Detailed Tables: Health Care
Indicator 28 : Use of Health Care Services
| TABLE 28A - USE OF MEDICARE-COVERED HEALTH CARE SERVICES BY MEDICARE ENROLLEES AGE 65 AND
OVER, 1992-2001 |
| Utilization measure |
1992 |
1993 |
1994 |
1995 |
1996 |
1997 |
1998 |
1999 |
2000 |
2001 |
| |
Rate per thousand |
| Hospital stays |
306 |
300 |
331 |
336 |
341 |
351 |
354 |
365 |
361 |
364 |
| Skilled nursing facility stays |
28 |
33 |
43 |
50 |
59 |
67 |
69 |
67 |
67 |
69 |
| Physician visits and consultations |
11,359 |
11,600 |
12,045 |
12,372 |
12,478 |
na |
13,061 |
na |
13,346 |
13,685 |
| Home health care visits |
3,822 |
4,648 |
6,352 |
7,608 |
8,376 |
8,227 |
5,058 |
3,708 |
2,913 |
2,295 |
| |
| |
Days |
| Average length of hospital stay |
8.4 |
8.0 |
7.5 |
7.0 |
6.6 |
6.3 |
6.1 |
6.0 |
6.0 |
5.9 |
| na Data not available. |
| Note:
Data for Medicare enrollees in fee-for-service only. Data on physician
visits and consultations are not available for 1997 and 1999. Physician
visits and consultations include all settings, such as physician offices
hospitals, emergency rooms, and nursing homes. Beginning in 1994, managed
care enrollees were excluded from the denominator of all utilization rates
because utilization data are not available for them.
Prior to 1994,managed care enrollees were included in the
denominators; they comprised 7 percent of less of the Medicare population. |
| Reference
population: These data refer to Medicare enrollees. |
| Source: Centers for Medicare & Medicaid Services, Medicare claims and
enrollment data. |
| TABLE 28b - USE OF
MEDICARE-COVERED HOME HEALTH AND SKILLED NURSING FACILITY SERVICES BY
MEDICARE ENROLLEES AGE 65 AND OVER, BY AGE GROUP, 2001 |
| Utilization measure |
65-74 |
75-84 |
85 and over |
| |
Rate per thousand |
| Skilled nursing facility stays |
26.2 |
81.4 |
203.0 |
| Home health care visits |
1,082 |
2,860 |
5,475 |
| Note: Data are for Medicare enrollees in fee-for-service only. |
| Reference
population: These data refer to Medicare enrollees. |
| Source: Centers for Medicare & Medicaid Services, Medicare claims and
enrollment data. |
Indicator 29 : Health Care Expenditures
| TABLE 29a - AVERAGE ANNUAL HEALTH CARE COSTS FOR MEDICARE ENROLLEES AGE 65 AND
OVER, BY AGE GROUP, 1992-2001 |
| Age group |
1992 |
1993 |
1994 |
1995 |
1996 |
1997 |
1998 |
1999 |
2000 |
2001 |
| |
Dollars |
| 65 and over |
$7,991 |
$8,565 |
$9,234 |
$9,660 |
$9,760 |
$9,880 |
$9,700 |
$9,950 |
$10,314 |
$10,948 |
| 65-74 |
5,919 |
6,183 |
6,792 |
6,992 |
7,026 |
6,999 |
6,733 |
7,503 |
7,621 |
8,207 |
| 75-84 |
8,745 |
9,798 |
10,233 |
10,575 |
10,994 |
11,077 |
10,797 |
10,547 |
11,246 |
12,090 |
| 85 and over |
15,582 |
16,142 |
17,436 |
18,413 |
18,009 |
18,209 |
18,320 |
17,680 |
17,996 |
18,353 |
| Note:
Data include both out-of-pocket costs and costs covered by insurance.
Dollars are inflation-adjusted to 2001 using the Consumer Price Index
(Series CPI-U-RS). |
| Reference
population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
| TABLE
29b - MAJOR COMPONENTS OF HEALTH CARE COSTS AMONG MEDICARE ENROLLEES AGE
65 AND OVER, 1992 and 2001 |
| |
1992 |
2001 |
| Cost component |
Average cost in dollars |
Percent |
Average cost in dollars |
Percent |
| TOTAL |
$6,463 |
100 |
$10,948 |
100 |
| INPATIENT HOSPITAL |
2,106 |
33 |
2,991 |
27 |
| PHYSICIAN/OUTPATIENT HOSPITAL |
2,072 |
32 |
3,719 |
34 |
| NURSING HOME/ LONG-TERM INSTITUTION |
1,323 |
20 |
1,875 |
17 |
| HOME HEALTH CARE |
244 |
4 |
294 |
3 |
| PRESCRIPTION DRUGS |
436 |
7 |
1,191 |
11 |
| OTHER (SHORT-TERM INSTITUTION/ HOSPICE/ DENTAL) |
282 |
4 |
878 |
8 |
| Note:
Data include both out-of-pocket costs and costs covered by insurance.
Dollars are not inflation-adjusted. |
| Reference population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
| TABLE 29c - AVERAGE ANNUAL HEALTH CARE COSTS AMONG MEDICARE ENROLLEES AGE 65 AND
OVER, BY SELECTED CHARACTERISTICS, 2001 |
| Selected characteristic |
Average cost in dollars |
| Total |
$10,948 |
| |
| Race and ethnicity |
| White, not Hispanic or Latino |
11,032 |
| Black, not Hispanic or Latino |
13,081 |
| Hispanic or Latino |
8,449 |
| Other |
9,031 |
|
| Institutional Status |
| Community |
8,466 |
| Institution |
46,810 |
|
| Annual income |
|
| $0-$10,000 |
14,692 |
| 10,001-20,000 |
11,249 |
| 20,001-30,000 |
10,152 |
| 30,001 or more |
8,855 |
|
| Chronic conditions |
|
| 0 |
3,837 |
| 1-2 |
6,685 |
| 3-4 |
11,878 |
| 5 or more |
15,784 |
| Note:
Data include both out-of-pocket costs and costs covered by insurance.
Chronic conditions include cancer (other than skin cancer), stroke,
diabetes, heart disease, hypertension, arthritis, and respiratory
conditions (emphysema, asthma, chronic obstructive pulmonary disease). |
| See
Appendix B for the definition of race and ethnicity in the Medicare
Current Beneficiary Survey. |
| Reference population: These data refer to Medicare enrollees. |
| Source: Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
| TABLE 29d - MAJOR COMPONENTS OF HEALTH CARE COSTS AMONG MEDICARE ENROLLEES
AGE 65 AND OVER, BY AGE GROUP, 2001 |
| |
65-74 |
75-84 |
85 and over |
| Cost component |
Average cost in dollars |
| Total |
$8,207 |
$12,090 |
$18,353 |
| Inpatient hospital |
2,454 |
3,403 |
3,917 |
| Physician/Outpatient hospital |
3,352 |
4,178 |
3,832 |
| Nursing home/Long-term institution |
516 |
1,942 |
6,968 |
| Home health care |
147 |
316 |
803 |
| Prescription drugs |
1,169 |
1,301 |
957 |
| Other (Short-term institution/Hospice/Dental) |
569 |
950 |
1,876 |
| Note:
Data include both out-of-pocket costs and costs covered by insurance. |
| Reference population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
| TABLE 29e - PERCENTAGE OF MEDICARE ENROLLEES AGE 65 AND OVER WHO REPORTED
PROBLEMS WITH ACCESS TO HEALTH CARE, 1992-2000 |
| Reported Problem |
1992 |
|
1993 |
|
1994 |
|
1995 |
|
1996 |
|
1997 |
|
1998 |
|
1999 |
|
2000 |
|
| |
Percent |
| |
|
SE |
|
SE |
|
SE |
|
SE |
|
SE |
|
SE |
|
SE |
|
SE |
|
SE |
| Difficulty obtaining care |
3.1 |
0.2 |
2.6 |
0.2 |
2.6 |
0.3 |
2.6 |
0.2 |
2.3 |
0.2 |
2.4 |
0.2 |
2.4 |
0.2 |
2.8 |
0.2 |
2.9 |
0.2 |
| Delayed getting care due to cost |
9.8 |
0.4 |
9.1 |
0.5 |
7.6 |
0.3 |
6.8 |
0.4 |
5.5 |
0.3 |
4.8 |
0.3 |
4.4 |
0.3 |
4.7 |
0.3 |
4.8 |
0.3 |
| Reference population: These data refer to noninstitutionalized Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services,
Medicare Current Beneficiary Survey. |
Indicator 30 : Prescription Drugs
| TABLE 30a - AVERAGE ANNUAL PRESCRIPTION DRUG COSTS AND SOURCES OF PAYMENT AMONG
NONINSTITUTIONALIZED MEDICARE ENROLLEES AGE 65 AND OVER, 1992-2000 |
| Payment source |
1992 |
|
1993 |
|
1994 |
|
1995 |
|
1996 |
|
1997 |
|
1998 |
|
1999 |
|
2000 |
|
| |
Average cost in dollars |
| |
|
SE |
|
SE |
|
SE |
|
SE |
|
SE |
|
SE |
|
SE |
|
SE |
|
SE |
| Total |
$519 |
9.0 |
$689 |
12.0 |
$731 |
14.0 |
$767 |
15.0 |
$827 |
12.0 |
$904 |
12.0 |
$1,046 |
19.0 |
$1,171 |
23.0 |
$1,340 |
22.0 |
| Out-of-pocket |
312 |
6.0 |
400 |
7.0 |
397 |
7.0 |
402 |
8.0 |
411 |
8.0 |
448 |
8.0 |
484 |
9.0 |
515 |
12.0 |
562 |
12.0 |
| Private insurance |
132 |
4.0 |
173 |
7.0 |
201 |
9.0 |
226 |
9.0 |
275 |
10.0 |
295 |
10.0 |
366 |
12.0 |
409 |
15.0 |
466 |
16.0 |
| Public programs |
75 |
3.0 |
116 |
6.0 |
133 |
7.0 |
138 |
8.0 |
141 |
7.0 |
161 |
8.0 |
196 |
11.0 |
247 |
13.0 |
311 |
14.0 |
| Notes:
Dollars have been inflation-adjusted to 2000 using the Consumer Price
Index (Series CPI-U-RS). |
| Public
programs include Medicare, Medicaid, Department of Veterans Affairs, and
other State and Federal programs. |
| Reference population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
| Table 30b - DISTRIBUTION OF ANNUAL PRESCRIPTION DRUG COSTS AMONG
NONINSTITUTIONALIZED MEDICARE ENROLLEES AGE 65 AND OVER, 2000 |
| |
| Cost in dollars |
Percent |
| |
| Total |
100.0 |
| $0 |
8.9 |
| 1 - 499 |
30.0 |
| 500 - 999 |
20.6 |
| 1,000 - 1,499 |
13.7 |
| 1,500 - 1,999 |
9.6 |
| 2000 or more |
17.2 |
| Reference
population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services; Medicare Current Beneficiary
Survey. |
| TABLE 30c - AVERAGE ANNUAL NUMBER OF FILLED PRESCRIPTIONS AMONG
NONINSTITUTIONALIZED MEDICARE ENROLLEES AGE 65 AND OVER, BY SELECTED
CHARACTERISTICS |
| Selected characteristic |
| |
Average number of filled prescriptions |
SE |
| Year |
|
|
| 1992 |
18.4 |
0.4 |
|
1996 |
22.5 |
0.4 |
| 2000 |
29.7 |
0.5 |
|
|
|
| Number of chronic conditions (2000) |
|
|
| 0 |
9.7 |
0.5 |
| 1-2 |
23.0 |
0.4 |
| 3-4 |
41.7 |
0.8 |
| 5 or more |
57.2 |
1.8 |
|
|
|
| Prescription drug coverage (2000) |
|
|
| Yes |
31.5 |
0.5 |
| No |
23.6 |
0.7 |
|
|
|
| Income (2000) |
|
|
| $0-$10,000 |
33.3 |
0.9 |
| $10,001-$20,000 |
30.9 |
0.7 |
| $20,001-$30,000 |
29.5 |
0.7 |
| $30,001 or more |
26.2 |
0.7 |
| Note:
Chronic conditions include cancer (other than skin cancer), stroke,
diabetes, heart disease, hypertension, arthritis, and respiratory
conditions (emphysema, asthma, chronic obstructive pulmonary disease).
Prescription drug coverage includes people with partial year coverage. The
number of filled prescriptions counts each refill separately. |
| Reference population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
| TABLE 30d - PERCENTAGE OF NONINSTITUTIONALIZED MEDICARE ENROLLEES AGE 65 AND
OVER WITH PRESCRIPTION DRUG COVERAGE, BY SELECTED CHARACTERISTICS, 2000 |
| Selected characteristic |
Percent |
Standard error |
| |
| Total |
77.5 |
0.8 |
| |
| Age |
|
|
| 65-74 |
79.1 |
0.9 |
| 75-84 |
76.8 |
1 |
| 85 and over |
72.1 |
1.4 |
| |
| Number of chronic conditions |
|
|
| 0 |
70.9 |
1.5 |
| 1-2 |
75.2 |
1 |
| 3-4 |
81.8 |
0.9 |
| 5 or more |
83.8 |
1.8 |
| |
| Income |
|
|
| $0-$10,000 |
76.6 |
1.2 |
| 10,001-20,000 |
72.6 |
1.1 |
| 20,001-30,000 |
81.7 |
1.1 |
| 30,000 or more |
80.0 |
1.1 |
| Note:
Chronic conditions include cancer (other than skin cancer), stroke,
diabetes, heart disease, hypertension, arthritis, and respiratory
conditions (emphysema, asthma, chronic obstructive pulmonary disease).
Prescription drug coverage includes people with partial year coverage. |
| Reference
population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
Indicator 31 : Sources of Health Insurance
| TABLE 31a - PERCENTAGE OF NONINSTITUTIONALIZED MEDICARE ENROLLEES AGE 65 AND
OVER WITH SUPPLEMENTAL HEALTH INSURANCE, BY TYPE OF INSURANCE, 1991-2002 |
| Type of insurance |
1991 |
1992 |
1993 |
1994 |
1995 |
1996 |
1997 |
1998 |
1999 |
2000 |
2001 |
2002 |
| |
Percent |
| Private (employer - or union-sponsored) |
40.7 |
41.0 |
40.8 |
40.3 |
39.1 |
37.8 |
37.6 |
37.0 |
35.8 |
35.9 |
36.0 |
36.1 |
| Private (Medigap) |
44.8 |
45.0 |
45.4 |
45.2 |
44.3 |
38.6 |
35.8 |
33.9 |
33.2 |
33.5 |
34.5 |
37.5 |
| HMO |
6.3 |
5.9 |
7.7 |
9.1 |
10.9 |
13.8 |
16.6 |
18.6 |
20.5 |
20.4 |
18.0 |
15.5 |
| Medicaid |
8.0 |
8.5 |
8.8 |
8.9 |
9.0 |
8.2 |
8.2 |
8.0 |
9.7 |
9.9 |
10.6 |
10.7 |
| Other public |
4.0 |
5.3 |
5.8 |
5.5 |
5.0 |
4.8 |
4.7 |
4.8 |
5.1 |
4.9 |
5.4 |
5.5 |
| No Supplement |
11.9 |
10.7 |
10.0 |
9.8 |
9.6 |
10.0 |
9.8 |
9.6 |
9.0 |
9.7 |
10.1 |
12.3 |
| * Includes people with private supplement of unknown sponsorship. |
| Note: Estimates
are based on enrollees' insurance status in the fall of each year.
Categories are not mutually exclusive, (i.e., individuals may have more
than one supplemental policy). Table excludes enrollees whose primary
insurance is not Medicare (approximately 1 percent of enrollees). |
| Reference
population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
| Table 31b - PERCENTAGE OF PEOPLE AGE 55-64
WITH HEALTH INSURANCE COVERAGE, BY TYPE OF INSURANCE AND POVERTY STATUS, 2002 |
| |
Poverty threshold |
| Type of Insurance |
Total |
99% or less |
100-199% |
200% or more |
Unknown |
| |
Percent |
| Private |
76.8 |
24.3 |
46.4 |
88.3 |
74.9 |
| Medicaid |
5.5 |
37.1 |
14.3 |
1.0 |
5.1 |
| Medicare |
3.4 |
7.4 |
10.6 |
1.6 |
4.0 |
| Other coverage |
2.6 |
3.2 |
2.4 |
2.6 |
2.5 |
| Uninsured |
11.6 |
28.0 |
26.1 |
6.5 |
13.6 |
| Note:
Poverty status is based on family income and family size using the U.S.
Census Bureau's poverty thresholds. Below poverty (99% or less) is defined
as people living below the poverty threshold. People living above poverty
(100-199 percent) have incomes of 100 percent to less than 200 percent of
the poverty threshold. People living above poverty (200 percent or more)
have incomes 200 percent of the poverty threshold or greater.
Classification of health insurance is based on a hierarchy of mutually
exclusive categories. People with more than one type of health insurance
were assigned to the first appropriate category in the hierarchy. The
category "uninsured" includes people who had no coverage as well
as those who had only Indian Health Service coverage or had only a private
plan that paid for one type of service such as accidents or dental care. |
| Reference
population: These data refer to the noninstitutionalized civilian
population. |
| Source:
Centers for Disease Control and Prevention, National Center for Health
Statistics, National Health Interview Survey. |
Indicator 32 : Out-of-Pocket Health Care Expenditures
| TABLE 32a - PERCENTAGE OF PEOPLE AGE 55 AND OVER WITH OUT-OF-POCKET EXPENDITURES
FOR HEALTH CARE SERVICE USE, BY AGE GROUP, 1977, 1987, 1996. AND 2001 |
| Age group |
1977 |
1987 |
1996 |
2001 |
| |
Percent |
| 65 and over |
83.3 |
88.6 |
92.4 |
94.7 |
| 55-64 |
81.9 |
84.0 |
89.6 |
90.4 |
| 65-74 |
83.4 |
87.9 |
91.8 |
94.1 |
| 75-84 |
83.8 |
90.1 |
92.9 |
95.6 |
| 85 and over |
80.8 |
88.6 |
93.9 |
94.6 |
| Note:
Out-of-pocket health care expenditures exclude personal spending for
health insurance premiums. |
| Data
for the 1987 survey have been adjusted to permit comparability across
years; for details, see Zuvekas and Cohen.64 |
| Reference
population: These data refer to the civilian noninstitutionalized
population. |
| Source:
Agency for Healthcare Research and Quality, |
| Medical
Expenditure Panel Survey (MEPS) and MEPS predecessor surveys. |
| TABLE 32b - OUT-OF-POCKET HEALTH CARE EXPENDITURES AS A PERCENTAGE OF
HOUSEHOLD INCOME, AMONG PEOPLE AGE 65 AND OVER WITH OUT-OF-POCKET
EXPENDITURES, BY SELECTED CHARACTERISTICS, 1977, 1987, 1996, AND 2001 |
| Selected characteristic |
1977 |
1987 |
1996 |
2001 |
| |
Percent |
| |
| Total |
|
| 65 and over |
8.1 |
9.4 |
8.0 |
9.9 |
| 55-64 |
5.9 |
6.2 |
5.5 |
6.8 |
| 65-74 |
7.3 |
7.7 |
7.1 |
8.5 |
| 75-84 |
9.4 |
11.5 |
8.7 |
11.2 |
| 85 and over |
9.5 |
13.3 |
10.1 |
12.2 |
|
| Income category |
|
| Poor/near poor |
|
| 65 and over |
15.2 |
17.3 |
16.5 |
21.5 |
| 55-64 |
21.9 |
20.6 |
19.3 |
25.3 |
| 65-74 |
14.1 |
15.3 |
17.3 |
22.3 |
| 75-84 |
16.6 |
19.8 |
16.2 |
21.2 |
| 85 and over |
16.0 |
17.3 |
(B) |
19.1 |
| |
| Other |
|
| 65 and over |
5.8 |
7.7 |
6.0 |
7.6 |
| 55-64 |
4.3 |
4.3 |
3.5 |
4.6 |
| 65-74 |
5.6 |
6.5 |
5.3 |
6.5 |
| 75-84 |
6.5 |
9.1 |
6.7 |
8.8 |
| 85 and over |
6.0 |
11.9 |
8.2 |
9.8 |
| |
| Health status category |
|
| Poor or fair health |
|
| 65 and over |
10.6 |
11.6 |
10.9 |
13.6 |
| 55-64 |
9.5 |
9.7 |
8.5 |
11.7 |
| 65-74 |
9.8 |
10.7 |
10.1 |
13.0 |
| 75-84 |
12.1 |
12.8 |
10.8 |
14.3 |
| 85 and over |
(B) |
12.9 |
(B) |
13.9 |
| |
| Excellent, very good, or good health |
|
| 65 and over |
6.9 |
7.7 |
6.3 |
7.5 |
| 55-64 |
4.5 |
4.7 |
4.4 |
4.8 |
| 65-74 |
6.1 |
5.7 |
5.7 |
6.1 |
| 75-84 |
8.0 |
10.2 |
7.2 |
8.9 |
| 85 and over |
8.9 |
13.7 |
7.0 |
10.7 |
| (B)
Base is not large enough to produce reliable results. |
| Note:
Out-of-pocket health care expenditures exclude personal spending for
health insurance premiums. Including expenditures for out-of-pocket
premiums in the estimates of out-of-pocket spending would increase the
percentage of household income spent on health care in all years. People
are classified into the “poor/near poor” income category if their
household income is below 125 percent of the poverty level; otherwise,
people are classified into the “other"
income category. The poverty level is calculated according to the U.S.
Census Bureau guidelines for the corresponding year. The ratio of a
person’s out-of-pocket expenditures to their household income was
calculated based on the person’s per capita household income. For people
whose ratio of out-of-pocket expenditures to income exceeded 100 percent,
the ratio was capped at 100 percent. People with no out-of-pocket
expenditures were excluded from all calculations. Data from the 1987
survey have been adjusted to permit comparability across years; for
details, see: Zuvekas and Cohen.64 |
| Reference
population: These data refer to the civilian noninstitutionalized
population. |
| Source:
Agency for Healthcare Research and Quality, Medical Expenditure Panel
Survey (MEPS) and MEPS predecessor surveys. |
| TABLE
32c - DISTRIBUTION OF TOTAL OUT-OF-POCKET HEALTH CARE EXPENDITURES AMONG
PEOPLE AGE 65 AND OVER WITH OUT-OF-POCKET EXPENDITURES, BY TYPE OF HEALTH
CARE SERVICES AND AGE GROUP, 2001 |
| Type of health care service |
65 and over |
65-74 |
75-84 |
85 and over |
| Hospital care |
5.4 |
5.2 |
5.8 |
4.8 |
| Office-based medical provider services |
9.4 |
10.5 |
9.6 |
6.0 |
| Dental services |
13.0 |
15.6 |
11.9 |
8.3 |
| Prescription drugs |
56.0 |
57.2 |
58.9 |
45.1 |
| Other health care |
16.2 |
11.5 |
13.8 |
35.8 |
| |
| Note:
Out-of-pocket health care expenditures exclude personal spending for
health insurance premiums. Hospital
care includes hospital inpatient care and care provided in hospital
outpatient departments and emergency rooms.
Office-based medical provider services includes services provided
by medical providers in nonhospital-based medical offices or clinic
settings. Dental services includes care provided by any type of dental
provider. Prescription drugs include prescribed medications purchased,
including refills. Other health care includes care provided by home health
agencies and independent home health providers and expenses for eyewear,
ambulance services, orthopedic items, hearing devices, prostheses,
bathroom aids, medical equipment, disposable supplies, and other
miscellaneous services. The
majority of expenditures in the "other" category are for home
health services and eyeglasses. Figures might not sum to 100 percent
because of rounding. |
| Reference
population: These data refer to the civilian noninstitutionalized
population. |
| Source:
Agency for Healthcare Research and Quality, Medical Expenditure Panel
Survey. |
Indicator 33 : Sources of Payment for Health Care Services
| TABLE 33a - SOURCES OF PAYMENT FOR HEALTH CARE SERVICES FOR MEDICARE ENROLLEES
AGE 65 AND OVER, BY TYPE OF SERVICE, 2001 |
| Service |
Average cost per enrollee |
Total |
Medicare |
|
Medicaid |
|
OOP |
|
Other |
|
| |
Dollars |
Percent |
|
|
|
|
SE |
|
SE |
|
SE |
|
SE |
| Hospice |
$104 |
100 |
100 |
0.00 |
0 |
0.0 |
0 |
0.0 |
0 |
0.0 |
| Inpatient hospital |
2,991 |
100 |
88 |
0.01 |
1 |
0.0 |
4 |
0.02 |
7 |
0.01 |
| Home health care |
294 |
100 |
85 |
0.03 |
1 |
0.0 |
11 |
0.03 |
3 |
0.02 |
| Short term institution |
493 |
100 |
83 |
0.01 |
3 |
0.01 |
7 |
0.01 |
8 |
0.01 |
| Physician/medical |
2,805 |
100 |
68 |
0.01 |
2 |
0.0 |
16 |
0.0 |
15 |
0.0 |
| Outpatient hospital |
914 |
100 |
63 |
0.01 |
2 |
0.0 |
12 |
0.01 |
23 |
0.01 |
| Prescription drugs |
1,191 |
100 |
4 |
0.0 |
9 |
0.01 |
41 |
0.01 |
47 |
0.01 |
| Dental |
281 |
100 |
1 |
0.0 |
1 |
0.0 |
80 |
0.01 |
18 |
0.01 |
| Nursing home/long-term institution |
1,875 |
100 |
0 |
0.0 |
46 |
0.02 |
48 |
0.02 |
6 |
0.01 |
| All |
10,948 |
100 |
54 |
0.01 |
10 |
0.0 |
21 |
0.01 |
15 |
0.0 |
| Note: OOP
refers to out-of-pocket payments. "Other" refers to private
insurance, Department of Veterans Affairs, and other public
programs. |
| Reference
population: These data refer to Medicare enrollees. |
| Source: Centers for Medicare & Medicaid
Services, Medicare Current Beneficiary Survey |
| TABLE 33b - SOURCES OF PAYMENT FOR HEALTH CARE SERVICES FOR MEDICARE ENROLLEES
AGE 65 AND OVER, BY INCOME, 2001 |
| Income |
Average cost |
Total |
Medicare |
|
Medicaid |
|
OOP |
|
Other |
|
| |
Dollars |
Percent |
| |
SE |
|
SE |
|
SE |
|
SE |
| All |
$ 10,948 |
100 |
54 |
0.01 |
10 |
0.00 |
21 |
0.01 |
15 |
0.00 |
| $0-$10,000 |
14,692 |
100 |
50 |
0.02 |
27 |
0.01 |
16 |
0.01 |
7 |
0.01 |
| 10,001-20,000 |
11,249 |
100 |
58 |
0.01 |
8 |
0.01 |
21 |
0.01 |
13 |
0.00 |
| 20,001-30,000 |
10,152 |
100 |
56 |
0.02 |
3 |
0.01 |
24 |
0.01 |
17 |
0.01 |
| 30,001 or more |
8,855 |
100 |
52 |
0.01 |
1 |
0.00 |
25 |
0.01 |
22 |
0.01 |
| Note:
OOP refers to out-of pocket payments. "Other" refers to private
insurance, Department of Veterans Affairs, and other public programs. |
| Reference
population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey |
Indicator 34 : Veterans Health Care
| TABLE 34 - TOTAL NUMBER OF VETERANS AGE 65 AND OVER WHO ARE ENROLLED IN OR RECEIVING HEALTH
CARE FROM THE VETERANS HEALTH ADMINISTRATION, 1990-2003 |
| Veteran population |
1990 |
1991 |
1992 |
1993 |
1994 |
1995 |
1996 |
1997 |
1998 |
1999 |
2000 |
2001 |
2002 |
2003 |
| |
Number in millions |
| Total |
7.9 |
8.3 |
8.7 |
9.0 |
9.2 |
9.4 |
9.7 |
9.8 |
9.9 |
10.0 |
10.0 |
9.9 |
9.8 |
9.7 |
| VA enrollees |
na |
na |
na |
na |
na |
na |
na |
na |
na |
1.7 |
2.1 |
2.7 |
3.1 |
3.3 |
| VA patients |
0.9 |
0.9 |
1.0 |
1.0 |
1.0 |
1.1 |
1.1 |
1.1 |
1.3 |
1.4 |
1.6 |
1.9 |
2.1 |
2.3 |
| na Data not available. |
| Note:
Department of Veterans Affairs (VA) enrollees are veterans who have
signed-up to receive health care from the Veterans Health Administration (VHA),
and VA patients are enrollees who have received care in each year through
VHA. |
| Reference
population: These data refer to the total veteran population, VHA
enrollment population, and VHA patient population. |
| Source:
Department of Veterans Affairs, Office of the Actuary, VetPop 2001
adjusted by Census 2000, February
2003; VHA Enrollment and Patient Files. |
Indicator 35 : Nursing Home Utilization
| TABLE 35a - RATE OF NURSING HOME RESIDENCE AMONG PEOPLE AGE 65 AND OVER, BY SEX
AND AGE GROUP, 1985, 1995, AND 1997, AND 1999 |
| Sex and age group |
1985 |
1995 |
1997 |
1999 |
| |
Rate per thousand |
| Both sexes |
|
| 65 and over |
54.0 |
45.9 |
45.3 |
43.3 |
| 65-74 |
12.5 |
10.1 |
10.8 |
10.8 |
| 75-84 |
57.7 |
45.9 |
45.5 |
43.0 |
| 85 and over |
220.3 |
198.6 |
192.0 |
182.5 |
| |
| Men |
|
| 65 and over |
38.8 |
32.8 |
32.0 |
30.6 |
| 65-74 |
10.8 |
9.5 |
9.8 |
10.3 |
| 75-84 |
43.0 |
33.3 |
34.6 |
30.8 |
| 85 and over |
145.7 |
130.8 |
119.0 |
116.5 |
|
|
| Women |
|
| 65 and over |
61.5 |
52.3 |
51.9 |
49.8 |
| 65-74 |
13.8 |
10.6 |
11.6 |
11.2 |
| 75-84 |
66.4 |
53.9 |
52.7 |
51.2 |
| 85 and over |
250.1 |
224.9 |
221.6 |
210.5 |
| Note:
Rates for 65 and over category are age-adjusted using the 2000 standard
population. Beginning in 1997, population figures are adjusted for net
underenumeration using the 1990 National Population Adjustment Matrix from
the U.S. Census Bureau. |
| People
residing in personal care or domiciliary care homes are excluded from the
numerator. |
| Reference
population: These data refer to the resident population. |
| Source:
Centers for Disease Control and Prevention, National Center for Health
Statistics, National Nursing Home Survey. |
| TABLE 35b - NUMBER OF CURRENT NURSING HOME RESIDENTS AGE 65 AND OVER, BY SEX AND
AGE GROUP, 1985, 1995,1997, AND 1999 |
| Sex and age group |
1985 |
|
1995 |
|
1997 |
|
1999 |
|
| |
Number in thousands |
|
| |
|
SE |
|
SE |
|
SE |
|
SE |
| 65 and over |
1,318 |
0.6 |
1,423 |
0.4 |
1,465 |
0.4 |
1,469 |
0.4 |
| 65-74 |
212 |
0.6 |
190 |
0.4 |
198 |
0.4 |
195 |
0.4 |
| 75-84 |
509 |
0.8 |
512 |
0.6 |
528 |
0.6 |
518 |
0.6 |
| 85 and over |
597 |
0.8 |
720 |
0.6 |
738 |
0.7 |
757 |
0.7 |
| |
| Men |
|
| 65 and over |
334 |
0.8 |
357 |
0.6 |
372 |
0.6 |
378 |
0.6 |
| 65-74 |
81 |
2.0 |
79 |
0.9 |
81 |
0.8 |
84 |
0.8 |
| 75-84 |
141 |
1.2 |
144 |
1.1 |
159 |
1.1 |
150 |
1.1 |
| 85 and over |
113 |
0.9 |
133 |
1.1 |
132 |
1.1 |
144 |
1.1 |
| |
| Women |
|
| 65 and over |
984 |
0.8 |
1,066 |
0.6 |
1,093 |
0.6 |
1,092 |
0.6 |
| 65-74 |
132 |
2.0 |
111 |
0.4 |
118 |
0.4 |
111 |
0.4 |
| 75-84 |
368 |
1.2 |
368 |
0.7 |
369 |
0.7 |
368 |
0.7 |
| 85 and over |
485 |
0.9 |
587 |
0.7 |
606 |
0.7 |
613 |
0.7 |
| Reference
population: These data refer to the population residing in nursing homes.
People residing in personal care or domiciliary care homes are excluded. |
| Source:
Centers for Disease Control and Prevention, National Center for Health
Statistics, National Nursing Home Survey. |
| TABLE 35c - PERCENTAGE OF NURSING HOME RESIDENTS AGE 65 AND OVER RECEIVING
ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, BY SELECTED CHARACTERISTICS,
1985,1995, 1997, and 1999 |
| Selected Characteristic |
1985 |
|
1995 |
|
1997 |
|
1999 |
|
| |
Percent |
| |
|
SE |
|
SE |
|
SE |
|
SE |
| Total receiving assistance with 0 ADLs |
5.0 |
0.5 |
2.2 |
0.2 |
2.2 |
0.2 |
3.0 |
0.4 |
| |
| Men |
8.8 |
1.3 |
3.2 |
0.5 |
3.4 |
0.44 |
5.0 |
0.8 |
| Women |
3.8 |
0.5 |
1.9 |
0.3 |
1.8 |
0.2 |
2.4 |
0.3 |
| |
| White |
5.1 |
0.6 |
2.2 |
0.3 |
2.2 |
0.2 |
3.1 |
0.4 |
| Black or African
American |
3.7 |
1.8 |
2.1 |
0.6 |
2.0 |
0.5 |
2.5 |
0.6 |
| |
| Not Hispanic or Latino |
5.1 |
0.5 |
2.3 |
0.3 |
2.2 |
0.2 |
3.0 |
0.4 |
| Hispanic |
2.5 |
1.8 |
2.1 |
1.1 |
1.2 |
0.8 |
3.0 |
1.5 |
| |
| Total receiving assistance with
1-3 ADLs |
26.2 |
0.8 |
22.5 |
0.6 |
21.3 |
0.5 |
19.8 |
0.6 |
| |
| Men |
28.8 |
1.5 |
25.0 |
1.1 |
23.8 |
1 |
20.7 |
1 |
| Women |
25.3 |
0.9 |
21.7 |
0.6 |
20.4 |
0.6 |
19.6 |
0.6 |
| |
| White |
26.6 |
0.8 |
23.0 |
0.6 |
21.7 |
0.6 |
20.3 |
0.6 |
| Black or African
American |
20.9 |
3.1 |
17.9 |
1.7 |
17.5 |
1.5 |
17.0 |
1.5 |
| |
| Not Hispanic or
Latino |
26.3 |
0.8 |
22.3 |
0.6 |
21.6 |
0.6 |
20.0 |
0.6 |
| Hispanic |
24.2 |
4.1 |
23.7 |
3.4 |
13.9 |
2.9 |
18.5 |
3.0 |
| |
| Total receiving assistance with
4-6 ADLs |
68.8 |
1.0 |
75.3 |
0.6 |
76.6 |
0.6 |
77.2 |
0.7 |
| |
| Men |
62.5 |
1.9 |
71.8 |
1.1 |
72.8 |
1.1 |
74.4 |
1.2 |
| Women |
70.9 |
1.0 |
76.4 |
0.7 |
77.8 |
0.6 |
78.1 |
0.7 |
| |
| White |
68.3 |
1.0 |
74.8 |
0.6 |
76.1 |
0.6 |
76.6 |
0.7 |
| Black or African
American |
75.5 |
3.3 |
80.0 |
1.8 |
80.5 |
1.6 |
80.5 |
1.6 |
| |
| Not Hispanic or
Latino |
68.7 |
1.0 |
75.4 |
0.6 |
76.2 |
0.6 |
77.0 |
0.7 |
| Hispanic |
73.4 |
4.7 |
74.2 |
3.5 |
84.9 |
2.9 |
78.5 |
3.2 |
| Note:
The six activities of daily living (ADLs) included are: bathing, eating,
dressing, walking, toileting, and transferring in and out of bed or
chairs. The resident's receipt of assistance with these activities refers
to personal help received from facility staff at the time of the survey (
for current residents) or the last time care was provided (for
discharges). Help that a resident may receive from people who are not
staff of the facility (e.g., family members, friends, or individuals
employed directly by the patient and not by the facility) is not included.
See Appendix B for the definition of race and ethnicity in the National
Nursing Home Survey. |
| Reference population: These data refer to
the population residing in nursing homes. People residing in personal care
or domiciliary care homes are excluded. |
| Source: Centers
for Disease Control and Prevention, National Center for Health Statistics,
National Nursing Home Survey. |
Indicator 36 : Residential Services
| TABLE 36a - PERCENTAGE OF MEDICARE ENROLLEES AGE 65 AND OVER RESIDING IN
SELECTED RESIDENTIAL SETTINGS, BY AGE GROUP, 2002 |
| Residential setting |
65 and over |
65-74 |
75-84 |
85 and over |
| |
Number in thousands |
|
| All settings |
32,814 |
|
16,104 |
|
12,391 |
|
4,319 |
|
| |
| |
Percent |
| |
|
SE |
|
SE |
|
SE |
|
SE |
| Total |
100.0 |
|
100.0 |
|
100.0 |
|
100.0 |
|
| Traditional community |
92.7 |
0.3 |
97.8 |
0.2 |
92.6 |
0.4 |
74.3 |
1.1 |
| Community housing |
2.4 |
0.2 |
1.0 |
0.2 |
2.7 |
0.3 |
7.1 |
0.6 |
| with services |
|
| Long-term care facilities |
4.8 |
0.2 |
1.3 |
0.2 |
4.7 |
0.3 |
18.6 |
0.9 |
| Note:
Community housing with services applies to respondents who reported they
lived in retirement communities or apartments, senior citizen housing,
continuing care retirement facilities, assisted living facilities, staged
living communities, board and care facilities/homes, and similar
situations, AND who reported they had access to one or more of the
following services through their place of residence: meal preparation,
cleaning or housekeeping services, laundry services, help with
medications. Respondents were asked about access to these services but not
whether they actually used the services. |
| A residence is considered a long-term care facility if it is certified by
Medicare or Medicaid; or has 3 or more beds and is licensed as a nursing
home or other long-term care facility and provides at least one personal
care service; or provides 24-hour, 7-day-a-week supervision by a
caregiver. |
| Reference
population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
| TABLE 36b - PERCENTAGE OF MEDICARE ENROLLEES AGE 65 AND OVER WITH FUNCTIONAL LIMITATIONS,
BY RESIDENTIAL SETTING, 2002 |
| Community |
| |
Traditional community |
|
housing with services |
|
Long-term care facility |
|
| Functional status |
|
| |
Percent |
| |
|
SE |
|
SE |
|
SE |
| Total |
100.0 |
|
100.0 |
|
100.0 |
|
| No functional limitations |
58.3 |
0.5 |
36.7 |
3.0 |
6.3 |
1.0 |
| IADL limitation only |
14.0 |
0.4 |
17.9 |
2.4 |
12.5 |
1.3 |
| 1-2 ADL limitations |
19.2 |
0.4 |
33.1 |
2.9 |
16.7 |
1.5 |
| 3 or more ADL
limitations |
8.5 |
0.3 |
12.3 |
2.0 |
64.6 |
1.9 |
| Note: Community
housing with services applies to respondents who reported they lived in
retirement communities or apartments, senior citizen housing,
continuing care retirement facilities, assisted living facilities, staged
living communities, board and care facilities/homes, and similar
situations, AND who reported they had access to one or more of the
following services through their place of residence: meal preparation,
cleaning or housekeeping services, laundry services, help with
medications. Respondents were asked about access to these services but not
whether they actually used the services. |
| A residence is considered a long-term care facility if it is certified by
Medicare or Medicaid; or has 3 or more beds and is licensed as a nursing
home or other long-term care facility and provides at least one personal
care service; or provides 24-hour, 7-day-a-week supervision by a
caregiver. |
| IADL
limitations refer to difficulty performing (or inability to perform, for a
health reason) one or more of the following tasks: using the telephone,
light housework, heavy housework, meal preparation, shopping, managing
money. Only the questions on telephone use, shopping, and managing money
are asked of long-term care residents. ADL limitations refer to difficulty
performing (or inability to perform, for a health reason) the following
tasks: bathing, dressing, eating, getting in/out of chairs, walking,
toileting. Long-term care facility residents with no limitations may
include individuals with limitations in certain IADLS: doing light or
heavy housework or meal preparation. These questions were not asked of
facility residents. |
| Reference population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
| TABLE 36c - AVAILABILITY OF SPECIFIC SERVICES AMONG MEDICARE ENROLLEES AGE 65
AND OVER RESIDING IN COMMUNITY HOUSING WITH SERVICES, 2002 |
| Persons residing in
community housing with services who have access to… |
Percent |
SE |
| Total |
100.0 |
|
| Prepared meals |
85.8 |
2.2 |
| Housekeeping, maid, or cleaning
services |
80.4 |
2.5 |
| Laundry services |
68.2 |
2.9 |
| Help with medications |
46.6 |
3.1 |
| Note:
Community housing with services applies to respondents who reported they
lived in retirement
communities or apartments communities or apartments, senior citizen
housing, continuing care retirement facilities, assisted living
facilities, staged living communities, board and care facilities/homes,
and similar situations, AND who reported they had access to one or more
services listed in the table through their place of residence. Respondents
were asked about access to these services but not whether they actually
used the services. |
| Reference
population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
| TABLE 36d - ANNUAL INCOME DISTRIBUTION OF MEDICARE ENROLLEES AGE 65 AND OVER, BY
RESIDENTIAL SETTING, 2002 |
| Income |
Traditional community |
Community housing with services |
Long-term care facility |
| |
Percent |
| |
|
SE |
|
SE |
|
SE |
| Total |
100.0 |
|
100.0 |
|
100.0 |
|
| $0-$10,000 |
16.6 |
0.4 |
24.2 |
2.6 |
43.4 |
2.0 |
| 10,001-20,000 |
28.2 |
0.5 |
25.8 |
2.7 |
33.5 |
1.9 |
| 20,001-30,000 |
22.2 |
0.5 |
20.7 |
2.6 |
12.1 |
1.3 |
| 30,001 or more |
33.0 |
0.5 |
29.3 |
2.8 |
11.1 |
1.2 |
| Note:
Community housing with services applies to respondents who reported they
lived in retirement communities or apartments, senior citizen housing,
continuing care retirement facilities, assisted living facilities, staged
living communities, board and care facilities/homes, and similar
situations, AND who reported they had access to one or more of the
following services through their place of residence: meal preparation,
cleaning or housekeeping services, laundry services, help with
medications. Respondents were asked about access to these services but not
whether they actually used the services. A residence is considered a
long-term care facility if it is certified by
Medicare or Medicaid; or has 3 or more beds and is licensed as a nursing
home or other long-term care
facility and provides at least one personal care service; or provides
24-hour, 7-day-a-week supervision by
a caregiver. Table excludes data for respondents who reported only that
their income was greater or less than $25,000. |
| Reference
population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
| TABLE 36e - CHARACTERISTICS OF SERVICES AVAILABLE TO MEDICARE ENROLLEES AGE 65
AND OVER RESIDING IN COMMUNITY HOUSING WITH SERVICES, 2002 |
| Selected Characteristic |
Percent |
SE |
| |
| Services included in housing costs |
100.0 |
|
|
All included |
46.7 |
2.6 |
| Some included/some separate |
37.9 |
2.2 |
| All separate |
15.4 |
1.9 |
|
| Can continue
living there if they need substantial services |
100.0 |
|
| Yes |
53.0 |
3.2 |
| No |
47.0 |
3.2 |
| Note:
Community housing with services applies to respondents who reported they
lived in retirement communities or apartments, senior citizen
housing, continuing care retirement facilities, assisted living
facilities, staged living communities, board and care facilities/homes,
and similar situations, AND who reported they had access to one or more of
the following services through their place of residence: meal preparation,
cleaning or housekeeping services, laundry services, help with
medications. Respondents were asked about access to these services but not
whether they actually used the services. |
| Reference
population: These data refer to Medicare enrollees. |
| Source:
Centers for Medicare & Medicaid Services, Medicare Current Beneficiary
Survey. |
Indicator 37 : Caregiving and Assistive Device Use
| TABLE 37a - DISTRIBUTION OF MEDICARE ENROLLEES AGE 65 AND OVER RECEIVING
PERSONAL CARE FOR A CHRONIC DISABILITY, BY TYPE OF CARE, 1984, 1989, 1994
AND 1999 |
| Type of care |
1984 |
1989 |
1994 |
1999 |
| |
Number |
| Total Medicare enrollees |
27,967,944 |
30,871,346 |
33,125,154 |
34,459,236 |
| Total Medicare enrollees receiving
personal care |
4,094,565 |
3,946,598 |
3,844,871 |
3,700,889 |
| |
Percent |
| Total percentage of
Medicare enrollees receiving personal care |
14.6 |
12.8 |
11.6 |
10.7 |
| Distribution of type
of personal care |
100.0 |
100.0 |
100.0 |
100.0 |
| Informal only |
68.9 |
64.5 |
57.1 |
65.5 |
| informal and formal care |
26.0 |
28.4 |
36.1 |
25.9 |
| Formal only |
5.1 |
7.1 |
6.8 |
8.5 |
| Note:
Informal care refers to unpaid assistance provided to a person with a
chronic disability living in the community. Formal care refers to paid
assistance. |
| Reference
population: These data refer to Medicare enrollees living in the community
who report receiving personal care from a paid or unpaid helper for a
chronic disability. |
| Source: National Long Term Care Survey. |
| TABLE 37b - DISTRIBUTION OF MEDICARE ENROLLEES AGE 65 AND OVER RECEIVING
PERSONAL CARE FOR A CHRONIC DISABILITY, BY TYPE OF CARE AND LEVEL OF
DISABILITY, 1984, 1989, 1994, AND 1999 |
| |
| Level of disability |
Informal care only |
Informal and formal care |
Formal care only |
Total |
| |
| |
Percent |
Number in thousands |
| 1984 |
|
| IADL only |
79.4 |
15.6 |
5.0 |
1,219 |
| 1-2 ADLs |
70.6 |
24.2 |
5.2 |
1,332 |
| 3-4 ADLs |
62.7 |
30.8 |
6.5 |
711 |
| 5-6 ADLs |
55.8 |
40.0 |
4.1 |
833 |
| Total |
68.9 |
26.0 |
5.1 |
4,095 |
| |
| 1989 |
|
| IADL only |
78.7 |
14.5 |
6.8 |
774 |
| 1-2 ADLs |
69.9 |
22.5 |
7.6 |
1,338 |
| 3-4 ADLs |
57.9 |
33.1 |
8.9 |
954 |
| 5-6 ADLs |
50.9 |
44.4 |
4.7 |
880 |
| Total |
64.5 |
28.4 |
7.1 |
3,947 |
| |
| 1994 |
|
| IADL only |
77.6 |
16.4 |
6.0 |
746 |
| 1-2 ADLs |
61.6 |
29.8 |
8.6 |
1,213 |
| 3-4 ADLs |
53.1 |
39.1 |
7.8 |
914 |
| 5-6 ADLs |
39.4 |
56.4 |
4.2 |
973 |
| Total |
57.1 |
36.1 |
6.8 |
3,845 |
| |
| 1999 |
|
| IADL only |
80.1 |
12.8 |
7.1 |
558 |
| 1-2 ADLs |
75.8 |
16.1 |
8.1 |
1,086 |
| 3-4 ADLs |
62.2 |
28.1 |
9.7 |
990 |
| 5-6 ADLs |
50.6 |
40.8 |
8.6 |
1,068 |
| Total |
65.5 |
25.9 |
8.5 |
3,701 |
| Note:
Informal care refers to unpaid assistance provided to a person with a
chronic disability living in the community. |
| Formal
care refers to paid assistance. IADL is instrumental activity of daily
living. ADL is activity of daily living. |
| Reference Population: These data refer to
Medicare enrollees living in the community who report receiving personal
care from a paid or unpaid helper for a chronic disability. |
| Source: National Long Term Care Survey. |
| TABLE 37c - DISTRIBUTION OF MEDICARE ENROLLEES AGE 65 AND OVER USING ASSISTIVE
DEVICES AND/OR RECEIVING PERSONAL CARE FOR A CHRONIC DISABILITY, BY TYPE
OF CARE, 1984,1989, 1994, AND 1999 |
| Type of care |
1984 |
1989 |
1994 |
1999 |
| |
Number |
| Total Medicare enrollees |
27,967,944 |
30,871,346 |
33,125,154 |
34,459,236 |
| Total Medicare enrollees receiving
personal care or using assistive devices |
4,730,434 |
4,820,323 |
4,911,958 |
4,990,968 |
| |
Percent |
| Total percentage of
Medicare enrollees receiving personal care or using assistive devices |
16.9 |
15.6 |
14.8 |
14.5 |
| Distribution of type
of care |
100.0 |
100.0 |
100.0 |
100.0 |
| Assistive device only |
13.4 |
18.1 |
21.7 |
25.8 |
| Assistive device and personal care |
55.4 |
60.8 |
59.0 |
58.4 |
| Personal care only |
31.1 |
21.1 |
19.3 |
15.8 |
| Note: Personal care refers to paid or unpaid assistance
provided to a person with a chronic disability living in the
community. Reference population: These data refer to Medicare
enrollees living in the community who report either receiving personal
care from a paid or unpaid helper, or using assistive devices, or both,
for a chronic disability. |
| Source: National Long Term Care Survey. |
| TABLE 37d - DISTRIBUTION OF MEDICARE ENROLLEES AGE 65 AND OVER USING ASSISTIVE
DEVICES AND/OR PERSONAL CARE FOR A CHRONIC DISABILITY, BY TYPE OF CARE AND
LEVEL OF DISABILITY, 1984, 1989, 1994, AND 1999 |
| Level of disability |
Assistive device only |
Assistive device and personal care |
Personal assistance care only |
Total |
| |
Percent |
Number in thousands |
| 1984 |
|
| IADL only |
14.1 |
20.8 |
65.1 |
1,419 |
| 1-2 ADLs |
22.4 |
59.1 |
18.5 |
1,717 |
| 3-4 ADLs |
6.7 |
80.5 |
12.7 |
762 |