Table 4. Factors Accounting for Growth in Expenditures for Selected Categories of Total Systems Cost, 1971 to 19811.
Factors Accounting for “How” Medical Care Expenditures Rose | Community Hospital Care | Physicians' Services | Dentists' Services | Nursing Home Care Excluding ICF-MR | Total Systems Cost (Personal Health Care) | |||
---|---|---|---|---|---|---|---|---|
| ||||||||
inpatient Expenses2 | Outpatient Expenses2 | |||||||
| ||||||||
Inpatient Days | Admissions | |||||||
Economy-Wide factors | ||||||||
1. | General inflation | 51.7% | 51.7% | 41.6% | 58.1% | 58.6% | 53.0% | 56.8% |
2. | Aggregate population growth | 7.2 | 7.2 | 5.6 | 8.1 | 8.2 | 7.4 | 7.9 |
“Health-Sector Specific” Factors | ||||||||
3. | Growth in per capita visits or patient days | 4.2 | 8.6 | 17.9 | −3.4 | 14.2 | 19.8 | NA |
4. | Growth in real services per visit or per day (intensity) | 25.2 | 20.8 | 25.3 | 27.4 | 17.6 | 13.1 | NA |
5. | Medical care price increases relative to general price inflation3 | 11.7 | 11.7 | 9.6 | 9.8 | 1.4 | 6.7 | 7.0 |
Addenda: Growth in real services per capita | — | — | — | — | — | — | 28.3 | |
Total | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 |
NA = Not available
Total systems cost is called personal health care in Gibson and Waldo (1982).
Community hospital expenses are split into inpatient and outpatient expenses using the American Hospital Association (1982) procedure.
See Table A-13 for price variables.