Use of medical care for chronic conditions

Health Affairs

Volumn 28, Issue 1, 2009, Pages 26-35

  Decker, Sandra L ^c   Schappert, Susan M ^a   Sisk, Jane E ^a,b  

^a NATIONAL CENTER FOR HEALTH STATISTICS   (United States)

^b MOUNT SINAI SCHOOL OF MEDICINE   (United States)

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY CARE; ARTHRITIS; ARTICLE; CEREBROVASCULAR DISEASE; CHRONIC DISEASE; DEPRESSION; DIABETES MELLITUS; EMERGENCY WARD; HEART DISEASE; HOSPITAL DISCHARGE; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MEDICAID; MEDICAL CARE; NEOPLASM; OUTPATIENT DEPARTMENT;

AMBULATORY CARE; CHRONIC DISEASE; HEALTH CARE SURVEYS; HUMANS; PATIENT DISCHARGE; UNITED STATES;

EID: 59449103779     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.28.1.26     Document Type: Article

References (22)

1. A. Jemal et al., "Trends in the Leading Causes of Death in the United States, 1970-2002," Journal of the American Medical Association 294, no. 10 (2005): 1255-1259;
2. and V.A. Freedman et al., "Chronic Conditions and the Decline in Late-Life Disability," Demography 44, no. 3 (2007): 459-477.
3. K.E. Thorpe, C.S. Florence, and P. Joski, "Which Medical Conditions Account for the Rise in Health Care Spending?" Health Affairs 23 (2004): w437-w445 (published online 25 August 2004; 10.1377/hlthaff.w4.437).
4. For more information about the surveys, see National Center for Health Statistics, "National Health Care Surveys," http://www.cdc.gov/nchs/ nhcs.htm (accessed 22 October 2008).
5. R.J. Klein and C.A. Schoenborn, "Age Adjustment Using the 2000 Projected U.S. Population," Healthy People 2010 Statistical Notes 20 (2001): 1-10.
6. Visits related to chronic conditions were identified as follows: heart disease (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] codes 392.0, 393-398, 404, 410-416, 427, 420-426, 428-429), cancer (140-208, 230-234, 338.3, V67.2), cerebrovascular diseases (430-438), lower respiratory disease (490-496), hypertension (401-405, 642, 760.0, 997.9), diabetes (250, 775.1, 790.20-790.29, 648.00-648.09, 648.80-648.89), and depression (290.13, 290.21, 290.43, 296.2-296.3, 296.5-296.6, 296.80, 296.82, 298.0, 300.4, 309.0-309.1, 309.28, 311, 648.4). Arthritis and other rheumatic conditions were identified by ICD-9-C Mcodes from "Prevalence of Arthritis - United States, 1997," Morbidity and Mortality Weekly Report 50, no. 17 (2001): 334-336.
7. M. Heron, "Deaths: Leading Causes for 2004," National Vital Statistics Report 56, no. 5 (2007): 196;
8. and S.M. Schappert and E.A. Rechtsteiner, "Ambulatory Medical Care Utilization Estimates for 2006," National Health Statistics Reports 8 (Hyattsville, Md.: NCHS, 2008).
9. The substantial portion of records missing race in the NHDS precluded analyzing discharge rates by race for these chronic conditions.
10. SUDAAN, Release 9.0.1 (Research Triangle Park, N.C.: Research Triangle Institute, 2005).
11. Sample size limits and incomplete response rates about ethnicity precluded us from examining service use by ethnicity or for specific races other than blacks or whites.
12. B. Alemayehu and K.E. Warner, "The Lifetime Distribution of Health Care Costs," Health Services Research 39, no. 3 (2004): 627-642.
13. K.L. Ong et al., "Prevalence, Awareness, Treatment, and Control of Hypertension among United States Adults, 1999-2004," Hypertension 29, no. 1 (2007): 64-75;
14. and Jemal et al., "Trends in the Leading Causes of Death."
15. Ong et al., "Prevalence, Awareness, Treatment, and Control of Hypertension."
16. Freedman et al., "Chronic Conditions and the Decline in Late-Life Disability"; and Jemal et al., "Trends in the Leading Causes of Death."
17. K.L. Ong et al., "Prevalence, Treatment, and Control of Diagnosed Diabetes in the U.S. National Health and Nutrition Examination Survey, 1999-2004," Annals of Epidemiology 18, no. 3 (2008): 222-229.
18. M. Olfson et al., "National Trends in the Outpatient Treatment of Depression," Journal of the American Medical Association 287, no. 2 (2002): 203-209.
19. L.A. Pratt and D.J. Brody, "Depression in the United States Household Population, 2005-2006," Data Brief 7 (Hyattsville, Md.: NCHS, 2008).
20. Medicare Payment Advisory Commission, "Medicare's Hospice Benefit: Recent Trends and Consideration of Payment System Refinements," chap. 3 in Report to the Congress: Increasing the Value of Medicare (Washington: MedPAC, 2004). From 1996 to 2006, a preliminary analysis of data from the NCHS's National Survey of Ambulatory Surgery indicates that there was a 24 percent increase in the age-adjusted visit rate for cancer to hospital-based and freestanding ambulatory surgery centers. Age-adjusted visits for arthritis and other rheumatic conditions also increased significantly.
21. S.L. Decker, "Medicaid Physician Fees and the Quality of Medical Care of Medicaid Patients in the USA," Review of Economics of the Household 5, no. 1 (2007): 95-112.
22. NCHS data from nursing homes and home and hospice care agencies could illuminate these relationships; see Note 3.