Background:Heart failure (HF) constitutes a growing burden for public health and the US health care system. While the prevalence of HF is increasing, differences in health care utilization and expenditures within various sociodemographic groups remain poorly defined.Methods:We used the Medical Expenditure Panel Survey to assess annual health care utilization and expenditures from 2012 to 2017. Health care utilization was based on the annual frequency of various health care encounters. Annual total and out-of-pocket expenditures were evaluated for hospital inpatient stays, emergency room visits, outpatient visits, office-based medical provider visits, prescribed medicines, dental visits, home health aid visits, and other medical expenses. We performed univariable and multivariable regression analysis based on patient characteristics including sociodemographic and comorbidity variables.Results:Our results showed that total health care expenditures among patients with HF were $21 177 (95% CI, $18 819–$24 736) per year as compared with $5652 (95% CI, $5469–$5837) in those without HF (P<0.001). Total expenditures within the population with HF were primarily being driven by expenditures associated with inpatient hospitalizations. Increasing number of comorbid conditions was associated with significant increases in total health care expenditures. Older age, female sex, earlier study years, number of comorbidities, higher level of education, and increasing family income brackets independently raised out-of-pocket expenditures.Conclusions:Our findings of increased health care utilization and expenditures based on sex, age, increasing number of comorbidities, wealthier income status, and increased education attainment level may be used for efforts aimed at better distributing health care resources to improve health outcomes in HF.

中文翻译：

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来自医疗支出小组调查的估计的心力衰竭患者的医疗保健利用和支出

背景：心力衰竭 (HF) 对公共卫生和美国医疗保健系统构成越来越大的负担。虽然 HF 的患病率正在增加，但不同社会人口群体内医疗保健利用和支出的差异仍然不明确。方法：我们使用医疗支出面板调查来评估 2012 年至 2017 年的年度医疗保健利用和支出。关于各种医疗保健遭遇的年度频率。年度总支出和自付费用被评估为住院住院、急诊室就诊、门诊就诊、基于办公室的医疗提供者就诊、处方药、牙科就诊、家庭健康援助就诊和其他医疗费用。P <0.001）。HF 人群中的总支出主要由与住院治疗相关的支出驱动。合并症数量的增加与总医疗保健支出的显着增加有关。年龄较大、女性、研究年龄较早、合并症数量、教育水平较高和家庭收入增加独立增加了自付费用。结论：我们的研究结果表明，基于性别、年龄、越来越多的合并症、更富裕的收入状况和更高的教育程度可用于旨在更好地分配医疗保健资源以改善 HF 健康结果的努力。