is part of the ambulatory care component of the National Health Care Survey that measures health care utilization across various types of providers. NHAMCS is a national probability survey of visits to hospital emergency and outpatient departments of non-Federal, short-stay, and general hospitals in the United States. Sample data are weighted to produce annual national estimates. Trends are based on NHAMCS data for 1992, 1993-94, 1995-96, 1997-98, and 1999.</p><p><strong>Results: </strong>During 1999, an estimated 102.8 million visits were made to hospital ED's in the United States, about 37.8 visits per 100 persons. The volume of ED visits increased by 14 percent from 1992 through 1999, though no trend was observed in the overall population-based visit rates. There was a significant increase in the visit rate for black persons 75 years of age and over. In 1999, persons 75 years of age and over had the highest ED visit rate and 41.5 percent of these patients arrived by ambulance. There were an estimated 37.6 million injury-related ED visits during 1999, or 13.8 visits per 100 persons. Seventy-four percent of injury-related ED visits were made by persons under 45 years of age. Injury visit rates were higher for males than females in each age group under 45 years. The case mix of visits at ED's changed since 1992, with a greater percent of visits presenting with illness rather than injury conditions. Abdominal pain, chest pain, fever, and headache were the leading patient complaints accounting for one-fifth of all visits. Acute upper respiratory infection was the leading illness-related diagnosis at ED visits. Increases were observed in visits where no complete diagnosis could be made (16.2 percent of visits in 1999). Diagnostic and/or screening services were provided at 89.0 percent of visits, procedures were performed at 42.5 percent of visits, and medications were provided at 72.5 percent of visits. Pain relief drugs accounted for 31.1 percent of the medications mentioned. Trend data from 1992 indicated that the use of medications at ED visits increased. In 1999, approximately 13 percent of ED visits ended in hospital admission. Facility-level data indicated that there is variation among hospital ED's with respect to case mix, number of services provided, and case disposition distributions, especially the percent admitted to the hospital.</p>","PeriodicalId":79552,"journal":{"name":"Advance data","volume":" 320","pages":"1-34"},"PeriodicalIF":0.0,"publicationDate":"2001-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospitalizations for injury: United States, 1996.","authors":"M J Hall,&nbsp;M F Owings","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>This report presents national estimates of the 1996 hospitalizations for injury in the United States. Numbers and rates of discharges are shown within sex, age, and racial groups by type of injury. Average lengths of stay and days of care data by injury type are also included.</p><p><strong>Methods: </strong>Estimates are based on medical abstract data collected in the National Hospital Discharge Survey. Diagnoses are coded according to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). Injuries are defined as ICD-9-CM codes 800-999. External causes of injury are defined as codes E800-E999 (E-codes).</p><p><strong>Results: </strong>In 1996, there were 2.6 million hospitalizations for injury. Fractures resulted in over a million hospitalizations; medical injuries, including adverse effects and complications, were responsible for 666,000 hospitalizations. The medical records for 64 percent of the patients hospitalized for injuries had an external cause-of-injury code (E-code). Elderly people had the largest number and rate of injuries.</p><p><strong>Conclusions: </strong>Data on injuries requiring hospitalization and characteristics of patients differentially affected can be used to design and target more effective injury prevention programs. Preventing injuries would decrease the considerable pain, disability, and economic impact associated with these conditions.</p>","PeriodicalId":79552,"journal":{"name":"Advance data","volume":" 318","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2000-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An overview of nursing home facilities: data from the 1997 National Nursing Home Survey.","authors":"C S Gabrel","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>This report presents estimates on the number and distribution of nursing home facilities, their services, current residents, and discharges in the United States during 1997.</p><p><strong>Methods: </strong>Data presented in this report are estimates based on a sample of nursing home facilities, residents, and discharges from the 1997 National Nursing Home Survey (NHHS). The survey collects information about providers and recipients of care from nursing home facilities. NHHS has been periodically conducted by the National Center for Health Statistics since 1973.</p><p><strong>Results: </strong>In 1997 there were an estimated 1.6 million current residents and 2.4 million discharges from 17,000 nursing homes nationwide. These facilities were predominantly proprietary and certified by both Medicare and Medicaid. There was an average of 107 beds per nursing home with an occupancy rate of 88 percent and a discharge rate of 130 patients per 100 beds. The majority of nursing home residents and discharges were elderly, white, and female.</p>","PeriodicalId":79552,"journal":{"name":"Advance data","volume":" 311","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21813010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health outcomes among Hispanic subgroups: data from the National Health Interview Survey, 1992-95.","authors":"A Hajat,&nbsp;J B Lucas,&nbsp;R Kington","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Within the next 50 years, Hispanics will become the largest minority group in the United States. The largest Hispanic subgroups are those of Mexican, Cuban, and Puerto Rican descent. The Hispanic population is heterogeneous in terms of culture, history, socioeconomic status (SES) and health status. In this report, various health status measures are compared across Hispanic subgroups in the United States.</p><p><strong>Methods: </strong>National Health Interview Survey (NHIS) data aggregated from 1992 through 1995 were analyzed. NHIS is one of the few national surveys that has a sufficiently large sample size to adequately compare the different subgroups. Data are presented for four Hispanic origin subgroups--Mexican, Cuban, Puerto Rican, and \"other Hispanic\" persons--for the Hispanic population as a whole and for the non-Hispanic white and non-Hispanic black populations. These groups are compared with respect to several health status outcomes, providing both age-adjusted and unadjusted estimates.</p><p><strong>Results: </strong>The health indicators for Puerto Rican persons are significantly worse than for the other Hispanic origin subgroups. For example, about 21% of Puerto Rican persons reported having an activity limitation, compared with about 15% of Cuban and Mexican persons and 14% of \"other Hispanic\" persons. In contrast, the health indicators of Cuban persons are often better than those of the other subgroups. For example, Cuban persons reported an average of 3 days per year lost from school or work, compared with about 6 days for Mexican and Puerto Rican persons and 7 days for \"other Hispanic\" persons. Mexican persons fare better than Puerto Rican persons on measures such as restricted activity days, bed disability days and hospitalizations.</p><p><strong>Conclusion: </strong>These data demonstrate clear differences in health status as well as indicators of socioeconomic status across Hispanic subgroups in the United States. Data on Hispanic subgroups facilitate the planning of public health services for various underserved populations.</p>","PeriodicalId":79552,"journal":{"name":"Advance data","volume":" 310","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2000-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21813009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of elderly home health care users: data from the 1996 National Home and Hospice Care Survey.","authors":"M L Munson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>This report presents demographic characteristics, service utilization, and primary admission diagnoses of elderly users of home health care services. Included are home health care services used by both current and discharged clients (called patients). These services are provided by home health care agencies and hospices. The focus of the report is on services used by both current patients and discharges aged 65 years and over.</p><p><strong>Methods: </strong>The data used for this report are from the National Center for Health Statistics 1996 National Home and Hospice Care Survey's (NHHCS) sample of current patients and discharges. The 1996 NHHCS is the fourth survey of home health care agencies and hospices and their current patients and discharges.</p><p><strong>Results: </strong>The overall results of the survey indicate that, as in previous years, the elderly current patients and discharges were predominantly women, 75-84 years old, white, non-Hispanic, widowed, and most often lived in a private residence with members of their family. For elderly men and women, the most commonly used home health care service was skilled nursing services and the primary admission diagnosis was diseases of the circulatory system, including heart disease.</p>","PeriodicalId":79552,"journal":{"name":"Advance data","volume":" 309","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"1999-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21892297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"1997 summary: National Hospital Discharge Survey.","authors":"L Lawrence,&nbsp;M J Hall","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>This report presents national estimates of the use of non-Federal short-stay hospitals in the United States during 1997. Numbers and rates of discharges, diagnoses, and procedures are shown by age and sex. Discharges are also shown by geographic region of the hospital. Average lengths of stay are presented for all discharges and for selected diagnostic categories by age and by sex.</p><p><strong>Methods: </strong>The estimates are based on medical abstract data collected through the National Hospital Discharge Survey for 1997. The survey has been conducted annually by the National Center for Health Statistics since 1965. Diagnoses and procedures presented are coded according to the International Classification of Diseases, 9th Revision, Clinical Modification, or ICD-9-CM.</p>","PeriodicalId":79552,"journal":{"name":"Advance data","volume":" 308","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"1999-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21516912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National Hospital Ambulatory Medical Care Survey: 1997 outpatient department summary.","authors":"L F McCaig","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>This report describes ambulatory care visits to hospital outpatient departments in the United States. Statistics are presented on selected hospital, clinic, patient, and visit characteristics.</p><p><strong>Methods: </strong>The data presented in this report were collected from the 1997 National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS is part of the ambulatory care component of the National Health Care Survey that measures health care utilization across various types of providers. NHAMCS is a national probability sample survey of visits to hospital outpatient and emergency departments of non-Federal, short-stay, and general hospitals in the United States. Sample data are weighted to produce annual estimates.</p><p><strong>Results: </strong>During 1997, an estimated 77.0 million visits were made to hospital outpatient departments in the United States, an overall rate of 28.9 per 100 persons. Visit rates did not vary by age. Black persons had higher rates of visits than white persons. Of all visits made to hospital outpatient departments in 1997, 34.1 percent and 27.8 percent, respectively, listed private insurance and Medicaid as the primary expected source of payment, and 20.1 percent were made by patients belonging to a health maintenance organization. There were an estimated 7.1 million injury-related outpatient department visits during 1997.</p>","PeriodicalId":79552,"journal":{"name":"Advance data","volume":" 307","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"1999-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21516911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National Ambulatory Medical Care Survey: 1997 summary.","authors":"D A Woodwell","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>This report describes ambulatory care visits made to physician offices within the United States. Statistics are presented on selected characteristics of the physician's practice, the patient, and the visit.</p><p><strong>Methods: </strong>The data presented in this report were collected from the 1997 National Ambulatory Medical Care Survey (NAMCS). NAMCS is part of the ambulatory care component of the National Health Care Survey, which measures health care utilization across various types of providers. NAMCS is a national probability sample survey of visits to office-based physicians in the United States. Sample data are weighted to produce annual estimates.</p><p><strong>Results: </strong>During 1997 an estimated 787.4 million visits were made to physician offices in the United States, an overall rate of 3.0 visits per person. One quarter of these visits were made to general and family physicians, which was a significantly higher proportion compared to the other 13 specialties. Persons aged 75 years and over had the highest rate of physician office visits, 6.5 visits per person. Females had a significantly higher rate of visits to physician offices than males overall, as did white persons compared with black persons. Of all visits made to these offices in 1997, approximately 50 percent listed private insurance as the primary expected source of payment, and almost 30 percent were made by patients belonging to a health maintenance organization (HMO). There were an estimated 81.6 million injury-related visits during 1997, or 30.6 visits per 100 persons. Two-thirds of these visits were for unintentional injuries.</p>","PeriodicalId":79552,"journal":{"name":"Advance data","volume":" 305","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"1999-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21516909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adoption, adoption seeking, and relinquishment for adoption in the United States.","authors":"A Chandra,&nbsp;J Abma,&nbsp;P Maza,&nbsp;C Bachrach","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>This report presents national data on adoption and adoption-related behaviors among ever-married women 18-44 years of age in the United States, according to selected characteristics of the women. Trends are shown in the prevalence of adoption and relinquishment of children for adoption. For 1995, the report shows demand for adoption and women's preferences for characteristics of the child.</p><p><strong>Methods: </strong>Data are based on nationally representative samples of women 15-44 years of age from the 1973, 1982, 1988, and 1995 National Surveys of Family Growth (NSFG).</p><p><strong>Results: </strong>The percent of ever-married women 18-44 years of age who have ever adopted a child declined from 2.1 percent in 1973 to 1.3 percent in 1995. Of the 9.9 million women who had ever considered adoption, 16 percent had taken steps toward adoption, and 31 percent of these had actually adopted a child. Older women, nulliparous women, women with fecundity impairment, and women who have used infertility services were more likely to have considered adoption, to have taken concrete steps toward adoption, and to have actually adopted a child. In response to the questions about preferred characteristics of an adopted child, women expressed strong preferences with respect to age, sex, race, and disability level of the child, but were willing to accept children with the less-desired traits. Between 1989 and 1995, about 1 percent of babies born to never-married women were relinquished for adoption, down from 9 percent among such babies born before 1979.</p><p><strong>Conclusions: </strong>Federally supported adoption data collection sources corroborate the decline in adoption shown by the NSFG over the past 25 years. Demand for adoption in the United States varies, depending on whether demand is conceptualized liberally as \"ever having considered adoption\" or more narrowly, as \"currently taking concrete steps toward adoption.\" The narrow definition was fulfilled by 232,000 ever-married women in 1995.</p>","PeriodicalId":79552,"journal":{"name":"Advance data","volume":" 306","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"1999-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21516910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National Hospital Ambulatory Medical Care Survey: 1997 emergency department summary.","authors":"P Nourjah","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>This report describes ambulatory care visits to hospital emergency departments in the United States. Statistics are presented on selected patient and visit characteristics.</p><p><strong>Methods: </strong>The data presented in this report were collected from the 1997 National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS is part of the ambulatory care component of the National Health Care Survey that measures health care utilization across various types of providers. NHAMCS is a national probability survey of visits to hospital emergency and outpatient departments of non-Federal, short-stay, and general hospitals in the United States. Sample data were weighted to produce annual estimates.</p><p><strong>Results: </strong>During 1997, an estimated 94.9 million visits were made to hospital emergency departments (ED's) in the United States, about 35.6 visits per 100 persons. Persons 75 years and over had the highest rate of ED visits. There were an estimated 35.1 million injury-related ED visits during 1997, or 13.2 visits per 100 persons. Seventy percent of injury-related ED visits were made by persons under 45 years of age. Injury visit rates were higher for males than females in each age group under 45 years. According to ICD-9-CM classification, about four-fifths of injury visits were unintentional. Almost 72 percent of the ED visits involved medication therapy, with pain relief drugs accounting for almost 30 percent of the medications mentioned. Acute upper respiratory infection was the leading illness-related diagnosis at ED visits.</p>","PeriodicalId":79552,"journal":{"name":"Advance data","volume":" 304","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"1999-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21516953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}