Major Areas of Health Research Topics Using MEPS Data Access Access Use Use Expenditures...
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Major Areas of Health Research Major Areas of Health Research Topics Using MEPS DataTopics Using MEPS Data
AccessAccess UseUse ExpendituresExpenditures Health insuranceHealth insurance Health status and conditionsHealth status and conditions QualityQuality
Access
Individuals age 18 to 64 with no usual source of Individuals age 18 to 64 with no usual source of care, by health insurance status, 2002care, by health insurance status, 2002
Per
cen
t
23.2 22.619.5
15.320.1
42.2
29.8
60.3
0
25
50
75
Overall Any private Public only Uninsured
Women Men
Percent distribution of usual source of care by race/ethnicity, 2002
Health insurance status of the U.S. civilian Health insurance status of the U.S. civilian noninstitutionalized population, age noninstitutionalized population, age
18 to 64, 200218 to 64, 2002P
erce
nt
17.8
76.1
10.313.6
6.4
75.8
0
20
40
60
80
Any private Public only Uninsured
Women Men
Health Insurance
MEPS, 1996MEPS, 1996––2004:2004: Percentage of children under Percentage of children under age 18, by all-year insurance statusage 18, by all-year insurance status
58.8 58.861.260.358.3 57.0 56.3 55.7 54.0
18.017.416.2 16.9 16.4 20.423.3 23.8 25.6
10.4 10.4 9.4 7.7 9.1 8.2 7.3 6.6 6.70
10
20
30
40
50
60
70
1996 1997 1998 1999 2000 2001 2002 2003 2004
Private Public only Uninsured
Per
cen
t
Source: Center for Financing, Access, and Cost Trends, AHRQ, Household Component of the Medical Expenditure Panel Survey, 1996–2004 Full-Year Files
MEPS, 1996MEPS, 1996––2004: Number of children under 2004: Number of children under age 18, by all-year insurance statusage 18, by all-year insurance status
37.438.638.939.439.7 41.4 42.0 40.439.8
17.716.516.114.1
11.311.610.9 11.8 12.4
4.74.65.15.66.35.36.57.17.00
10
20
30
40
1996 1997 1998 1999 2000 2001 2002 2003 2004
Private Public only Uninsured
Nu
mb
er i
n m
illi
on
s
Source: Center for Financing, Access, and Cost Trends, AHRQ, Household Component of the Medical Expenditure Panel Survey, 1996–2004 Full-Year Files
Percentage uninsured by age, Percentage uninsured by age, U.S. civilian noninstitutionalized population U.S. civilian noninstitutionalized population
under age 65, 2001under age 65, 2001––20042004
31.2
23.1
55.1
47.1
35.4
28.6
21.8
9.211.113.6
15.718.0
4.5
10.36.57.48.310.4
10.8
2.66.6
0
10
20
30
40
50
60
Total Under 18 18-24 25-29 30-34 35-54 55-64
Uninsured at least 1 month, 2003-04 Uninsured 2 years, 2003-04 Uninsured 4 years, 2001-04
Per
cen
t
Use
Percent of the U.S. civilian noninstitutionalized Percent of the U.S. civilian noninstitutionalized population with an expense, by type of service, 2003population with an expense, by type of service, 2003
20.0
85.6
13.32.0
16.9
42.7
64.472.3
7.4
0
30
60
90
Any expense Hospitalinpatientservices
Office-basedmedicalprovider
Prescriptionmedicines
Dentalservices
Hospitaloutpatientservices
Home healthcare
Emergencyroom
services
Other medicalservices andequipment
Per
cen
t
Percentage of children 0 to 4 years old that had at least Percentage of children 0 to 4 years old that had at least one antibiotic prescription during the year, 1996 to 2000one antibiotic prescription during the year, 1996 to 2000
47.9
38.140.041.4
44.3 44.8
50.5
54.7
47.7
46.1
35
40
45
50
55
60
1996 1997 1998 1999 2000
All children 0-4Children 0-4 with an ambulatory care visit
Per
cen
t
Percentage of adults age 18 and over Percentage of adults age 18 and over reported to have health service use* for headaches, reported to have health service use* for headaches,
by age and sex, average annual, 2002-03by age and sex, average annual, 2002-03
4.5
1.9 1.6
5.3
3.43.5
0
2
4
6
8
Overall 18-44 45-64 65+ Male Female
Per
cen
t
Age
* Health service use includes ambulatory visits and/or prescription drug purchases for migraines or other
headaches.
Sex
Expenditures
Mean expense per person with expenses in the U.S. Mean expense per person with expenses in the U.S. civilian noninstitutionalized population, civilian noninstitutionalized population,
by type of service, 2003by type of service, 2003
334
3,601
756
4,819
1,790540950860
14,112
0
3,000
6,000
9,000
12,000
15,000
Total Hospitalinpatientservices
Office-basedmedicalprovider
Prescriptionmedicines
Dentalservices
Hospitaloutpatientservices
Home healthcare
Emergencyroom
services
Other medicalservices andequipment
Do
llar
s
Average and median out-of-pocket expenses for health Average and median out-of-pocket expenses for health care,* by age, 2003care,* by age, 2003
296
861
1,547
696
261
707
70
254
0
500
1,000
1,500
2,000
All ages <18 18-64 65 and over
Average Median
Do
llars
Average payment for an emergency room Average payment for an emergency room visit, by type of service received, 2003visit, by type of service received, 2003
637
302
904
560
0
200
400
600
800
1,000
Overall Surgery Otherservices*
(no surgery)
No specialservices
Do
llar
s
*Other services include any of the following: laboratory test, sonogram or ultrasound, X-ray, mammogram, MRI, CAT scan, EKG, ECG, EEG, vaccination, anesthesia, and other miscellaneous diagnostic tests.
Quality
Among children < 18 who had appointments for regular or Among children < 18 who had appointments for regular or routine health care in the last 12 months, percent distribution of routine health care in the last 12 months, percent distribution of
getting them as soon as wanted by race/ethnicity, 2000getting them as soon as wanted by race/ethnicity, 2000
52.1 53.7
12.5
45.0 53.833.833.2 37.3 26.9
14.7 17.7 19.4
020406080
100
Total Hispanic Black White
Per
cen
t
Always Usually Sometimes/never
Note: Total includes Hispanic, black, white, and other races not shown separately.
Source: Center for Cost and Financing Studies, AHRQ, Medical Expenditure Panel Survey, 2000
Treatment of sore throats for children under 18: Selected Treatment of sore throats for children under 18: Selected measures by metropolitan area status, 2002measures by metropolitan area status, 2002––2004 2004
(average annual)(average annual)P
erce
nt
Women age 18 to 64 who received Women age 18 to 64 who received a Pap test at recommended intervals, by a Pap test at recommended intervals, by
health insurance status, 2002health insurance status, 2002
78.470.8
44.6
57.565.962.1
83.9 87.0
0
25
50
75
100
Overall Any private Public only Uninsured
Percent with Pap test within last yearPercent with Pap test within last 3 years
Per
cen
t
Women age 40 to 64 who received Women age 40 to 64 who received mammogram screening at recommended intervals, mammogram screening at recommended intervals,
by health insurance status, 2002by health insurance status, 2002
44.5
31.5
48.2
59.555.3
63.772.3
77.2
0
25
50
75
100
Overall Any private Public only Uninsured
Percent with mammogram within the last yearPercent with mammogram within the last 2 years
Per
cen
t
Men age 50 to 64 who received a Men age 50 to 64 who received a PSA test at recommended intervals, PSA test at recommended intervals,
by health insurance status, 2002by health insurance status, 2002
28.522.2
33.9
45.542.0
45.4
54.458.7
0
25
50
75
Overall Any private Public only Uninsured
Percent with PSA test within the last yearPercent with PSA test within the last 2 years
Per
cen
t
Health Status and Conditions
Individuals age 18 to 64, mean expenditures Individuals age 18 to 64, mean expenditures
for health care, by health status, 2002for health care, by health status, 2002
7,3417,505
3,225
2,2561,654
2,274
9151,424
0
2,500
5,000
7,500
Excellent Very good Good Fair/Poor
Mean health care expenses for womenMean health care expenses for men
Do
llar
s
47.5
70.0
55.4 53.7
35.336.2
48.4 45.3
67.6
55.8
0
20
40
60
80
Heart conditions Cancer Trauma Mentaldisorders
Pulmonaryconditions
1997* 2002
Expenditures for the five most costly conditions, 1997 Expenditures for the five most costly conditions, 1997 and 2002and 2002
In b
illio
ns
of
2002
do
llar
s
*Expenditure estimates for 1997 inflated to 2002 dollars using the medical consumer price index.
9.7
81.1
36.7
11.3
58.3
21.518.8
57.764.4
0
15
30
45
60
75
90
Hypertension Overweight/obese Cardiovasculardisease/stroke
All adults Non-diabetic adults Diabetic adults
Chronic diseases among diabetics, non-diabetics, and all adult U.S. population, 2003
Per
cen
t
Distribution of expenses for injury-related Distribution of expenses for injury-related conditions, by cause, 2002conditions, by cause, 2002
Percentage of adults 18 years or older who Percentage of adults 18 years or older who currently smoked, by selected chronic conditions, 2003currently smoked, by selected chronic conditions, 2003
43.4
16.017.9
19.921.322.2
0
10
20
30
40
50
Emphysema Asthma Stroke Cardiovascularproblems
Hypertension Diabetes
Per
cen
t
Other AHRQ Data ProductsOther AHRQ Data Products
Healthcare Cost and Utilization Healthcare Cost and Utilization Project (HCUP)Project (HCUP)
Consumer Assessment of Health Consumer Assessment of Health Care Providers and Systems (CAHPS)Care Providers and Systems (CAHPS)
HCUPHCUP
Family of healthcare databases and software Family of healthcare databases and software tools to analyze hospital discharge data include:tools to analyze hospital discharge data include:
– State Inpatient Databases (SID)State Inpatient Databases (SID)– State Ambulatory Surgery Databases (SASD)State Ambulatory Surgery Databases (SASD)– State Emergency Dept Databases (SEDD)State Emergency Dept Databases (SEDD)– National Inpatient Sample (NIS)National Inpatient Sample (NIS)– Kids Inpatient Database (KID)Kids Inpatient Database (KID)
HCUP ToolsHCUP Tools
CCS SoftwareCCS Software Quality Indicators (QI’s)Quality Indicators (QI’s) Co-morbidity softwareCo-morbidity software HCUP-netHCUP-net
www.ahrq.gov/data/hcupwww.ahrq.gov/data/hcup
CAHPSCAHPS
Standardized tools to assist consumers assess Standardized tools to assist consumers assess choices in health care plans and services, and to choices in health care plans and services, and to provide basis for quality improvement.provide basis for quality improvement.
National CAHPS Benchmarking Database (NCBD) National CAHPS Benchmarking Database (NCBD) – facilitates comparisons of CAHPS results – facilitates comparisons of CAHPS results among different sponsors.among different sponsors.
www.cahps.ahrq.gov/default.aspwww.cahps.ahrq.gov/default.asp
Contact Information Contact Information
Steve MachlinSteve Machlin Phone: 301-427-1480Phone: 301-427-1480 Email: Email: [email protected]@ahrq.hhs.gov