From: Chronic conditions and medical expenditures among non-institutionalized adults in the United States
 |  | Without chronic conditions | With chronic conditions | ||||||
---|---|---|---|---|---|---|---|---|---|
 | Population | Total out-of-pocket medical expenditure | Out-of-pocket hospital expenditure | Out-of-pocket physician office expenditure | Out-of-pocket prescription drug expenditure | Total out-of- pocket medical expenditure | Out-of-pocket hospital expenditure | Out-of-pocket physician office expenditure | Out-of-pocket prescription drug expenditure |
Predisposing factors | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Age in years | Â | ** | *** | Â | *** | *** | Â | Â | *** |
18-64 | 191,331,757 | 403.27 (15.59) | 61.53 (5.16) | 83.90 (7.68) | 77.71 (6.19) | 831.61 (23.58) | 112.04 (8.96) | 141.54 (8.29) | 328.34 (10.51) |
Above 64 | 39,811,334 | 686.38 (89.17) | 18.77 (8.46) | 87.11 (25.16) | 200.17 (30.69) | 1248.20 (41.56) | 95.40 (16.29) | 123.99 (9.52) | 570.45 (17.75) |
Sex | Â | *** | *** | *** | ** | *** | Â | ** | *** |
Male | 111,962,667 | 326.54 (19.40) | 43.25 (6.69) | 54.83 (4.79) | 65.24 (10.24) | 861.39 (27.16) | 109.69 (13.18) | 117.36 (6.74) | 361.70 (10.91) |
Female | 119,180,423 | 501.28 (22.76) | 76.71 (6.90) | 113.33 (12.86) | 99.30 (6.93) | 1044.08 (30.49) | 104.58 (9.35) | 152.77 (10.13) | 437.70 (13.52) |
Race/Ethnicity | Â | *** | *** | *** | *** | *** | ** | *** | *** |
Non-Hispanic White | 156,299,981 | 528.34 (21.89) | 72.21 (7.55) | 107.73 (10.95) | 112.91 (9.28) | 1083.47 (27.15) | 108.57 (8.03) | 156.66 (8.94) | 449.76 (11.65) |
Non-Hispanic Black | 26,675,509 | 152.95 (12.47) | 32.27 (5.05) | 31.43 (5.04) | 22.35 (2.31) | 614.53 (39.38) | 115.49 (31.09) | 70.08 (5.11) | 283.06 (12.47) |
Hispanic | 32,619,611 | 234.71 (23.29) | 45.63 (6.50) | 49.25 (12.31) | 33.78 (4.90) | 580.53 (32.53) | 70.46 (9.50) | 86.69 (11.52) | 252.76 (16.79) |
Non-Hispanic Asian | 10,914,890 | 305.44 (43.29) | 32.22 (8.53) | 54.78 (12.38) | 32.93 (5.14) | 669.41 (47.48) | 66.77 (16.35) | 91.02 (13.54) | 275.93 (31.11) |
Others | 4,633,100 | 165.96 (39.44) | 38.86 (24.81) | 26.26 (5.49) | 32.56 (8.03) | 950.54 (186.25) | 242.73 (145.89) | 130.28 (46.03) | 374.13 (73.62) |
Health insurance | Â | *** | *** | * | *** | *** | Â | *** | * |
Private | 156,190,389 | 485.88 (17.55) | 71.20 (6.32) | 95.92 (6.18) | 92.77 (5.93) | 1042.13 (29.84) | 112.87 (9.89) | 155.65 (8.52) | 407.42 (11.85) |
Public | 39,609,466 | 293.71 (66.51) | 17.73 (5.93) | 65.36 (43.21) | 106.45 (46.35) | 838.50 (34.24) | 82.74 (11.02) | 91.06 (9.06) | 423.33 (18.72) |
No insurance | 35,343,236 | 229.23 (21.22) | 42.42 (8.72) | 53.03 (13.80) | 35.36 (3.89) | 699.55 (49.24) | 126.91 (22.44) | 117.52 (17.77) | 315.81 (31.38) |
Highest education degree | Â | *** | *** | *** | *** | *** | Â | *** | ** |
No degree | 34,308,619 | 204.30 (19.75) | 31.46 (6.13) | 33.14 (3.70) | 46.73 (7.14) | 651.50 (37.12) | 95.28 (22.43) | 66.95 (5.57) | 360.52 (21.63) |
High school diploma | 110,843,140 | 368.71 (22.91) | 55.37 (6.70) | 71.71 (13.07) | 73.59 (10.62) | 931.03 (24.84) | 100.62 (9.37) | 117.34 (7.41) | 414.69 (11.22) |
Bachelor’s degree and above | 64,804,468 | 600.68 (29.69) | 82.58 (11.18) | 132.89 (12.31) | 116.70 (10.60) | 1182.55 (51.08) | 111.02 (12.90) | 198.57 (16.75) | 427.69 (21.09) |
Other degree | 19,908,609 | 394.50 (32.27) | 59.69 (15.84) | 73.88 (9.32) | 75.17 (8.99) | 973.31 (86.97) | 147.88 (43.15) | 171.48 (30.07) | 338.05 (23.05) |
Employment status | Â | *** | *** | Â | *** | *** | *** | *** | *** |
Not employed | 76,668,988 | 434.85 (35.33) | 65.08 (12.17) | 76.37 (10.99) | 112.39 (22.41) | 1122.24 (34.42) | 103.90 (12.48) | 120.59 (8.74) | 521.61 (15.75) |
Employed | 153,541,903 | 409.72 (15.93) | 58.90 (5.37) | 86.50 (8.73) | 73.98 (5.16) | 829.87 (22.38) | 109.90 (9.90) | 149.27 (9.16) | 307.76 (8.66) |
Inapplicable | 159,475 | 96.73 (63.08) | 0.00 (0.00) | 49.54 (29.11) | 5.91 (4.91) | 37.34 (23.42) | 0.00 (0.00) | 0.00 (0.00) | 37.34 (23.42) |
Marital status | Â | *** | *** | *** | *** | *** | *** | *** | *** |
Not married | 108,660,080 | 320.91 (17.06) | 44.39 (5.76) | 62.16 (9.65) | 55.79 (3.48) | 881.19 (29.02) | 88.02 (9.76) | 130.27 (10.14) | 368.66 (13.57) |
Married | 122,323,536 | 509.01 (23.61) | 75.93 (8.13) | 106.38 (9.31) | 109.35 (11.33) | 1019.16 (29.21) | 121.73 (11.78) | 140.87 (7.94) | 428.30 (12.96) |
Inapplicable | 159,475 | 96.73 (63.08) | 0.00 (0.00) | 49.54 (29.11) | 5.91 (4.91) | 37.34 (23.42) | 0.00 (0.00) | 0.00 (0.00) | 37.34 (23.42) |
Enabling factors | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Income | Â | *** | Â | * | Â | *** | Â | *** | Â |
<$20,000 | 98,499,699 | 347.87 (23.50) | 60.29 (8.30) | 74.54 (13.43) | 73.04 (11.24) | 884.10 (28.76) | 101.61 (11.43) | 107.39 (8.63) | 424.43 (15.14) |
$20,000-$39,999 | 59,561,056 | 388.28 (24.51) | 59.33 (9.25) | 71.73 (7.59) | 75.22 (7.18) | 938.53 (33.81) | 113.80 (14.62) | 130.92 (8.47) | 391.55 (14.21) |
> = $40,000 | 72,773,165 | 523.14 (27.91) | 59.93 (7.40) | 106.82 (11.07) | 100.27 (9.95) | 1076.52 (37.33) | 108.72 (12.37) | 179.43 (16.05) | 380.86 (14.27) |
Provider type of USC | Â | *** | ** | Â | *** | *** | Â | *** | *** |
Facility | 88,158,133 | 458.42 (26.90) | 54.19 (6.09) | 80.32 (7.10) | 99.70 (13.09) | 914.62 (34.19) | 106.40 (12.46) | 136.44 (10.92) | 391.89 (15.32) |
Person | 50,914,148 | 499.82 (42.24) | 79.36 (16.19) | 105.00 (14.42) | 114.99 (16.57) | 1090.99 (40.77) | 110.10 (15.39) | 145.32 (12.35) | 470.04 (20.45) |
Person in facility | 36,027,944 | 612.98 (54.67) | 109.31 (24.75) | 102.61 (9.60) | 130.25 (13.98) | 1181.32 (48.88) | 124.56 (18.50) | 162.08 (16.46) | 500.49 (19.09) |
Inapplicable/DK/Refused/Not Ascertained | 56,042,866 | 253.24 (23.24) | 39.31 (6.28) | 70.67 (18.81) | 30.02 (3.54) | 544.34 (38.95) | 79.40 (11.55) | 84.67 (11.62) | 177.70 (15.42) |
MSA | Â | Â | Â | Â | Â | Â | Â | Â | Â |
No | 36,422,877 | 431.49 (44.95) | 67.81 (14.96) | 86.04 (10.90) | 101.89 (21.91) | 943.33 (38.66) | 103.57 (11.33) | 120.58 (14.05) | 438.22 (19.20) |
Yes | 194,720,214 | 410.99 (16.35) | 58.74 (5.20) | 83.70 (7.87) | 79.21 (6.21) | 961.96 (26.29) | 107.73 (8.69) | 139.66 (7.78) | 394.13 (10.66) |
Census region | Â | Â | Â | Â | * | ** | ** | Â | *** |
Northeast | 42,648,623 | 348.84 (31.97) | 45.16 (8.30) | 62.16 (5.75) | 63.91 (6.43) | 816.17 (40.42) | 69.79 (12.85) | 111.04 (10.26) | 342.83 (18.13) |
Midwest | 50,201,597 | 422.39 (31.59) | 51.59 (6.46) | 77.42 (9.14) | 84.48 (9.90) | 971.51 (36.22) | 125.94 (16.51) | 127.89 (11.71) | 407.97 (15.99) |
South | 84,788,746 | 409.33 (25.42) | 70.70 (10.41) | 78.41 (7.90) | 105.71 (14.70) | 999.80 (42.84) | 129.61 (14.21) | 146.33 (10.47) | 446.84 (17.67) |
West | 53,504,125 | 460.54 (37.30) | 62.24 (11.16) | 113.30 (26.14) | 60.53 (6.82) | 995.34 (53.21) | 78.36 (14.42) | 149.22 (18.05) | 367.94 (19.11) |
Need factors | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Perceived health status | Â | *** | ** | Â | *** | *** | ** | * | *** |
Excellent/VG/Good | 201,378,534 | 395.66 (14.58) | 55.34 (4.84) | 77.03 (5.52) | 77.30 (6.28) | 871.18 (22.03) | 86.11 (6.84) | 128.67 (7.52) | 350.75 (9.11) |
Fair/Poor | 29,504,968 | 785.96 (112.00) | 154.67 (35.60) | 225.80 (91.73) | 183.97 (26.39) | 1297.49 (65.43) | 187.49 (29.51) | 165.58 (15.54) | 600.73 (28.50) |
Perceived mental health status | Â | ** | Â | Â | *** | ** | Â | Â | *** |
Excellent/VG/Good | 213,789,726 | 397.55 (14.70) | 58.32 (5.10) | 78.08 (5.39) | 76.49 (6.26) | 928.97 (20.95) | 103.18 (7.64) | 136.39 (7.30) | 379.55 (9.09) |
Fair/Poor | 17,045,611 | 820.96 (141.11) | 102.25 (32.65) | 231.23 (116.25) | 226.00 (30.29) | 1207.97 (85.47) | 139.07 (31.46) | 135.91 (12.63) | 588.67 (42.91) |
IADL help screener | Â | Â | Â | Â | * | *** | Â | Â | *** |
No | 222,895,048 | 412.04 (15.29) | 59.90 (5.03) | 84.19 (7.57) | 80.81 (6.11) | 925.28 (23.07) | 102.72 (7.91) | 135.71 (6.93) | 380.60 (8.55) |
Yes | 7,803,288 | 688.94 (165.46) | 83.56 (46.33) | 55.99 (14.10) | 261.14 (71.71) | 1507.95 (146.90) | 176.97 (37.24) | 145.75 (28.25) | 754.43 (63.62) |
ADL help screener | Â | Â | Â | *** | Â | *** | Â | Â | *** |
No | 226,792,756 | 414.34 (15.30) | 59.73 (4.99) | 84.27 (7.54) | 81.93 (6.10) | 938.78 (22.22) | 104.98 (7.92) | 135.48 (6.77) | 391.41 (8.79) |
Yes | 3,790,806 | 451.58 (163.29) | 98.89 (50.39) | 23.51 (6.57) | 204.96 (109.83) | 1654.05 (185.65) | 173.56 (41.07) | 164.66 (47.75) | 776.80 (82.22) |