Trend data on medical encounters: Tracking a moving target

Health Affairs

Volumn 20, Issue 2, 2001, Pages 58-72

  Bernstein, Amy B ^a   Hing, Esther ^b   Burt, Catharine W ^b   Hall, Margaret J ^c  

^a NATIONAL CENTER FOR HEALTH STATISTICS   (United States)

^b Ambulatory Care Statistics Branch   (United States)

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY CARE; ARTICLE; EPIDEMIOLOGY; HEALTH CARE ORGANIZATION; HEALTH SERVICE; HOME CARE; HOSPICE; HOSPITAL; HUMAN; NURSING HOME; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

AMBULATORY CARE; HEALTH CARE SURVEYS; HEALTH SERVICES; HEALTH SERVICES NEEDS AND DEMAND; HOME CARE SERVICES; HOSPICES; HOSPITALS; HUMANS; NATIONAL CENTER FOR HEALTH STATISTICS (U.S.); NURSING HOMES; OFFICE VISITS; UNITED STATES; UTILIZATION REVIEW;

EID: 0035286607     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.20.2.58     Document Type: Article

References (51)

1. D. Detmer and A. Gelijns, "A More Cost-Effective Treatment Strategy," Archives of Surgery (February 1994): 123-127; and K. Lumsdon, "New Surgical Technologies Reshape Hospital Strategies," Hospitals (May 1992): 30-33.
2. D. Detmer and A. Gelijns, "A More Cost-Effective Treatment Strategy," Archives of Surgery (February 1994): 123-127; and K. Lumsdon, "New Surgical Technologies Reshape Hospital Strategies," Hospitals (May 1992): 30-33.
3. J.M. Keenan and J.E. Fanale, "Home Care: Past and Present, Problems and Potential," Journal of the American Geriatrics Society 37, no. 11 (1989): 1076-1083.
4. National Center for Health Statistics, Health, United States (Hyattsville, Md.: Public Health Service, 1995 and 2000); and A. Okunade and A.P. Miles, "Medicare Physician Payment Reform and the Utilization of Cardiovascular Procedures," Journal of Health and Social Policy 11, no. 1 (1999): 37-52.
5. National Center for Health Statistics, Health, United States (Hyattsville, Md.: Public Health Service, 1995 and 2000); and A. Okunade and A.P. Miles, "Medicare Physician Payment Reform and the Utilization of Cardiovascular Procedures," Journal of Health and Social Policy 11, no. 1 (1999): 37-52.
6. B.H. Gurnan, "Hospital Response to DRG Refinements: The Impact of Multiple Reimbursement Incentives on Inpatient Length of Stay," Health Economics (June 2000): 277-294; and C. Chaix-Couturier et al., "Effects of Financial Incentives on Medical Practice: Results from a Systematic Review of the Literature and Methodological Issues," International Journal of Quality Health Care (April 2000): 133-142.
7. B.H. Gurnan, "Hospital Response to DRG Refinements: The Impact of Multiple Reimbursement Incentives on Inpatient Length of Stay," Health Economics (June 2000): 277-294; and C. Chaix-Couturier et al., "Effects of Financial Incentives on Medical Practice: Results from a Systematic Review of the Literature and Methodological Issues," International Journal of Quality Health Care (April 2000): 133-142.
8. Centers for Disease Control, Center for Infectious Diseases and Prevention, "Update: Trends in AIDS Incidence, Deaths, and Prevalence - United States, 1996," Morbidity and Mortality Weekly Report 46 (1997): 165-173.
9. M.N. Haan et al., "The Impact of Aging and Chronic Disease on Use of Hospital and Outpatient Services in a Large HMO: 1971-1991," Journal of the American Geriatrics Society 45, no. 6 (1997): 667-674.
10. M.J. Hall and J. Popovic, 1997 Summary: National Hospital Discharge Survey, Ad-vance Data from Vital and Health Statistics no. 308 (Hyattsville, Md.: NCHS, 1999).
11. T. McLemore and L Lawrence, Plan and Operation of the 'National Survey of Ambulatory Surgery, Vital and Health Statistics Series 1, no. 37 (Hyattsville, Md.: NCHS, 1997).
12. D. A. Woodwell, National Ambulatory Medical Care Survey: 1998 Summary, Advance Data from Vital and Health Statistics no. 315 (Hyattsville, Md.: NCHS, 2000); and L.F. McCaig and T. McLemore, Plan and Operation of the National Hospital Ambulatory Medical Care Survey, Vital and Health Statistics Series 1, no. 34 (Hyattsville, Md.: NCHS, 1994).
13. D. A. Woodwell, National Ambulatory Medical Care Survey: 1998 Summary, Advance Data from Vital and Health Statistics no. 315 (Hyattsville, Md.: NCHS, 2000); and L.F. McCaig and T. McLemore, Plan and Operation of the National Hospital Ambulatory Medical Care Survey, Vital and Health Statistics Series 1, no. 34 (Hyattsville, Md.: NCHS, 1994).
14. C. Gabrel, An Overview of National Nursing Home Facilities: Data from the 1997 National Nursing Home Survey, Advance Data from Vital and Health Statistics no. 311 (Hyattsville, Md.: NCHS, 2000); and B.J. Haupt, Development of the National Home and Hospice Care Survey, Vital and Health Statistics Series 1, no. 33 (Hyattsville, Md.: NCHS, 1994).
15. C. Gabrel, An Overview of National Nursing Home Facilities: Data from the 1997 National Nursing Home Survey, Advance Data from Vital and Health Statistics no. 311 (Hyattsville, Md.: NCHS, 2000); and B.J. Haupt, Development of the National Home and Hospice Care Survey, Vital and Health Statistics Series 1, no. 33 (Hyattsville, Md.: NCHS, 1994).
16. B.V. Shah, B.G. Barnwell, and G.S. Bieler, SUDAAN User's Manual, Release 7.0 (Research Triangle Park, N.C.: Research Triangle Institute, 1996). More detail about all of the NHCS surveys, including downloadable publications, can be found on the NCHS Web site, 〈www.cdc.gov/nchs/nhcs.htm〉.
17. NCHS, Health, United States, 1995 and 2000. Trends for ED visits begin in 1992.
18. R.N. Weinick, S.H. Zuvekas, and J.W. Cohen, "Racial and Ethnic Differences in Access to and Use of Health Care Services, 1977-1996," Medical Care Research and Review 57, Supplement 1 (2000): 36-54.
19. G.F. Anderson, N. Zhang, and C. Worzala, "Hospital Expenditures and Utilization: The Impact of HMOs," American Journal of Managed Care (July 1999): 853-864.
20. NCHS, Health, United States, 2000.
21. Nursing home utilization rates for current residents and discharged residents for 1995 in Exhibits 1 and 2 differ from previously published NCHS reports because of differences in the definition and imputation of the age variable.
22. NCHS, Health, United States, 2000; and E. Hing, The National Nursing Home Survey, 1985 Summary for the United States, Vital and Health Statistics Series 13, no. 97 (Hyattsville, Md.: NCHS, 1989).
23. NCHS, Health, United States, 2000; and E. Hing, The National Nursing Home Survey, 1985 Summary for the United States, Vital and Health Statistics Series 13, no. 97 (Hyattsville, Md.: NCHS, 1989).
24. C. Cowan et al. "National Health Expenditures, 1998," Health Care Financing Review (Winter 1999): 165-210.
25. Health Care Financing Administration, 1999 HCFA Statistics (Baltimore: HCFA, April 2000).
26. NCHS, "Home and Hospice Care," 8 December 1998, 〈www.cdc.gov/nchs/ datawh/statab/pubd/ad297tbl.htm〉 (24 November 2000); and 〈www.cdc. gov/nchs/about/major/nhhcsd/nhhcscope98.htm〉 (24 November 2000).
27. NCHS, "Home and Hospice Care," 8 December 1998, 〈www.cdc.gov/nchs/ datawh/statab/pubd/ad297tbl.htm〉 (24 November 2000); and 〈www.cdc. gov/nchs/about/major/nhhcsd/nhhcscope98.htm〉 (24 November 2000).
28. T.G. Ferris et al., "Changes in the Daily Practice of Primary Care for Children," Archives of Pediatric and Adolescent Medicine 152, no. 3 (1998): 227-233; and R.S. Stafford et al., "Trends in Adult Visits to Primary Care Physicians in the United States," Archives of Family Medicine 8, no. 1 (1999): 26-32.
29. T.G. Ferris et al., "Changes in the Daily Practice of Primary Care for Children," Archives of Pediatric and Adolescent Medicine 152, no. 3 (1998): 227-233; and R.S. Stafford et al., "Trends in Adult Visits to Primary Care Physicians in the United States," Archives of Family Medicine 8, no. 1 (1999): 26-32.
30. U.S. Department of Health and Human Services, Report to the President: Prescription Drug Coverage, Spending, Utilisation, and Prices, April 2000, 〈www. aspe.hhs.gov/health/reports/drugstudy/index.htm〉 (28 November 2000).
31. M. Olfsen and G.L Klerman, "Trends in the Prescription of Antidepressants by Office-Based Psychiatrists," American Journal of Psychiatry 4, no. 150 (1993): 571-577.
32. C. Twomey, "Antibiotic Resistance - An Alarming Health Care Issue," Association of Operating Nurses Journal 72, no. 1 (2000): 64-75, 76-80; and L.F. McCaig and J.M. Hughes, "Trends in Antimicrobial Drug Prescribing among Office-Based Physicians in the United States," Journal of the American Medical Association 273, no. 3 (1995): 214-219.
33. C. Twomey, "Antibiotic Resistance - An Alarming Health Care Issue," Association of Operating Nurses Journal 72, no. 1 (2000): 64-75, 76-80; and L.F. McCaig and J.M. Hughes, "Trends in Antimicrobial Drug Prescribing among Office-Based Physicians in the United States," Journal of the American Medical Association 273, no. 3 (1995): 214-219.
34. J.R. Popovic and L.J. Kozak, National Hospital Discharge Survey: Annual Summary, 1998, Vital and Health Statistics Series 13, no. 148, Pub. no. (PHS)2000-1719 (Hyattsville, Md.: NCHS, September 2000).
35. NCHS, "Longer Hospital Stays for Childbirth," 12 September 2000, 〈www. cdc.gov/nchs/products/pubs/pubd/hestats/hospbirth.htm〉 (13 December 2000).
36. C.J. Pepine and A. Pepine, "Intervention Therapy for Coronary Artery Disease in the Elderly," Cardiovascular Clinics 22, no. 2 (1992): 175-187; and A.G. Violaris and G.D. Angelini, "Myocardial Revascularization in the Elderly: Complementary Roles for Coronary Angioplasty and Bypass Grafting," International Journal of Cardiology 44, no. 1 (15 March 1994): 53-55.
37. C.J. Pepine and A. Pepine, "Intervention Therapy for Coronary Artery Disease in the Elderly," Cardiovascular Clinics 22, no. 2 (1992): 175-187; and A.G. Violaris and G.D. Angelini, "Myocardial Revascularization in the Elderly: Complementary Roles for Coronary Angioplasty and Bypass Grafting," International Journal of Cardiology 44, no. 1 (15 March 1994): 53-55.
38. J.L. Warren et al., "Trends and Outcomes of Out-Patient Mastectomy in Elderly Women," Journal of the National Cancer Institute 90, no. 11 (1998): 833- 840.
39. Medicare Payment Advisory Commission, Report to the Congress: Medicare Payment Policy (Washington: MedPAC, March 1999).
40. E. Hing, E. Sekscenski, and G. Strahan, The National Nursing Home Survey: 1985 Summary for the United States, Vital and Health Statistics Series 13, no. 97 (Hyattsville, Md.: NCHS, January 1989); and authors' calculation for 1996-1997.
41. That is, parenteral nutrition, chemotherapy, antibiotic therapy, anticoagula-tion infusions, transfusion of blood and blood products, oxygen therapy, or home dialysis. Changes in question wording during these data years may also account the differences in percentage of residents receiving "high technology care."
42. Cowan et al, "National Health Expenditures, 1998."
43. H.L. Komisar and J. Feder, The Balanced Budget Act of 1997:Effects on Medicare's Home Health Benefit and Beneficiaries Who Need Long-Term Care (New York: Common-wealth Fund, February 1998).
44. Ibid.
45. C. Bishop and K.C. Skwara, "Recent Growth of Medicare Home Health," Health Affairs (Fall 1993): 95-110.
46. R. Bradley et al., "National Health Expenditures, 1997," Health Care Financing Review 20, no. 1 (1998): 83-126; and DHHS, Report to the President.
47. Twomey, "Antibiotic Resistance"; McCajg and Hughes, "Trends in Antimicrobial Drug Prescribing"; and LF. McCaig, K.E. Besser, and J.M. Hughes, "Decline in Pediatric Antimicrobial Drug Prescribing among Office-Based Physicians in the United States, 1989-98" (Paper presented at the thirty-eighth meeting of the Infectious Disease Society of America, September 2000).
48. Twomey, "Antibiotic Resistance"; McCajg and Hughes, "Trends in Antimicrobial Drug Prescribing"; and LF. McCaig, K.E. Besser, and J.M. Hughes, "Decline in Pediatric Antimicrobial Drug Prescribing among Office-Based Physicians in the United States, 1989-98" (Paper presented at the thirty-eighth meeting of the Infectious Disease Society of America, September 2000).
49. Twomey, "Antibiotic Resistance"; McCajg and Hughes, "Trends in Antimicrobial Drug Prescribing"; and LF. McCaig, K.E. Besser, and J.M. Hughes, "Decline in Pediatric Antimicrobial Drug Prescribing among Office-Based Physicians in the United States, 1989-98" (Paper presented at the thirty-eighth meeting of the Infectious Disease Society of America, September 2000).
50. J. Ashby, S. Guterman, and T. Greene, "An Analysis of Hospital Productivity and Product Change," Health Affairs (Sep/Oct 2000): 197-205.
51. J. Lubitz et al., "Three Decades of Health Care Use by the Elderly, 1965- 1998," Health Affairs (Mar/Apr 2001): 19-32.