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Table 2—

Source of health resource use and price estimates

Cost componentSource of use dataSource of price dataUnit price (2002 dollars)
Institutional care    
 Hospital day 1999 NIS 1998 MEPS 2,385 
 Nursing home day 1999 NNHS Kiplinger (5) 169 
Outpatient care    
 Office-based physician encounter 1998–2000 NAMCS 1998 MEPS 160 
  Emergency department visit 1998–2000 NHAMCS 1998 MEPS 452 
 Ambulance service 1998–2000 NHAMCS AAA 247 
 Hospital outpatient and free-standing ambulatory surgical center visit 1998–2000 NHAMCS 1998 MEPS 561 
 Outpatient medication 1998–2000 NAMCS, 1998–2000 NHAMCS 1998 MEPS 47 
 Home health visit 1998, 2000 NHHCS, 1998–2000 NHIS 1998 MEPS 89 
 Hospice care day 1998, 2000 NHHCS Hospice Association of America (6) 107 
Indirect costs    
 Lost workday 1998–2000 NHIS BLS 168 
 Restricted activity day 1998–2000 NHIS BLS 67 
 Premature mortality (lost lifetime earnings) Social Security Administration (7) BLS 116,928 
 Permanent disability (lost annual earnings) 2002 Social Security Administration Data (8) BLS 42,462 
Supplies    
 Insulin use (supplies include glucose monitoring supplies, insulin delivery supplies, and insulin) and average annual cost of use 1998–2000 NHIS, 2002 The Source Prescription Audit, LifeClinic (9, 10), Fertig et al. (11), Frost and Sullivan (12) 2002 Red Book (13), 2002 The Source Prescription Audit, Scott-Levin, 2002 AllegroMedical et al. (14), 2002 MiniMed (15) 1,778 
 Use of oral agents and average annual cost of use 1998–2000 NHIS, Luna and Feinglos (16), 2002 The Source Prescription Audit, CDC (17), NIDDK (18) 2002 Red Book (13) 666 
Cost componentSource of use dataSource of price dataUnit price (2002 dollars)
Institutional care    
 Hospital day 1999 NIS 1998 MEPS 2,385 
 Nursing home day 1999 NNHS Kiplinger (5) 169 
Outpatient care    
 Office-based physician encounter 1998–2000 NAMCS 1998 MEPS 160 
  Emergency department visit 1998–2000 NHAMCS 1998 MEPS 452 
 Ambulance service 1998–2000 NHAMCS AAA 247 
 Hospital outpatient and free-standing ambulatory surgical center visit 1998–2000 NHAMCS 1998 MEPS 561 
 Outpatient medication 1998–2000 NAMCS, 1998–2000 NHAMCS 1998 MEPS 47 
 Home health visit 1998, 2000 NHHCS, 1998–2000 NHIS 1998 MEPS 89 
 Hospice care day 1998, 2000 NHHCS Hospice Association of America (6) 107 
Indirect costs    
 Lost workday 1998–2000 NHIS BLS 168 
 Restricted activity day 1998–2000 NHIS BLS 67 
 Premature mortality (lost lifetime earnings) Social Security Administration (7) BLS 116,928 
 Permanent disability (lost annual earnings) 2002 Social Security Administration Data (8) BLS 42,462 
Supplies    
 Insulin use (supplies include glucose monitoring supplies, insulin delivery supplies, and insulin) and average annual cost of use 1998–2000 NHIS, 2002 The Source Prescription Audit, LifeClinic (9, 10), Fertig et al. (11), Frost and Sullivan (12) 2002 Red Book (13), 2002 The Source Prescription Audit, Scott-Levin, 2002 AllegroMedical et al. (14), 2002 MiniMed (15) 1,778 
 Use of oral agents and average annual cost of use 1998–2000 NHIS, Luna and Feinglos (16), 2002 The Source Prescription Audit, CDC (17), NIDDK (18) 2002 Red Book (13) 666 

American Ambulance Association (AAA) estimate of the national average cost for a basic life support transport, adjusted to 2002 dollars;

actual estimate varies by age-group and sex;

estimated annual cost per user.

CDC, Centers for Disease Control and Prevention; NAMCS, National Ambulatory Medical Care Survey; NHAMCS, National Hospital Ambulatory Medical Care Survey; NHHCS, National Home and Hospital Care Survey; NIS, National Inpatient Sample; NIDDK, National Institute of Diabetes and Digestive and Kidney Diseases; NNHS, National Nursing Home Survey.

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