Decomposition of outpatient health care spending by disease - a novel approach using insurance claims data

Stucki, Michael; Nemitz, Janina; Trottmann, Maria; Wieser, Simon

doi:10.1186/s12913-021-07262-x

BMC Health Services Research

Table 3 Outpatient spending by disease at GBD level 3 (share by sex, per patient by sex, overall share)

From: Decomposition of outpatient health care spending by disease - a novel approach using insurance claims data

Disease GBD level 2	Disease GBD level 3	Average annual disease specific spending per patient (CHF)		Spending share by sex (%)		Share in total spending (%)
		women	men	women	men	Share in total spending (%)
Communicable diseases	HIV/AIDS	14,296	14,908	24.6	75.4	1.2
	Other communicable diseases	610	879	51.7	48.3	6.7
	Hepatitis	38,145	41,050	42.4	57.6	0.5
Maternal and neonatal disorders	Maternal and neonatal disorders	7982	562	99.8	0.2	0.8
Nutritional deficiencies	Nutritional deficiencies	572	1130	76.3	23.7	1.7
Neoplasms	Colon and rectum cancers	3977	8988	44.8	55.2	0.7
	Trachea, bronchus, and lung cancers	22,969	26,083	54.2	45.8	1.6
	Breast cancer	7645	0	100.0	0.0	1.4
	Prostate cancer	0	7743	0	100.0	0.9
	Other neoplasms	5151	6552	47.3	52.7	2.7
Cardiovascular diseases	Ischemic heart disease	1452	2040	41.3	58.7	1.8
	Stroke	1752	1499	50.3	49.7	0.2
	Hypertensive heart disease	3843	2155	58.5	41.5	0.1
	Atrial fibrillation and flutter	2058	2171	42.0	58.0	0.5
	Other cardiovascular and circulatory diseases	849	943	50.1	49.9	6.0
Chronic respiratory diseases	Chronic obstructive pulmonary disease (COPD)	1102	1332	44.9	55.1	0.5
	Asthma	609	640	51.1	48.9	1.0
	Other chronic respiratory diseases	1267	1121	45.1	54.9	0.5
Digestive diseases	Cirrhosis and other chronic liver diseases	1494	3428	23.0	77.0	0.0
	Other digestive diseases	1341	1283	55.5	44.5	6.4
Neurological disorders	Alzheimer’s disease and other dementias	926	947	62.3	37.7	0.6
	Parkinson’s disease	1653	2280	49.6	50.4	0.6
	Epilepsy	1614	1828	52.8	47.2	1.6
	Multiple sclerosis	22,429	20,381	71.6	28.4	0.8
	Other neurological diseases	947	981	58.0	42.0	3.3
Mental and substance use disorders	Schizophrenia	3184	4041	43.5	56.5	0.3
	Depression	1746	1868	63.7	36.3	4.3
	Attention Deficit Hyperactivity Disorder (ADHD)	2419	1911	41.4	58.6	0.6
	Other mental disorders	2298	2197	60.0	40.0	6.5
	Alcohol and drug use disorders	1963	2107	38.4	61.6	0.2
Diabetes and kidney diseases	Diabetes	1398	1417	43.0	57.0	2.4
	Chronic kidney disease	22,754	25,603	38.7	61.3	1.6
Skin and subcutaneous diseases	Skin and subcutaneous diseases	473	498	56.8	43.2	3.7
Sense organ diseases	Sense organ diseases	790	707	60.4	39.6	8.7
Musculoskeletal disorders	Rheumatoid arthritis	7148	7721	57.0	43.0	2.2
	Osteoarthritis	1247	1113	67.9	32.1	1.4
	Low back pain	2666	2335	63.3	36.7	1.0
	Osteoporosis	1741	2350	79.0	21.0	2.7
	Other musculoskeletal disorders	1234	1072	59.3	40.7	11.8
Other non-communicable diseases	Oral disorders	478	511	57.1	42.9	0.6
	Other non-communicable diseases	715	779	53.0	47.0	4.3
Well care	Well care	676	148	95.1	4.9	5.7
Not assigned		606	632	53.7	46.3	–

The table shows the main results of the spending decomposition by disease: the average annual spending per patient with the disease for women (column 3) and men (column 4) as well as the share of total outpatient spending by disease by women and men (columns 5 and 6). The last column refers to the share of total outpatient spending that was assigned to that disease. The last row represents the average spending per individual with positive spending that could not be assigned

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ISSN: 1472-6963

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