Increased numbers of women, older individuals, and blacks receive health care for dyspepsia in the United States

被引:6
作者
Rabeneck, L
Menke, T
机构
[1] Dept Vet Affairs Hlth Serv Res & Dev, Ctr Excellence, Houston, TX USA
[2] Baylor Coll Med, Dept Med, Houston, TX 77030 USA
关键词
delivery of health care; costs and cost analysis; dyspepsia; primary care;
D O I
10.1097/00004836-200104000-00005
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Goals: The objectives of this research were to use a national probability sample of the U.S, population to determine the demographic characteristics of individuals who obtained care for dyspepsia, to compare these demographic characteristics with those of the U.S. population, and to describe the amount of health care that these individuals received. Study: We analyzed data from the 1987 National Medical Expenditure Survey, which is based on a national probability sample of the U.S. adult population Results: Approximately 3.6 million individuals, or 2% of U.S. adults, obtained care for dyspepsia. Compared with the U.S, population, a predominance of women, individuals 65 years or older, and African Americans obtained care for dyspepsia, Expenditures for health care totaled $2.5 billion. Conclusions: Given the major impact of dyspepsia on U.S. health care resources, a critical issue facing investigators is to identify the most cost-effective approach to managing these patients.
引用
收藏
页码:307 / 309
页数:3
相关论文
共 20 条
[1]  
*AM HOSP ASS DIV Q, 1989, INT CLASS DIS 9 REV
[2]   DEFINITION AND INVESTIGATION OF DYSPEPSIA - CONSENSUS OF AN INTERNATIONAL AD-HOC WORKING PARTY [J].
BARBARA, L ;
CAMILLERI, M ;
CORINALDESI, R ;
CREAN, GP ;
HEADING, RC ;
JOHNSON, AG ;
MALAGELADA, JR ;
STANGHELLINI, V ;
WIENBECK, M .
DIGESTIVE DISEASES AND SCIENCES, 1989, 34 (08) :1272-1276
[3]   Functional gastrointestinal disorders: psychological, social, and somatic features [J].
Bennett, EJ ;
Piesse, C ;
Palmer, K ;
Badcock, CA ;
Tennant, CC ;
Kellow, JE .
GUT, 1998, 42 (03) :414-420
[4]  
BROWN DM, 1994, NIH PUBLICATION, P57
[5]  
COLINJONES DG, 1988, LANCET, V1, P576
[6]   UNITED-STATES HOUSEHOLDER SURVEY OF FUNCTIONAL GASTROINTESTINAL DISORDERS - PREVALENCE, SOCIODEMOGRAPHY, AND HEALTH IMPACT [J].
DROSSMAN, DA ;
LI, ZM ;
ANDRUZZI, E ;
TEMPLE, RD ;
TALLEY, NJ ;
THOMPSON, WG ;
WHITEHEAD, WE ;
JANSSENS, J ;
FUNCHJENSEN, P ;
CORAZZIARI, E ;
RICHTER, JE ;
KOCH, GG .
DIGESTIVE DISEASES AND SCIENCES, 1993, 38 (09) :1569-1580
[7]  
EDWARDS WS, 1989, US DEP HHS PUBLICATI
[8]   EPIDEMIOLOGY OF HELICOBACTER-PYLORI IN AN ASYMPTOMATIC POPULATION IN THE UNITED-STATES - EFFECT OF AGE, RACE, AND SOCIOECONOMIC-STATUS [J].
GRAHAM, DY ;
MALATY, HM ;
EVANS, DG ;
EVANS, DJ ;
KLEIN, PD ;
ADAM, E .
GASTROENTEROLOGY, 1991, 100 (06) :1495-1501
[9]   EARLY DETECTION OF GASTRIC-CANCER [J].
HALLISSEY, MT ;
ALLUM, WH ;
JEWKES, AJ ;
ELLIS, DJ ;
FIELDING, JWL .
BRITISH MEDICAL JOURNAL, 1990, 301 (6751) :513-515
[10]   DEFINITIONS OF DYSPEPSIA [J].
HEADING, RC .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1991, 26 :1-6