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. 2010 May;100(5):811–819. doi: 10.2105/AJPH.2009.174490

TABLE 2.

Percentage Changes From Initial Value in Selected Outcomes in Model Simulating the US Health System at Year 5 and Year 25, by Scenario

Coverage + Quality, % Change Coverage + Quality + Capacity, % Change Coverage + Quality + Capacity + Reimbursement Cut, % Change Coverage + Quality + Capacity + Protection, % Change Capacity + Protection, % Change
Unhealthy days per capita per mo (initial = 5.26)
    Year 5 −4.7 −6.4 −3.4a –9.5b −4.5
    Year 25 −6.1 −11.1 −5.3a –20.7b −13.0
Deaths per 1000 persons per y (initial = 7.46)
    Year 5 −9.7 −11.3 −5.4 –14.2b −4.5a
    Year 25 −11.8 −16.4 −8.2a –25.5b −13.1
Health inequityc (initial = 0.143)
    Year 5 +2.3a −7.1 +0.5 −14.2 –15.2b
    Year 25 +6.9a −20.6 +3.3a –32.9b −26.8
Health care costs per capita per y (initial = $5434)
    Year 5 +4.9a +3.5a –8.5b +1.3a −3.4
    Year 25 +5.8a +2.6a –8.3b −4.6 −8.8
Disease and injury prevalence (initial = 0.378)
    Year 5 −0.2a −0.3 −0.4 –3.3b −3.1
    Year 25 −1.0a −2.0 −1.7 –12.6b −11.1
Effectively managed fraction of disease and injury (initial = 0.583)
    Year 5 +14.8 +20.3 +10.0 +20.8b +4.6a
    Year 25 +17.2 +30.3b +12.0 +30.2 +6.9a
Fraction of acute nonurgent visits to hospital versus physician office (initial = 0.143)
    Year 5 +16.6a −15.3 +0.6 −18.5 –31.5b
    Year 25 +26.7a −40.1 +6.2a −41.0 –41.7b
Sufficiency of PCPs (initial = 0.905)
    Year 5 −6.8a +7.0 −0.1 +8.1 +10.5b
    Year 25 −7.8a +10.5b −1.3a +10.5b +10.5b

Note. PCP = primary care provider. All scenarios computed according to baseline parameter settings.

a

Worst result among the 5 scenarios or an undesirable result.

b

Best result among the 5 scenarios.

c

Health inequity is the fraction of unhealthy days in the overall population that is attributable to the disparity between the advantaged and disadvantaged subgroups.