National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report最新文献

{"title":"Out-of-pocket health expenses for Medicaid and other poor and near-poor persons in 1980.","authors":"E Howell,&nbsp;L Corder,&nbsp;A Dobson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Medicaid program (Title XIX of the Social Security Act) was designed to provide access to health services at little or no out-of-pocket expense to low-income persons who might otherwise not be able to afford them. Information was collected through household interviews in the National Medical Care Utilization and Expenditure Survey (NMCUES) on total out-of-pocket expenditures for health care by noninstitutionalized persons in the United States in 1980. This report presents data to assess the degree to which Medicaid enrollees incur out-of-pocket expenses. These levels of expenditures are compared to those experienced by other persons not eligible for Medicaid who are below or near the official poverty level. Data contained in this report were derived from the National Household Survey (HHS), a panel survey of 6,600 households representative of the civilian, noninstitutionalized U.S. population, which is only one of the three surveys that were conducted as part of NMCUES. The other two surveys are a State Medicaid Household Survey (SMHS) of Medicaid households in four States and the Administrative Records Survey (ARS), a survey of existing Medicare and Medicaid administrative records for sample households. Since data were derived only from HHS, the findings in this report are national (or regional) in scope and cannot be tied directly to differences in individual State Medicaid programs. The data on eligibility and expenditures are all self-reported and have not been verified by administrative records. One definite limitation of these data is the exclusion from the NMCUES sample of all institutionalized persons. As a result, out-of-pocket expenses for one particularly high-cost group are excluded, and total out-of-pocket expenditures for each health insurance coverage group are understated. Another potential limitation of this analysis is that, as with many surveys, limited data on key items (such as out-of-pocket expenses and income) were at times missing from respondent reports. These missing data were imputed according to standard statistical techniques (see Appendix III). A variety of findings is presented, including data on the effect of health insurance coverage, demographic characteristics, health status, and continuity of Medicaid enrollment on out-of-pocket expenses. Within insurance coverage categories, Medicaid-covered persons had the lowest out-of-pocket expenses. This was true even though they had the highest mean per capita charges for care. Among the demographic characteristics that were analyzed, age and race had the most impact on the level of out-of-pocket health expenses.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 4","pages":"1-52"},"PeriodicalIF":0.0,"publicationDate":"1985-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21183933","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":"Utilization and expenditures for ambulatory medical care by people hospitalized: United States, 1980.","authors":"E E Bryant,&nbsp;R Biggar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The National Medical Care Utilization and Expenditure Survey was conducted throughout 1980 to collect information on health, access to and use of medical services, associated charges and sources of payment, and health insurance coverage. The survey was based on a probability sample of about 6,600 households and 17,123 people representative of the civilian noninstitutionalized population of the United States. This report is one of a series of descriptive reports based on data from the National Medical Care Utilization and Expenditure Survey. It characterizes the population by hospital utilization and certain sociodemographic and health variables, and shows how hospitalization effects the use and cost of ambulatory medical care. The following are some of the highlights of the report. Almost everyone was covered by some form of health insurance at some time during 1980. Only 7.6 percent were not covered at all, and 10 percent had insurance only part of the year. The proportion not covered at all varied according to the number of times hospitalized, ranging from 8.2 percent for people not hospitalized during the year to 1.8 percent for people hospitalized three or more times. People with one or more hospital stays during 1980 had a physician visit rate greater than three times that for people not hospitalized. Similarly, the expenditures for ambulatory medical care for people experiencing hospitalizations was almost nine times that for people were not hospitalized during the year. The rate of physician visits is much larger immediately prior to hospital admission or immediately after discharge than it is at other times. About 40 percent of all physician visits during the year occurred within a month before admission and after discharge. within a month before admission and after discharge.</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 7","pages":"1-25"},"PeriodicalIF":0.0,"publicationDate":"1985-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185888","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":"Persons receiving care from selected health care practitioners: United States, 1980.","authors":"R H Mugge","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the household survey phase of the National Medical Care Utilization and Expenditure Survey of 1980, a survey was made of 17,123 persons who made up a representative sample of the civilian population in the United States not residing in institutions. Through repeated interviews the survey obtained information on the health conditions of these people, the health care services they received in 1980, the costs of these services, and the arrangements made for paying for the services. This report, one of a series of reports on the knowledge gained through the survey, is on the people who received services during the year from nurses, optometrists, podiatrists, psychologists, paramedics, physical therapists, social workers and counselors, laboratory technicians, radiologic technicians, other technicians, and all other practitioners; thus, this report is on people receiving services from the various types of practitioners other than physicians and dentists. In addition to excluding the military and persons living in nursing homes and other institutions, the report excludes people receiving nonphysician and nondentist services if they were only received in the same visit in which a physician or dentist was seen, if they were received in an emergency room, or if they were received while the person was an inpatient in a hospital. More than one-third of the nation's population had one or more such visits with practitioners other than physicians and dentists in 1980, according to estimates from the National Medical Care Utilization and Expenditure Survey. Approximately 1 person out of every 8 had a visit with a nurse; about 1 person of every 11 visited an optometrist during the year; 1 of 15 visited a lab technician; 1 of 25 visited a chiropractor; 1 of 37 visited a radiologic technician; and 1 of every 50 visited a podiatrist. Psychologists, paramedics, and physical therapists were each visited by about 1 percent of the population. People varied in their likelihood of seeing the various types of practitioners, depending on their personal characteristics, the condition of their health, and where they lived: In general, the practitioners were more likely to have been visited at least once during the year by women than by men, whites than by blacks or other races, non-Hispanics than by Hispanics, the old than by the young, those with more education than by those with less, those with poor health, those with activity limitations, and those living outside the South. There was little relationship, in general, between level of income and visiting a practitioner.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 6","pages":"1-37"},"PeriodicalIF":0.0,"publicationDate":"1984-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21167356","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":"Access to health care among aged Medicare beneficiaries.","authors":"W E Schlenger,&nbsp;L S Corder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The goal of the National Medical Care Utilization and Expenditure Survey (NMCUES) is to improve the understanding of the ways in which Americans use and pay for health care. This report is one in a series of descriptive reports based on NMCUES data. Data concerning several aspects of participants' access to health care services were collected in NMCUES. These included identification of a regular source of care, several characteristics of physical access to the regular source (transportation mode, travel time, waiting room time), insurance coverage, and the existence of medically unattended conditions. The purpose of this report is to provide descriptive information about selected aspects of access to health care among noninstitutionalized elderly people who reported being covered by Medicare. The results presented are based on data collected about noninstitutionalized people in the NMCUES national household sample who: (1) were 65 years of age and over at any time during the survey year, and (2) reported being covered by Medicare Hospital Insurance, Supplementary Medical Insurance, or both during the survey year (1980). The regular source of care for three out of four (74 percent) of the elderly Medicare beneficiaries was a physician's office (including group practice or doctor's clinic), while for 9 percent the regular source was a hospital outpatient clinic, emergency room, health center, or other provider type (referred to hereafter as \"clinic\"). Of the elderly Medicare beneficiaries, 10 percent reported no regular source of care, and the regular source was unknown for 7 percent. Of those with no regular source of care, 80 percent identified their seldom getting sick as an important reason for having no regular source, 24 percent identified their desire to go to different places for different health care needs, 14 percent said their usual source was no longer available, and 5 percent identified their recently moving into the area as an important reason. Nearly six out of ten (59 percent) of the elderly Medicare beneficiaries who reported that their regular source was a physician's office drove themselves there, and about four out of ten (43 percent) of those who reported that their regular source was a clinic drove themselves to the clinic. On the average, people traveled nearly 10 minutes more to a clinic than to a physician's office (29 versus 20 minutes). There was little variability in reported length of travel time among the various demographic categories--e.g., men tended to travel for the same length of time as did women, black people for the same travel time as white people.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 3","pages":"1-31"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21173656","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":"Persons receiving care from selected health care practitioners: United States, 1980.","authors":"R. Mugge","doi":"10.7326/0003-4819-102-5-731_2","DOIUrl":"https://doi.org/10.7326/0003-4819-102-5-731_2","url":null,"abstract":"In the household survey phase of the National Medical Care Utilization and Expenditure Survey of 1980, a survey was made of 17,123 persons who made up a representative sample of the civilian population in the United States not residing in institutions. Through repeated interviews the survey obtained information on the health conditions of these people, the health care services they received in 1980, the costs of these services, and the arrangements made for paying for the services. This report, one of a series of reports on the knowledge gained through the survey, is on the people who received services during the year from nurses, optometrists, podiatrists, psychologists, paramedics, physical therapists, social workers and counselors, laboratory technicians, radiologic technicians, other technicians, and all other practitioners; thus, this report is on people receiving services from the various types of practitioners other than physicians and dentists. In addition to excluding the military and persons living in nursing homes and other institutions, the report excludes people receiving nonphysician and nondentist services if they were only received in the same visit in which a physician or dentist was seen, if they were received in an emergency room, or if they were received while the person was an inpatient in a hospital. More than one-third of the nation's population had one or more such visits with practitioners other than physicians and dentists in 1980, according to estimates from the National Medical Care Utilization and Expenditure Survey. Approximately 1 person out of every 8 had a visit with a nurse; about 1 person of every 11 visited an optometrist during the year; 1 of 15 visited a lab technician; 1 of 25 visited a chiropractor; 1 of 37 visited a radiologic technician; and 1 of every 50 visited a podiatrist. Psychologists, paramedics, and physical therapists were each visited by about 1 percent of the population. People varied in their likelihood of seeing the various types of practitioners, depending on their personal characteristics, the condition of their health, and where they lived: In general, the practitioners were more likely to have been visited at least once during the year by women than by men, whites than by blacks or other races, non-Hispanics than by Hispanics, the old than by the young, those with more education than by those with less, those with poor health, those with activity limitations, and those living outside the South. There was little relationship, in general, between level of income and visiting a practitioner.(ABSTRACT TRUNCATED AT 400 WORDS)","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":"6 1","pages":"1-37"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7326/0003-4819-102-5-731_2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71227211","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 status of aged Medicare beneficiaries.","authors":"W E Schlenger,&nbsp;W M Wadman,&nbsp;L S Corder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The goal of the National Medical Care Utilization and Expenditure Survey (NMCUES) was to improve the understanding of the ways in which Americans use and pay for health care. This report is one in a series of descriptive reports based on NMCUES data. Data concerning several aspects of participants' health status were collected in NMCUES. These included measures of disability, activity limitation, illness conditions, and perceived health status. The purpose of this report is to provide preliminary descriptive information from NMCUES about selected aspects of the health status of noninstitutionalized elderly people who reported being covered by Medicare. The results presented are based on data collected about noninstitutionalized people in the NMCUES national household sample who: (1) were 65 years of age and over at any time during the survey year, and (2) reported being covered by Medicare Hospital Insurance, Supplementary Medical Insurance, or both during the survey year (1980). Of the aged Medicare beneficiaries, 37 percent reported experiencing no days on which their activities were limited for health reasons during the survey year. The average number of restricted activity days (RAD's) per year per person among all aged Medicare beneficiaries was estimated to be 31. By comparison, people under 65 years of age averaged 12 RAD's. At the beginning of the survey period, 60 percent reported that they were not limited in either their usual activity (e.g., work) or other activities (e.g., recreation) for health reasons. Men were substantially more likely than women to be limited in their activities (52 versus 31 percent). Of persons under 65 years of age, 94 percent reported no activity limitation. Of aged Medicare beneficiaries, 7 percent reported having no illness conditions during the survey year, while 23 percent reported seven or more illness conditions. Only 5 percent reported having one or more illness conditions for which they had not sought medical attention. The average number of conditions per person during the year was 4.4. People under 65 years of age averaged 2.9 illness conditions. The health of more than one-fourth (26 percent) of the elderly Medicare beneficiaries was judged to be excellent relative to other people of the same age, while the health of one out of eight people (12 percent) was judged to be poor.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 2","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21182992","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}