Ambulatory Surgery in U.S. Hospitals,
2003. C. Russo, P. Owens, C. Steiner, et al., HCUP Fact Book
No. 9, January 2007, 52 pp. Examines differences in utilization and
cost of various surgical procedures performed in inpatient and hospital-based
outpatient settings. Data are from 17 States in AHRQ's Healthcare Cost and
Utilization Project (HCUP) State Inpatient Databases and State Ambulatory
Surgery Databases. (AHRQ 07-0007)
Can We Better Prioritize Resources for
Cost-Utility Research? P. Neumann, A. Rosen, D. Greenberg, et
al., Medical Decision Making July/August 2005, 429-436. Examines
published cost-utility analyses in the U.S. and other developed countries from
1976 through 2001 to determine the types of interventions studied, whether
they cover diseases and conditions with the highest burden, and to what extent
they have covered leading health concerns defined by the Healthy People
2010 report. (AHRQ 05-R066)
Care of Adults with Mental Health and
Substance Abuse Disorders in U.S. Community Hospitals, 2004. P.
Owens, M. Myers, A. Elixhauser, et al., HCUP Fact Book, No. 10,
January 2007, 56 pp. Examines patient characteristics and resource use by
people ages 18 and older who were treated for mental health and/or substance
use conditions in general (as opposed to specialty) hospitals in 2004. Special
topics including suicide-related stays and maternal stays complicated by
mental health conditions are included. (AHRQ 07-0008)
Changes in Financial Burdens for Health Care:
National Estimates for the Population Younger than 65 Years, 1996 to
2003. J. Banthin, D. Bernard, Journal of the American Medical
Association 296(22): December 13, 2006, 2712-2719. Provides
estimates of the number and characteristics of individuals in the United
States who were faced with very high financial burdens for health care at two
points in time, 1996 and 2003. (AHRQ 07-R022)
The Changing Pattern of Hospital Care for
Persons Living with HIV: 2000 Through 2004. F. Hellinger,
Journal of Acquired Immune Deficiency Syndromes 45(2): June 2007,
239-246. Compares inpatient use and costs for people living with HIV in 2000
with inpatient use and costs in 2004. (AHRQ 07-R060)
Consumer Financial Incentives: A Decision
Guide for Purchasers. Agency for Healthcare Research and Quality,
November 2007, 39 pp. Provides a tool for exploring if and how consumer
financial incentives might be used to improve community or market readiness
for health care quality improvement. (AHRQ 07(08)-0059)
Cost of Hospitalization for Preterm and Low
Birth Weight Infants in the United States. R. Russell, N. Green,
C. Steiner, et al., Pediatrics 120(1): July 2007, e1-e9. Presents
estimates of national hospital costs for infant hospital admissions associated
with preterm birth and/or low birthweight. (AHRQ 07-R066)
Databases and Related Resources from the
Healthcare Cost and Utilization Project (HCUP). Agency for
Healthcare Research and Quality, May 2005, 3 pp. Briefly describes HCUP
databases (e.g., Nationwide Inpatient Sample, State Inpatient Databases, State
Ambulatory Surgery Databases, Kids' Inpatient Database) and software tools
(e.g., AHRQ Quality Indicators, Clinical Classifications Software, Comorbidity
Software); data availability and ordering information are included. Web-based
HCUPnet and recently published research notes and journal articles are also
summarized. (AHRQ 05-P014)
Does Capitation Matter? Impacts on Access,
Use, and Quality. S. Zuvekas, S. Hill, Inquiry 41: Fall
2004, 316-335. Examines impacts of capitating the usual source of care of
enrollees in health maintenance organizations. Accounts for the endogeneity of
capitation and other characteristics using generalized methods of moments
estimation on a sample from the Medical Expenditure Panel Survey for 1996 and
1997. (AHRQ 05-R046)
Economic and Health Costs of
Diabetes. HCUP Highlights Issue 1, January 2005, 4 pp.
Summarizes findings from AHRQ's Healthcare Cost and Utilization Project (HCUP)
using hospital care data to examine how diabetes-related complications affect
health status, hospitalizations, and economic costs. (AHRQ 05-0034)
Financial Burden of Health Care,
2001-2004. J. Banthin, P. Cunningham, D. Bernard, Health
Affairs 27(1): January/February 2008, 188-195. Presents the results
of an analysis of MEPS data, which found that rising out-of-pocket expenses
and stagnant incomes increased the financial burden of health care for
families during the years 2001-2004, especially for the privately insured.
(AHRQ 08-R032)
Health Care Expenditure Burdens Among Adults
with Diabetes in 2001. D. Bernard, J. Banthin, W. Encinosa,
Medical Care 44(3): March 2006, 210-215. Examines financial burdens
among adults with diabetes using nationally representative data. Emphasizes
the role of medications and diabetic supplies in contributing to high
out-of-pocket burdens. (AHRQ 06-R052)
HCUPnet. This interactive online
service from the Healthcare Cost and Utilization Project (HCUP) gives users
easy access to national statistics as well as to selected State statistics
about hospital stays. HCUPnet guides users step-by-step to obtain these
statistics by using data from HCUP's Nationwide Inpatient Sample, Kids'
Inpatient Database, and State Inpatient Databases for States that participate.
Web-based HCUPnet is a user-friendly source for information on various aspects
of care in U.S. hospitals, such as: the "National Bill" for total
hospital charges for the most expensive conditions; "Instant Tables"
that give statistics on the most common conditions and procedures; and trends
(beginning 1993) in length of hospital stays, in-hospital deaths, charges, and
other outcomes for all conditions and procedures. HCUPnet is free and publicly
available at: http://hcupnet.ahrq.gov.
Health, Spending and the Effort to Improve
Quality in OECD Countries: A Review of the Data. E. Kelley,
Journal of the Royal Society for the Promotion of Health
127(2): March 2007, 64-71. Summarizes what is known about a range of issues in
health system performance, including spending and outcomes. Uses data on
health, spending, risk factors, and quality of care from the Organization for
Economic Cooperation and Development to examine and compare health care
quality at the international level. (AHRQ 08-R065)
Hospital Inpatient Costs for Adults with
Multiple Chronic Conditions. B. Friedman, H. Jiang, A.
Elixhauser, et al., Medical Care Research and Review 63(3): June
2006, 327-346. Provides national estimates of the proportions of hospital
inpatient cases and cost for adult, nonmaternal patients who have multiple
chronic conditions. (AHRQ 06-R070)
Hospitalization in the United States,
2002. C. Merrill, A. Elixhauser, HCUP Fact Book, No. 6,
June 2005, 52 pp. Summarizes information from the Nationwide Inpatient Sample,
an all-payer hospital database maintained by AHRQ. Updates an earlier fact
book that described hospital care in 1997, and allows for easy comparisons
between 1997 and 2002 hospital care information. (AHRQ 05-0056)
Kids' Inpatient Database (KID).
Agency for Healthcare Research and Quality, May 2007, two-fold brochure.
Provides information about the Kids' Inpatient Database, a hospital
administrative dataset that is designed specifically to assess hospital care
among newborns, children, and adolescents. Part of the Healthcare Cost and
Utilization Project (HCUP), the KID is an affordable database for studying
hospital use among children. (AHRQ 06(07)-0016-2)
MEPS: A Survey of Health Care Use and
Spending. Agency for Healthcare Research and Quality, July 2007,
9 pp. Brochure describes the Medical Expenditure Panel Survey (MEPS),
including the various survey components; the types of data collected; how the
data can be used by researchers, policymakers, health care administrators, and
others; and how to obtain MEPS data. Sample MEPS findings are presented. (AHRQ
07-0078)
Monitoring and Evaluating Medicaid
Fee-for-Service Care Management Programs. Agency for Healthcare
Research and Quality, November 2007, 43 pp and 2 pp insert. Guides users
through the steps of program evaluation, from getting started to thinking
about budget to executing the evaluation itself. Includes a two-page insert
for program directors and policymakers. (AHRQ 08-0012)
National Trends in the Costs of Bariatric
Surgery. W. Encinosa, D. Bernard, C. Steiner, Bariatrics
Today 3:2005, 10-12. Examines recent national trends in the hospital
costs of bariatric surgery, answers the question of who is paying for
bariatric surgery, and examines which types of hospitals have low bariatric
surgery costs. (AHRQ 06-R031)
Nationwide Inpatient Sample (NIS)
Brochure. Agency for Healthcare Research and Quality, March 2006.
Provides information about the Nationwide Inpatient Sample (NIS), a nationally
representative of all short-term, non-Federal hospitals. Part of the
Healthcare Cost and Utilization Project, the NIS is a reliable and affordable
database for studying hospital data on important health care topics. (AHRQ
06-0016-1)
New Cardiovascular Drugs: Patterns of Use and
Association with Non-Drug Health Expenditures. G. Miller, J.
Moeller, R. Stafford, Inquiry 42(4): Winter
2005/2006, 397-412. Using
nationally representative data on health care expenditures, investigates the
role of prescription drugs in treating cardiovascular conditions. (AHRQ
06-R027)
Prescription Drugs and the Changing
Concentration of Health Care Expenditures. S. Zuvekas, J. Cohen,
Health Affairs 26(1): January/February 2007, 249-257. Explores the
impact of rapid growth in prescription drug spending on the shifting
concentration of health care expenditures in the United States. (AHRQ
07-R031)
Procedures in U.S. Hospitals, 2003.
C. Merrill, A. Elixhauser, HCUP Fact Book, No. 7, May 2006, 50 pp.
Summarizes information about hospital procedures from the Nationwide Inpatient
Sample, an all-payer hospital database maintained by AHRQ. Describes facts
such as which procedures are most common, who receives them, which are
performed in "high-volume" hospitals, and who is billed for them.
(AHRQ 06-0039)
Reconciling Medical Expenditure Estimates
from the MEPS and NHEA, 2002. M. Sing, J. Banthin, T. Selden, et
al., Health Care Financing Review 28(1): Fall
2006, 25-40. Compares
2002 health care expenditure estimates from the Medical Expenditure Panel
Survey and the National Health Expenditure Accounts and discusses their
differences. (AHRQ 07-R033)
Relative Value in Healthcare:
Cost-effectiveness of Interventions. J. Siegel, C. Clancy,
Journal of Nursing Care Quality 21(2): April-June 2006, 99-103.
Discusses the role of nurses and nursing research in accurately estimating the
cost-effectiveness of health care innovations. (AHRQ 06-R064)
Renewed Growth in Hospital Inpatient Cost
Since 1998: Variation Across Metropolitan Areas and Leading Clinical
Conditions. B. Friedman, H. Wong, C. Steiner, American
Journal of Managed Care 12(3): March 2006, 157-166. Uses
disaggregated data abut metropolitan statistical areas and clinical conditions
to describe the variation in cost increases and explore some of the
hypothesized influences. (AHRQ 06-R062)
Riding the Rollercoaster: The Ups and Downs
in Out-of-Pocket Spending Under the Standard Medicare Drug
Benefit. B. Stuart, B. Briesacher, D. Shea, et al., Health
Affairs 24(4): July/August 2005, 1022-1031. Projects how much
Medicare beneficiaries who sign up for the standard Part D drug benefit in
2006 will pay in quarterly out-of-pocket payments through 2008. (AHRQ
05-R069)
State Ambulatory Surgery Databases (SASD)
Brochure. Agency for Healthcare Research and Quality, September
2007. Provides information about the State Ambulatory Surgery Databases
(SASD), which capture ambulatory surgery encounters at hospital facilities
(and some free-standing facilities) within each participating State. The SASD
have been available since 1997 and are an integral component of the Healthcare
Cost and Utilization Project (HCUP) family of databases. (AHRQ
06(07)-0016-4)
State Emergency Department Databases (SEDD)
Brochure. Agency for Healthcare Research and Quality, September
2007. Provides information about the State Emergency Department Databases
(SEDD), available annually since 1999. The SEDD capture emergency visits at
hospital-affiliated emergency departments that do not result in hospital
admission. To facilitate multi-State comparisons and analyses, data are
translated into a uniform, user-friendly format. The SEDD are an integral
component of the Healthcare Cost and Utilization Project (HCUP) family of
databases. (AHRQ 06(07)-0016-5)
State Inpatient Databases (SID)
Brochure. Agency for Healthcare Research and Quality, September
2007. Provides information about the State Inpatient Databases (SID), an
integral component of the Healthcare Cost and Utilization Project (HCUP)
family of databases. Each participating State's SID includes patient discharge
records from that State. The SID have been available annually since 1990 and
are ideal for studying State-level inpatient health care issues. (AHRQ
06(07)-0016-3)
State Level Estimates: Medical Expenditure
Panel Survey. Agency for Healthcare Research and Quality,
MEPS Statistical Briefs, October 2006. Includes three Statistical
Briefs from the Household Component of the Medical Expenditure Panel Survey,
fiscal year 2006. (AHRQ 07-RG005)
Statistics on Health Care Expenditures:
Medical Expenditure Panel Survey. Agency for Healthcare Research
and Quality, MEPS Statistical Briefs, October 2007. Includes nine
Statistical Briefs from the Household Component of the Medical Expenditure
Panel Survey, fiscal year 2006. (AHRQ 07-RG001)
Statistics on Prescribed Drugs: Medical
Expenditure Panel Survey. Agency for Healthcare Research and
Quality, MEPS Statistical Briefs, October 2006. Includes nine
Statistical Briefs from the Household Component of the Medical Expenditure
Panel Survey, fiscal year 2006. (AHRQ 07-RG003)
Trends in Medical Care Costs, Coverage, Use
and Access: Research Findings from the Medical Expenditure Panel
Survey. S. Cohen (ed.) Medical Care Supplement,
44(5): May 2006. Features nine original articles that highlight recent research
studies that demonstrate the utility of this unique national information
resource to inform trends in medical care costs, coverage, use, and access.
(OM 06-0074)
Trends in Prescription Drug Expenditures by
Medicaid Enrollees. J. Banthin, G. Miller, Medical Care
44(5): May 2006, I-27-I-35. Uses data from the Medical Expenditure Panel
Survey, linked to a prescription drug therapeutic classification system, to
examine trends between 1996/1997 and 2001/2002 in utilization and expenditures
for the noninstitutionalized Medicaid population. Highlights differences
within the Medicaid population, including children, adults, disabled, and
elderly. (AHRQ 06-R040)
Use and Costs of Bariatric Surgery and
Prescription Weight-Loss Medications. W. Encinosa, D. Bernard, C.
Steiner, et al., Health Affairs 24(4): July/August 2005, 1039-1046.
Using the Nationwide Inpatient Sample, estimates growth rates of bariatric
surgeries and related hospital costs, and decline in inpatient death rates.
(AHRQ 05-R059)
The Utility of Probabilistic Models to
Identify Individuals With Future High Medical Expenditures. S.
Cohen, T. Ezzati-Rice, W. Yu, Journal of Economic and Social
Measurement 30(2-3):2005, 135-144. Presents an evaluation tool to
assess the utility of probablistic models in terms of their capacity to
successfully oversample policy relevant population subgroups that are subject
to transitions. (AHRQ 06-R033)
Who Can't Pay for Health Care? R.
Weinick, S. Byron, A. Bierman, Journal of General Internal Medicine
2005, 504-509. Provides estimates of the number of adults who avoid health
care due to cost, and assesses the association of income, functional status,
and type of insurance with the extent to which people with health insurance
report financial barriers. (AHRQ 05-R065)
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