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32. 1997 Economic Census
1 Includes nonpatient revenues, privately funded construction, and industrial inplant.
2 Includes services of registered and practical nurses in private duty, podiatrists, optometrists, physical therapists, clinical psychologists, chiropractors, naturopaths, and Christian Science practitioners.
3 Includes expenditures for eyeglasses, hearing aids, orthopedic appliances, artificial limbs, crutches, wheelchairs, etc.
4 Includes administrative expenses of federally financed health programs.
5 Research and development expenditures of drug companies and other manufacturers and providers of medical equipment and supplies are excluded from research expenditures, but are included in the expenditure class in which the product falls.
Source: U. S. Health Care Financing Administration, Health Care Financing Review, winter 1999
CATEGORY DEFINITIONS National Health Expenditures Dental Services: Covers services provided by a doctor of dental medicine (D.M.D.) or doctor of dental surgery (D.D.S.) in establishments falling into SIC 802-Offices and clinics of dentists.
Durable Medical Equipment: Includes the retail sales of items such as eyeglasses, hearing aids, surgical appliances and supplies, bulk and cylinder oxygen, and equipment rental.
Home Health Care Services: Covers medical services delivered in the home by private and public non-facility-based home health agencies, including establishments falling into SIC 808-Home Health Agencies. Excluded are medical equipment sales or rentals not billed through HHAs and non-medical types of home care (e.g., Meals on Wheels, chore-worker services, friendly visits, or other custodial services) and nursing services provided by nurse registries.
Hospital Services: Covers all services provided by hospitals to patients, including room and board, ancillary charges, services of resident physicians, inpatient pharmacy, hospital-based nursing home and home health care, and any other services billed by hospitals in the United States and its outlying territories. The value is measured by total net revenue, which equals gross patient revenues (charges) less contractual adjustments, bad debts, and charity care. It also includes government tax appropriations as well as non-patient and non-operating revenues.
Non-Durable Medical Products: Includes the retail sales of prescription drugs, non-prescription drugs, and medical sundries.
Nursing Home Care: Covers services provided in establishments falling into SIC 805-Nursing and personal care facilities. These include services provided by skilled nursing facilities (SNF) and intermediate care facilities (ICF), as well as government outlays for care provided in nursing facilities operated by the U.S. Department of Veterans Affairs and nursing home services in ICFs for the mentally retarded financed by the Medicaid program.
Other Personal Health Care: Covers industrial inplant services, or direct services provided by employers for the health care needs of their employees, offered either onsite or offsite. It also covers government expenditures for care not specified by kind, or health care spending that is not elsewhere classified. This tends to include services offered at non-health facilities not covered by SIC 80, such as schools, military field stations, and community centers.
Other Professional Services: Covers services provided in establishments falling into SIC 804-Offices and clinics of other health practitioners (such as chiropractors, optometrists, podiatrists and other licensed medical practitioners, not elsewhere classified), and SIC 809-Miscellaneous health and allied services, such as kidney dialysis centers and specialty outpatient facilities for mental health and substance abuse. Ambulance services paid under Medicare are also included here.
Out-of-pocket Expenditures: Includes direct spending by consumers for all health care goods and services, such as coinsurance, deductibles, and any amounts not covered by insurance. Out-of-pocket premiums paid by individuals are not counted here but are counted as part of Private Health Insurance.
Physician Services: Covers services provided in establishments falling into SIC 801-Offices and clinics of doctors of medicine (including ambulatory surgical centers and freestanding emergency medical centers), SIC 803-Doctors of osteopathy, and a portion of SIC 8071-Medical laboratories not measured as part of SIC 801 or 803, which represents services provided and independently billed by medical laboratories. This category also includes services rendered by a doctor of medicine (M.D.) or doctor of osteopathy (D.O.) in hospitals, if the physician bills independently for those services. Expenditures for services provided in staff-model and group-model HMO facilities are counted under physician services.
Private Health Insurance: Equals the premiums earned by private health insurers, including premiums paid to Blue Cross Blue Shield, commercial insurance, HMOs, and self-insured plans. The difference between premiums and benefits incurred is a measure of net cost, which includes insurers costs of paying bills, advertising, sales commissions, and other administrative costs; net additions to reserves; rate credits and dividends; premium taxes; and pro
These tables are based on figures supplied by the United States Census Bureau, U.S. Department of Commerce and are subject to revision by the Census Bureau.
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