Pronounced gender and age differences are evident in personal health care spending per person

Health Affairs

Volumn 30, Issue 1, 2011, Pages 153-160

  Cylus, Jonathan ^a   Hartman, Micah ^b   Washington, Benjamin ^b   Andrews, Kimberly ^b   Catlin, Aaron ^b  

^a EUROPEAN OBSERVATORY ON HEALTH SYSTEMS AND POLICIES   (United Kingdom)

^b National Health Statistics Group   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CHILD; FEMALE; GROUPS BY AGE; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; HUMAN EXPERIMENT; INFANT; LIFE EXPECTANCY; MALE; MATERNAL CARE; MEDICAID; MEDICAL RESEARCH; PRESCHOOL CHILD; PUBLIC HEALTH SERVICE; SCHOOL CHILD; SEX DIFFERENCE;

ADOLESCENT; ADULT; AGE FACTORS; AGED; CHILD; CHILD, PRESCHOOL; FEMALE; HEALTH EXPENDITURES; HUMANS; INFANT; INFANT, NEWBORN; INSURANCE, HEALTH; LIFE EXPECTANCY; MALE; MIDDLE AGED; SEX FACTORS; UNITED STATES; YOUNG ADULT;

EID: 79951619391     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2010.0216     Document Type: Article

References (30)

1. Hartman M, Catlin A, Lassman D, Cylus J, Heffler S. US health spending by age, selected years through 2004. Health Aff (Millwood). 2008;27(1):w1-12. DOI: 10.1377/hlthaff.27.1.w1.
2. Any discrepancies in the expenditure data by age group between our previous paper and this one are attributable to improved measures of the distribution of health spending by age and updated total health spending data from the National Health Expenditure Accounts.
3. Centers for Medicare and Medicaid Services. Health expenditures by age [Internet]. Baltimore (MD): CMS; [cited 2010 Feb 2]. Available from: http://www.cms.hhs.gov/National HealthExpendData/04-National HealthAccountsAgePHC.asp
4. Centers for Medicare and Medicaid Services. National Health Expenditures Accounts: definitions, sources, and methods, 2008 [Internet]. Baltimore (MD): CMS; [cited 2010 Nov 17]. Available from: http://www.cms.gov/ NationalHealthExpendData/downloads/dsm-08.pdf
5. Bird C, Shugarman L, Lynn J. Age and gender differences in health care utilization and spending for Medicare beneficiaries in their last years of life. J Palliat Med. 2002;5(5):705-12. (Pubitemid 35283431)
6. Murphy J, Hepworth J. Age and gender differences in health services utilization. Res Nurs Health. 1996;19:323-9. (Pubitemid 126433741)
7. Selden TM, Sing M. The distribution of public spending for health care in the United States, 2002. Health Aff (Millwood). 2008;27(5):w349-59. DOI: 10.1377/hlthaff.27.5.w349.
8. US Census Bureau. Population estimates [Internet]. Washington (DC): The Bureau; [cited 2010 Oct 15]. Available from: http://www.census.gov/popest/ national/asrh/NCEST2009-sa.html
9. Arias E. United States life tables, 2004 [Internet]. Hyattsville (MD): National Center for Health Statistics; 2007 Dec 28. [cited 2010 Nov 30]. (National Vital Statistics Reports; 56, no. 9). Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56-09.pdf
10. Case A, Paxson C. Sex differences in morbidity and mortality. Demography. 2005;42(2):189-214. (Pubitemid 40974201)
11. Haas J. The cost of being a woman. N Engl J Med. 1998;338:1694-5. (Pubitemid 28267919)
12. Muller C. Health care and gender. New York (NY): Russell Sage Foundation; 1990.
13. Bird C, Fremont A. Gender, time use, and health. J Health Soc Behav. 1991;32(2):114-29.
14. Marquis MS, Long S. Worker demand for health insurance in the non-group market. J Health Econ. 1995;14:47-63.
15. Pear R. Health insurers agree to end higher premiums for women. New York Times. 2009 May 6.
16. DeFrances C. National hospital discharge survey: 2005 annual summary with detailed diagnosis and procedure data. Vital Health Stat. 2007;13(165):49.
17. Personal health care comprises therapeutic goods or services used to treat or prevent a specific disease or condition in a specific person. Non-personal health care includes government spending to provide health services and to prevent or control health problems in a group setting, where individuals cannot be identified. Non-personal health care also includes the cost of running various government health care programs; the difference between premiums earned by insurers and the claims or losses incurred for which insurers become liable (that is, the net cost of private health insurance); spending for noncommercial biomedical research; and the cost of structures and equipment used throughout the health care delivery system.
18. The services include home health care; care from professionals such as optometrists, chiropractors, audiologists, and podiatrists; dental care; retail prescription drugs; retail purchases of durable medical equipment, such as eyeglasses, contact lenses, hearing aids, and wheel-chairs; and retail purchases of non-durable medical products, such as over-the-counter medications.
19. Condition data were collected from household respondents sampled in MEPS. Although codes were verified by the MEPS program staff, the ability of household respondents to report condition data that can be coded accurately should not be assumed. Agency for Healthcare Research and Quality. Medical Expenditure Panel Survey: Household Component [Internet]. Rockville (MD): AHRQ; [cited 2010 Oct 15]. Available from http://www.meps.ahrq.gov/mepsweb/survey- comp/household.jsp
20. Quinn P,Wigal S. Perceptions of girls and ADHD: results from a national study. MedGenMed. 2004;6(2):2.
21. US Census Bureau. American Community Survey, S2601B. Characteristics of the group quarters population by group quarters type [Internet]. Washington (DC): The Bureau; 2006 [cited 2010 Dec 7]. Available from: http://factfinder. census.gov/servlet/STTable?-bm=y&-state=st&-qr-name=ACS-2006-EST-G00- S2601B&-ds-name=ACS-2006-EST-G00-&-CONTEXT=st&-redoLog= true&--caller=geoselect&-geo-id=01000US&-format=&--lang=en
22. Lakdawalla DN, Schoeni RF. Is nursing home demand affected by the decline in age difference between spouses? Demogr Res. 2003;8(10):279-304.
23. Thomson Healthcare. The healthcare costs of having a baby [Internet]. Santa Barbara (CA): Thomson Healthcare; 2007 Jun [cited 2010 Nov 17]. Available from: http://www.kff.org/womenshealth/upload/whp061207othc.pdf
24. American Heart Association. Heart disease and stroke statistics: 2009 update at-a-glance [Internet]. Dallas (TX): The Association; [cited 2009 July 15]. Available from: http://www.americanheart.org/downloadable/heart/ 1240250946756LS-1982%20Heart%20and%20Stroke%20Update.042009.pdf
25. IMS Health. National disease and therapeutics index. Falls Church (VA): IMS Health; 2008 Sep.
26. Statehealthfacts.org. Retail prescription drugs filled at pharmacies, annual per capita by gender, 2007 [Internet]. Washington (DC): Kaiser Family Foundation; [cited 2009 July]. Available for download from: http://www. statehealthfacts.org
27. Arthritis Foundation. Arthritis burden greater for women [Internet]. Atlanta (GA): The Foundation; [cited 2010 Oct 15]. Available from: http://www.arthritis.org/arthritis-women-burden.php
28. Mayo Clinic. Depression in women: understanding the gender gap [Internet]. Rochester (MN): The Clinic; 2010 Sep 1 [cited 2010 Nov 18]. Available from: http://www.mayoclinic.com/health/depression/MH00035
29. Although these data do not reflect the impact of Medicare Part D, which had not come into effect in 2004, an analysis of Part D data for 2006, 2007, and 2008 showed no significant change in the distribution of spending on prescription drugs in the elderly population by gender.
30. Poisal JA, Murray L. Growing differences between Medicare beneficiaries with and without drug coverage. Health Aff (Millwood). 2001;20(2):74-85. (Pubitemid 33710277)