Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures...

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Personal Health Care Expenditures by State, Selected Years 1966-1978 by Katharine R. Levit In 1966, spending for personal health care In the U.S. was $39 billion. By 1978, these expenditures had grown to $166 billion. Among regions and states, different patterns and levels of spending emerged, along with different rates of growth. Some of the highlights from the accompanying report which pinpoint personal health care spending differences among regions and states are listed below. In 1978, $745 per person was spent for personal health care services within the U.S. Massachusetts led the nation In spending with $935 per person. The lowest spending tor per· sonal hea/th-$521 per capita-occurred In South Carolina. Expenditures for hospital care ranged from a high of $490 per capita In Massachusetts to a low of $197 per capita in Idaho, with the U.S. expenditure level at $337 per person. Spending for physician services In 19.78 was $161 per per- son nationwide. The highest level of spending-$238-was in California, and the lowest-$90-was in Vermont. Florida, with the largest proportion of aged residents in the U.S., registered expenditure levels of $208 per person for physician services. Despite a 29.5 percent Increase nationwide In the number of physicians from 1969 to 1978, little change has oc- curred In the rank of states and regions In their physician-to· population concentrations. Minnesota led the nation In nursing home care expendi- tures, spending $126 per person for this service In 1978. Min· nesota's high per capita spending for nursing home care cor· relates with Its large number of nursing home beds per 65 years of age and over population. In 1978, the 96 beds per 1000 elderly residents which were maintained in Minnesota contrasted sharply with the 56 beds maintained per 1000 elderly residents nationwide. Personal health care expenditures per capita. grew an average of 11.6 percent per year between 1966 and 1978. Growth was most dramatic in the Southeast, where expend/· tures per capita more than quadrupled, growing 12.6 percent per year. Mississippi registered an average annual growth rate of 14.0 percent to lead the region and the nation In rate of In· crease in per capita personal health care spending growth. The region with the smallest rate of increase in personal health expenditures per capita was the Rocky Mountain Re- gion with an average annual growth of 10.4 percent between 1966 and 1978. Wyoming registered the slowest growth In per· sonal health care expenditures per capita in that region and the nation, with 8.9 percent average annual growth. Expenditures for personal health care in states and re- gions have grown at different rates. However, when the ef· tects of population and the changing age structure of a gao· graphic area are removed, much of the variation disappears. HEALTH CARE FINANCING REVIEW/DECEMBER 1982/Volume 4, NumbeJ 2 1

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Page 1: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Personal Health Care Expenditures by State Selected Years 1966-1978

by Katharine R Levit

In 1966 spending for personal health care In the US was $39 billion By 1978 these expenditures had grown to $166 billion Among regions and states different patterns and levels of spending emerged along with different rates of growth Some of the highlights from the accompanying report which pinpoint personal health care spending differences among regions and states are listed below

bull In 1978 $745 per person was spent for personal health care services within the US Massachusetts led the nation In spending with $935 per person The lowest spending tor permiddot sonal heath-$521 per capita-occurred In South Carolina

bull Expenditures for hospital care ranged from a high of $490 per capita In Massachusetts to a low of $197 per capita in Idaho with the US expenditure level at $337 per person

bull Spending for physician services In 1978 was $161 per pershyson nationwide The highest level of spending-$238-was in California and the lowest-$90-was in Vermont Florida with the largest proportion of aged residents in the US registered expenditure levels of $208 per person for physician services Despite a 295 percent Increase nationwide In the number of physicians from 1969 to 1978 little change has ocshycurred In the rank of states and regions In their physician-tomiddot population concentrations

bull Minnesota led the nation In nursing home care expendishytures spending $126 per person for this service In 1978 Minmiddot nesotas high per capita spending for nursing home care cormiddot relates with Its large number of nursing home beds per 65 years of age and over population In 1978 the 96 beds per 1000 elderly residents which were maintained in Minnesota contrasted sharply with the 56 beds maintained per 1000 elderly residents nationwide

bull Personal health care expenditures per capita grew an average of 116 percent per year between 1966 and 1978 Growth was most dramatic in the Southeast where expendmiddot tures per capita more than quadrupled growing 126 percent per year Mississippi registered an average annual growth rate of 140 percent to lead the region and the nation In rate of Inmiddot crease in per capita personal health care spending growth The region with the smallest rate of increase in personal health expenditures per capita was the Rocky Mountain Reshygion with an average annual growth of 104 percent between 1966 and 1978 Wyoming registered the slowest growth In permiddot sonal health care expenditures per capita in that region and the nation with 89 percent average annual growth

bull Expenditures for personal health care in states and reshygions have grown at different rates However when the efmiddot tects of population and the changing age structure of a gaomiddot graphic area are removed much of the variation disappears

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 NumbeJ 2 1

Introduction

Expenditures for personal health care include spending for such Items as hospital care physicians services dental services drugs eyeglasses and nursshyIng home care Levels of spending growth in spendmiddot ing over time and the mix of services purchased with the health care dollar vary considerably among states and regions bull This report presents estimates of pershysonal health care spending by state for 1966 1969 1972 and 1976 through 1978 and examines some of the differences which exist in the spending patterns by geographic area

During the 1966 to 1978 period rapidly escalating prices in the medical sector exceeding thOse of the overall Consumer Price Index spawned many remiddot quests for data on personal health care spending by state Policymakers concerned with cost containmiddot ment researchers examining alternative methods of delivering and financing health care and health marmiddot ket analysts trying to locate the most fertile geoshygraphic areas for marketing their goods and services all viewed expenditures by state as a useful tool in their analysis

National Health Expenditures (NHE) measure the costs of health care In the US (Gibson and Waldo 1981) The NHE accounts are constructed as a matrix which documents expenditure levels for medical sermiddot vices and goods and their sources of payment In admiddot dillon to medical services and goods which comprise personal health care the NHE accounts include estimiddot mates of expenditures for public health programs admiddot ministration research and constructionmiddotof health famiddot clllties

State expenditures for personal health care preshysented In this report are directly linked to the NHE They use the same definitions methods and data sources whenever possible (see Definitions and Methodology) These estimates attempt to fill the numerous requests of Federal state and local governshyments as well as private industry for a set of state health expenditure estimates consistent in definition with the NHE series The many state and local govshyernment agencies producing health care estimates for their areas attest to the demand for these estimates

This report is confined to personal health care exshypenditures such as spending for hospital care physishycian services and drugs A future report will outline the financing for these services by state The scope of this article is limited to the presentation of the data base and some corollary data sets which should prove useful in evaluating the expenditure data Some questions considered in current research are raised and some methods of analyzing the data are sugshygested More definitive analysiS is beYond the remiddot sources currently available tor this project

In all cases research into and testing of alternative data sources were undertaken to determine the best state distributor for an expenditure series The final step in estimating each series was adjusting the disshytribution to equal the NHE service total

To use the data effectively the Definitions and Methodology section of this report should be conshysulted tor an explanation of the limitations associated with the data used to estimate each set of service exshypenditures

The data is presented by economic region and state The economic regions are those developed by the Bureau of Economic Analysis (BEA) in the Departmiddot ment of Commerce and represent groups of ecoshynomically interdependent states These regional groupings were chosen instead of Health Care Fishynancing Administration (HCFA) Administrative Reshygions and Census Regions because the analysis of economically interdependent areas should demonmiddot strate stronger more distinct regional spending patmiddot terns For the convenience of the reader Census Reshygion totals are presented at the end of most tables Appendix A lists the states which compose both ecoshynomic and Census regions

Data presented In this report represent expendishytures for services by the location of the provider of servicebull Per capita estimates are presented to permit comparison of levels of spending among states and regions since they eliminate from the estimates the influence of population size and differential populashy

tlon growth Analysts should recognize however that these per

capita estimates are calculated using place of service estimates and resident population The interpretation of the per capita spending estimates would be the exshypenditure level of services rendered in a geographic area per resident population The resident population may actually purchase additional services from other states In addition states may furnish services to resishydents of other states The net flow among states of expenditures for personal health care services will either Inflate or deflate the per capita expenditures of an area

The major area where this flow Is important is In the District of Columbia As a major metropolitan area It attracts a significant number of users of medmiddot ical services and goods from Maryland and Virginia As a result all per capita estimates for the District of Columbia are significantly inflated therefore they are suppressed in this report to prevent inappropriate use They are however Included In all regional level estimates

Within the text of this report references to Apshypendix Tables will be omitted due to the frequency which the data contained in them is used Tables A-1 through A-6 list total expenditures by service for 1966 1969 1972 and 1976 through 1978 Tables Amiddot7 through A-12 contain the percentage distribution of personal health care expenditures among Its component goods and services for the same years Tables A-13 through A-21 present per capita expenditures by type of sershyvice for the same period

For community hospital expenditures estimates of exmiddot penditures on both a location of service and location of resimiddot dance basis are presented within a text table

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 2

National Trends

Between 1966 and 1978 personal health care exshypenditures grew from $392 billion to $1655 billion aan average annual rate of 128 percent Coupled withthis rapid growth has been a shift In the type of sershyvices purchased with the personal health care dollarIn 1966 395 percent of personal health expenditureswent for purchases of hospital services by 1978 hospitals had garnered 452 percent Similarly nursing homes increased their share of personal health carespending growing from 60 percent in 1966 to 92 pecent In 1978

Declines in shares of all other personal health sershyvices spending offset the Increases In the hospital and nursing home shares Drugs and drug sundries expenditures registered the largest decline over the 1966 through 1978 period All other services showedmoderate declines in their share of personal health care spending (Table 1)

A change in the financing of personal health care occurred during this time period The shift toward more institutionalized and expensive care in hospitaand nursing homes accompanied a shift in payment

source away from direct consumer payments toward public sources In 1966 out-of-pocket payments amounted to 492 percent of personal health expendimiddot tures by 1978 it had dropped to 325 percent Governshyt

ment financing which in 1966 accounted for 257 pershycent of personal health care spending reached 391

percent by 1978 Public funding of hospital services accounted for a

large portion of this change growing from 442 pershyshycent to 543 percent over the twelve year period The

enactment of the Medicare program In 1966 was largely responsible for the increase As the primary rmiddot payer tor hospital care for the elderly Medicare fl nanced 449 penent of the 1978 hospital care purmiddot chased with public funds

The public financing of nursing home care undermiddot went a similar spurt growing from 403 percent of toshytal nursing home care In 1966 to 554 percent In 1978 Of these public nursing home expenditures 864 permiddot cent comes from the Medicaid program

In 1966 public spending accounted for 93 percent of physicians services By 1978 the public share had grown to 257 percent The Medicare and Medicaid

ls programs together paid for over 80 penent of publicly financed physician services In 1978

TABLE 1

Services as a Percentage of Personal Health Care

1966 1969 1972 1976 1977 1978

Personal Health Care 1000 1000 1000 1000 1000 1000 Hospital Care 395 421 436 453 454 452 Physicians Services 234 225 216 211 216 216 Dental Services 76 75 71 72 71 71 Other Professional Services 30 26 23 24 24 25 Drugs and Medical Sundries 140 127 118 100 95 93 Eyeglasses and Appliances 34 30 28 26 25 25 Nursing Home Care 60 68 81 87 89 92 Other Health Services 32 29 28 27 26 26

TABLE 2

Public Funds as a Percentage of Seryenice Spending

1966 1969 1972 1976 1977 1978

Personal Health Care 257 354 360 391 389 391 Hospital Care 442 543 533 546 543 543 Physicians Services 93 219 228 258 252 257 Dental Services 28 56 53 51 47 42 Other Professional Services 51 151 140 212 234 242 Drugs and Medical Sundries 44 58 72 88 84 84 Eyeglasses and Appliances 28 58 62 78 85 90 Nursing Home Care 403 535 470 554 553 554 Other Care 687 704 731 741 732 739

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 3

Medicare and Medicaid also prompted changes In expenditures for other professional services includmiddot lng home health In 1966 public programs paid for 51 percent of other professional services by 1978 the public share had risen to 242 percent Medicares and Medicaids share of these public expenditures inmiddot creased from 68 percent in 1969 to over 82 percent In 1978

Shifts away from direct patient payments also ocmiddot curred in dental expenditures Consumers who had paid directly for 954 percent of dental care in 1966 had reduced direct spending to 762 percent by 1978 Most of this decrease was offset by Increases in primiddot vate insurance benefit payments which rose from less than one percent in 1966 to 196 percent in 1978

The consumer continued to be the primary payer tor drugs and eyeglasses throughout the period Primiddot vate insurance a subset of consumer payments paid for increasing proportions of these Items by 1978 however total payments for drugs and drug sundries by private Insurance did not exceed 10 percent of the total drug expenditures and total payments for eyeshyglasses and appliances by private Insurance did not exceed 4 percent of the total for that category

Expenditures for Personal Health Care

In 1978 $745 per capita was spent for personal health care Spending In the Far West Region topped $857 per person while personal health care expendishytures In the Southeast were the lowest in the nation at $636 per person

From 1966 to 1972 the New England Region led the nation with the highest regional per capita personal health spending by 1976 the Far West had surpassed New England maintaining Its lead through 1978 The lowest per capita personal health care spending ocshycurred in the Southeast Region for the entire twelve year span Slow growth in personal health spending in the Rocky Mountain Region has narrowed the gap between it and the Southeast Region

Figure 1 highlights the range in per capita spending among states the highest was Massachusetts with per capita expenditures of $935 and the lowest was South Carolina with spending of $521 per capita Massachusetts recorded the highest per capita permiddot sonal health care spending In the nation throughout the period with the exception of 1966 when New Yorks per capita equalled that of Massachusetts Mississippi whose per capita spending was lowest In the nation through 1972 relinquished that role to South Carolina tor 1976 through 1978

FIGURE 1 Personal Health Care Spending Per Capita

Calendar Year 1978

Expenditures by l ocation of Provider

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 4

Growth In Spending TABLE 3

Personal health care expenditures per capita grew an average of 116 percent per year between 1966 and 1978 (Table 3) Growth has been most dramatic In the Southeast where expenditures per capita more than quadrupled growing 126 percent per year Mississhysippi registered an average annual growth rate of 140 percent to lead the region and the nation in per capita personal health care growth The slowest growing reshygion was the Rocky Mountain Region with an average annual growth of 104 percent Wyoming registered the slowest growth in personal health care expendmiddot tures per capita in that region and the nation with an 89 percent average annual growth

When per capita personal health care estimates by state are divided by the US per capita the resulting percentages show a pattern of convergence toward the US per capita over the twelve year period (Table 4 Figure 2) The majority of states showed this patmiddot tern indicating that variations in health spending levels are narrowing among most states and regions The most notable exception to this pattern is in the Rocky Mountain Region in 1966 It was 979 percent of the US personal health care per capita by 1978 it had sunk to 860 percent

Expenditures for Hospital Care

Hospital expenditures represent the single largest component of personal health care spending In 1966 395 percent of each personal health care dollar went for hospital care by 1978 it had risen to 452 percent

Variations in the proportion of personal health care expenditures spent for hospital care exist among reshygions and states At one extreme the Mideast and New England spent over 48 percent of every personal health care dollar on hospital care in 1978 while the Far West spent only 40 percent The two states with the greatest proportion of health care expenditures devoted to hospital care are Massachusetts and West Virginia at least 52 percent of every health care dollar went for hospital care At the opposite extreme Idaho Washington and Oregon spent less than 37 percent of each dollar for hospital care

Throughout the twelve year span the New England Region and the state of Massachusetts recorded higher per capita hospital expenditures than all other regions and states in the nation The Rocky Mountain Region trailed all other regions in per capita hospital spending for 1976 through 1978 Idaho maintained the lowest per capita spending when compared against states for 1972 through 1978

In 1978 spending reached $337 per capita nationmiddot wide for hospital expenditures New England reshycorded the highest US per capita hospital expendishytures with $403 which exceeded the Rocky Mountain Regions spending by $141 per capita

The range in per capita hospital services becomes more dramatic when examining states a high of $490

Average Annual Growth In Per Capita Personal Health Care Expenditures 1968-1978

us Total 116 Southeast 126 Alabama 131 Arkansas 127

New England Connecticut Maine Massachusetts

112 110 119 115

Florida Georgia Kentucky louisiana

125 128 110 125

New Hampshire Rhode Island

102 112

Mississippi North Carolina

140 122

Vermont 103 South Carolina 128 Tennessee 124

Mideast Delaware District of Columbia

111 108 120

Virginia West Virginia

127 118

Maryland New Jersey New York

121 113 107

Southwest Arizona New Mexico

117 114 113

Pennsylvania 117 Oklahoma Texas

113 119

Great Lakes 116 Illinois Indiana

113 116

Rocky Mountain Colorado

104 98

Michigan Ohio

117 118

Idaho Montana

113 116

Wisconsin 117 Utah 109

Plains 117 Wyoming 89

Iowa 115 Far West 115 Kansas 123 california 116 Minnesota 107 Nevada 128 Missouri Nebraska North Dakota

122 118 124

Oregon Washington

116 104

South Dakota 116 Alaska 103 Hawaii 111

in Massachusetts contrasts a low of $197 in Idaho Massachusetts hospital expenditures exceeded those of its closest rival New York by over $73 per apita Some of the variation in hospital spending

levels can be attributed to the place of service per apita computation (see Place of Residence deshycription which follows) A minimum of 14 percent of he community hospital expenditures made by resimiddot ents of Idaho are for services rendered in other tates Included in Massachusetts expenditures on he other hand are over three percent of community ospital services rendered to out-of-state residents

bullcommunity hospitals Include all non-Federal short-stay eneral and other hospitals including primarily acute care fa ilities Excluded are hospital units In institutions Federal ospitals psychiatric hospitals and other long-term care hosmiddot ltals In 1978 there were 5851 community hospitals In opermiddot tion

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HEALTH CARE FINANCING REVIEWDECEMBeR 19821Volume 4 Number 2 5

TABLE 4

Expenditures Per Capita for Personal Health Care as a Percentage of the US Average

1966 1969 1972 1976 1977 1978

us Total 1000 1000 1000 1000 1000 1000 New England 1170 1177 1153 1133 1126

Connecticut 1182 1184 1150 1117 1115 1124 1110

Maine 854 858 866 897 887 889 Massachusetts 1266 1293 1279 1256 1253 1254 New Hampshire 941 879 859 835 810 Rhode Island 1152 1124 1075 1107 1094

811 1104

Vermont 985 987 921 883 853 845 Mideast 1127 1137 1111 1101 1083 1076

Delaware 1048 1034 1000 985 975 969 District of Columbia Maryland 946 1018 1001 966 New Jersey 984 948 935 858 958 New York 1268 128pound 123~ 1228 1180

996 938

1152 Pennsylvania 997 995 976 973 987

Great lakes 1014 994 1000 1004 1009 1015 1018

Illinois 1092 1069 1068 1044 1045 1062 Indiana 887 891 665 892 903 901 Michigan 1060 1032 1038 1048 1061 Ohio 967 940 94pound 980 980

1076 990

Wisconsin 976 965 1012 1011 1005 995 Plains 997 973 970 987 996 1011

Iowa 979 945 925 924 951 971 Kansas 952 946 991 1000 1010 1028 Minnesota 1084 1034 1016 1008 1002 990 Missouri 968 979 962 1016 1036 1060 Nebraska 970 956 977 962 972 990 North Dakota 964 983 967 1039 1059 1058 South Dakota 881 851 885 658 873 886

Southeast 765 780 816 646 853 853 Alabama 724 749 795 638 649 850 Arkansas 699 701 749 78pound 787 785 Florida 931 949 990 1044 1044 1028 Georgia 756 782 854 85~ 886 Kentucky n4 779 755 732 729 Louisiana ns 801 646 645 653

666 728 880

MissiSSippi 574 562 643 712 729 746 North Carolina 720 729 742 763 765 773 South Carolina 614 642 650 701 705 889 Tennessee 826 825 651 883 904 905 Virginia 750 755 788 822 636 West Virginia 801 602 632 935 825

Southwest 668 885 889 907 902

642 820 901

Arizona 960 971 969 968 938 937 New Mexico n9 760 740 760 752 761 Oklahoma 916 94~ 923 892 892 691 Texas 880 664 893 913 912 909

Rocky Mountain 979 940 90~ 874 669 Colorado 1179 1120 1040 1001 981

880 972

Idaho 763 747 no 750 762 743 Montana 666 633 853 837 883 666 Utah 804 768 754 758 749 746 Wyoming 983 941 867 749 751

Far West 1163 1165 1165 1142 1154 739

1150 California 1204 1214 1224 1202 1215 1214 Nevada 978 1000 1028 1093 1110 1111 Oregon 977 971 957 972 987 Washington 1087 1053 1025 958 964 Alaska 1129 1010 862 977 996

977 952 986

Hawaii 1048 1074 1037 989 1006 998 ADDENDA CENSUS REGIONS

New England 1170 1177 1153 1133 1126 Middle Atlantic 1124 1130 1096 1093 1074

1124 1065

East North Central 1014 994 1000 1004 10o9 1018 West North Central 997 973 970 987 996 1011 South Atlantic 644 665 900 915 917 916 East South Central 741 751 776 803 815 818 West South Central 647 658 874 865 886 886 Mountain 949 928 911 887 887 883 Pacific 1166 1168 1168 1143 1155 1151

HEALTH CARE FINANCING ApoundVIpoundWfDECEMBEA 19821Volume 4 Number 2 6

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FIGURE 2 Expenditures Per Capita for

Personal Health Care as a Percentage of the US Average

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Thus Massachusetts per capita spending is inflated by utilization by non-residents and use of services In other states underestimates per capita spending by Idaho residents

Variations In price and utilization among states acmiddot count for additional differences in hospital spending levels Salaries fringe benefits and non-labor costs vary among regions affecting the price structure for hospital services The admission rate and length of stay affected by the severity and frequency of illness and by historical patterns of medical practice inmiddot fluence the quantity of hospital services utilized interacting with these factors are the amount of sermiddot vices provided per employee the supply of hospital beds which the geographic area supports their occumiddot pancy rates the mix of types of hospitals in the geoshygraphic area the number of physicians personal inmiddot come per capita and the age structure of the populamiddot tion

Community Hospitals

Table 5 (AHA 1978 b) presents some of the factors which influenced expenditure levels In community

shy

hospitals in 1978 These factors will be discussed In the order in which they appear on the table

Per capita spending patterns for community hosshypital services are similar to those for services in all hospitals In the US $277 per capita was spent for community hospital services In New England per capita expenditures of $318 exceeded the level of exmiddot penditures in all other regions The Rocky Mountain Region trailed all other regions in community hospital spending with $208 per capita

Cost per day of community hospital care ranged from a regional high of $267 in the Far West to areshygional low of $164 in the Plains and Southeast with the US averaging $195 per day Labor costs acmiddot counted for approximately half of the cost-per-day figmiddot ures The Southeast inaintalned the lowest labor exmiddot pense at $79 per day of care while In the Far West labor costs per day amounted to $128 Labor expense nationwide amounted to $99 per day

Annual salary per employee is presented to supply an indication of the wage levels of an area In addimiddot tion It provides an indication of the cost of Jiving dlfmiddot ferences which exist among states and regions

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 7

TABLES

Community Hospital Statistics for 1978 Admlsmiddot

ExpendImiddot Salary Days of slon Expense tures Cost Labor Care Per Rate Length Cost Emmiddot Emmiddot 10000 Admls- o1

Capita Day Per Day ployee ployee Pop sion Stay

Beds Per 1000

Populamiddot tlon

Occumiddot pancy Rate

Number o1

Hosmiddot pitals

us Total $27694 $19535 $9931 $10927 1100 1n $1482 76 44 738 5851 New England

COnnecticut 31827 22255 12060 11971 993 172 1799 81 27482 22663 12563 12733 1014 159 1694 75

41 35

NA 783

259 36

Maine 24789 16874 8753 9523 1088 188 1301 77 46 716 49 Massachusetts 36799 24402 13127 12458 949 179 2101 86 45 790 117 New Hampshire 20537 16372 8417 9497 1128 189 1147 70 38 719 27 Rhode Island 28199 21668 12540 11788 940 160 1734 80 36 823 14 Vermont 21436 15151 8141 9967 1224 167 1251 83 45 729 16

Mideast Delaware

31060 20159 10832 12154 1122 170 1809 90 24885 19230 10388 11004 1059 146 1615 84

44 35

NA 810

710 8

District of Columbia 28145 15392 12916 839 2324 83 783 13 Maryland New Jersey New York

25559 20788 11066 11772 1064 138 1735 84 24061 17181 9142 11582 1267 159 1506 88 33943 21195 11794 13014 1103 188 2061 97

33 41 46

819 817 829

53 104 288

Pennsylvania Great Lakes

Illinois

31381 19389 9834 11128 1132 187 1615 83 30610 19879 10374 11338 1093 184 1577 79 34481 21303 11192 11739 1049 189 1690 79

47 47 49

783 NA 751

244 910 240

Indiana 24910 17058 8518 10178 1195 181 1312 77 44 755 114 Michigan Ohio

32492 22240 11447 12047 1052 179 1752 79 29477 18712 9900 10962 1107 188 1609 81

44 46

784 783

207 206

Wisconsin 26708 17683 9444 10918 1158 181 1416 80 51 691 143 Plains 28287 16356 8276 10010 1210 202 1326 81 58 NA 799

Iowa 26214 15290 7951 9728 1224 212 1139 75 58 672 131 Kansas 26961 15805 7958 9372 1178 206 1223 77 57 888 144 Minnesota 26003 16076 8890 11073 1274 191 1431 89 60 701 171 Missouri 32071 18259 8759 9967 1138 204 1504 82 56 743 147 Nebraska 26545 15020 7351 9494 1282 197 1239 82 60 889 96 North Dakota 28550 14784 7368 9692 1315 221 1219 82 70 881 53 South Dakota 20158 14684 7524 8715 1158 195 963 66 53 607 57

Southeast Alabama

23267 18440 7933 9297 1172 184 1164 71 25243 16070 7696 9125 1186 201 1134 71

44 49

NA 730

1449 132

Arkansas 19885 14058 6888 8341 1211 200 896 64 46 698 91 Florida 28117 19453 9033 10013 1109 181 1435 74 46 707 208 Georgia Kentucky

21910 17528 8758 9124 1042 188 1112 83 20089 14419 6954 9084 1306 165 1003 70

42 41

876 765

160 108

louisiana 24842 18180 8519 9209 1081 193 1171 64 44 690 139 Mississippi 19992 13735 6635 8413 1268 197 941 88 47 722 104 North Carolina 19765 15043 7573 9011 1190 187 1123 75 39 782 128 South Carolina 16989 14705 7210 8860 1229 156 1041 71 38 750 70 Tennessee 27284 15783 7520 9058 1205 217 1128 71 52 748 140 Virginia West Virginia

SOuthwest

21607 16483 6053 10031 1246 151 1320 80 26448 14859 7546 9395 1245 221 1084 73 23291 18273 8725 9322 1068 178 1205 88

39 53 42

751 735 NJA

102 67

718 Arizona 24764 21610 10268 10116 985 149 1531 71 34 723 58 New Mexico 18809 19360 9472 10333 1091 150 1165 60 30 659 37 Oklahoma 22746 18415 8585 9002 1049 175 1203 65 43 881 119 Texas 23588 17633 8454 9180 1086 188 1159 86 44 878 504

Rocky Mountain 20759 18292 9416 10200 1083 171 1157 63 39 NA 248 Colorado 23593 20038 10552 10718 1016 172 1338 67 40 683 83 Idaho 17144 15921 7861 9531 1212 169 964 61 36 652 46 Montana 20599 13224 8792 9584 1408 187 1033 78 58 842 57 Utah 19014 20932 10314 9970 967 161 1084 52 29 888 35 Wyoming 16021 18901 8984 9351 1043 174 870 52 38 544 27

Far West California

28742 26737 12799 12211 954 157 1708 84 31131 28188 13319 12437 934 158 1843 85

35 36

NA 663

758 518

Nevada 30563 24634 10388 11157 1078 187 1579 64 38 888 19 Oregon 23436 22329 11438 11243 983 162 1347 60 34 670 77 Washington Alaska

20699 21761 11116 11272 1014 158 1218 56 22282 34036 16277 16362 1005 115 1856 55

31 23

668 606

108 16

Hawaii 19395 19534 10253 11672 1138 122 1445 74 28 741 20 Table Is based on American Hospital Association data

HEALTH CARE FINANCING REVIEWDECEMBER ti821Volumbull 4 Numb 2 8

Nationwide an average of $10927 was paid to commiddot munlty hospital employees The Far West and Midmiddot east Regions paid the highest annual salaries and wages In the nation at $12200 The Southeast and Southwest Regions paid the least at $9300 Alaska paid the highest average wages and salaries to their community hospital emPloyees at $16362 This amount was over $3000 higher than the District of Columbia its closest rival

Days of care per full-time equivalent employee Is a rough Indicator of the Intensity of service rendered The fewer days of care for which an employee is reshysponsible permits each employee to devote more time to each patient In the Plains Region employees who were responsible for 121 days of care each year contrasted against the Far West where 95 days of care per employee were given

The admission rate per 10000 population was 177 nationwide In 1978 In the Plains states 202 admisshysions per 10000 population contrasted with the Far Wests 157 admissions

Expense per admission averaged $1482 In the US New England and the Midwest led au other regions In expense per admission with $1800 The Southeast and Rocky Mountain Regions trailed aU other regions with expenses per admission less than $1200 Comshymunity hospitals in the District of Columbia and Massachusetts Incurred the highest expense per admiddot mission with $2324 and $2101 Wyoming and Arkansas registered the lowest expense per admisshysion at $870 and $896 tess than half that of the highmiddot est states

The Plains states outpaced the nation In commiddot munty hospital beds maintained with 58 beds per 1000 population Due to the low population density and their larger than average elderly population more beds need to be available in order to offer easy acmiddot cess to the scattered population The Far West mainshytained 35 beds per thousand residents the lowest ratio maintained by any region

Massachusetts per capita community hospital spending of $388 the highest In the nation can be evaluated in the context of these community hospital statistics Persons receiving community hospital sershyvices In that state paid $244 per day for those sermiddot vices That was the fifth highest dally expense In the nation exceeded only by Alaska Cslifomia District of Columbia and Nevada Of the $244 per day $131 was attributed to labor costs the fourth highest labor expense per day In the US The length of stay In Massachusetts community hospitals was the highest In the New England Region and the third highest In the nation The combination of these factors led to Massachusetts community hospitals expense per admiddot mission being the second highest In the nation

One explanation for Massachusetts high per capita hospital spending may be that Boston serves as the major medical center for northern New England proshyviding more specialized medical services than those

which would be available In most local community hospitals in the region Admissions per 10000 populamiddot tlon would be higher since nonresidents would be atmiddot tracted to the state for these specialized services Length of stay would also be higher than average since more specialized procedures could Indicate more complicated medical problems The combinashytion of high cost per day and long length of stay promiddot duces high expense per admission

Regionally New England leads the nation In hosshypital spending per capita Examining the community hospital statistics show that the Far West Regions cost per day of community hospital care exceeded that of New England by $45 per day Yet the expendishytures In the Far West were $31 less per capita than those In New England Labor costs per day of care and days of care per employee were nearly Identical in both regions What differs was the admission rate (157 persons per 10000 population In the Far West versus 172 persons per 10000 in New England) and the length of stay (64 days of care per admissions In the Far West versus 81 days of care In New England)

Differences in the age structure and health status of the two populations contribute to some of the disshyparity In admission rates and length of stay The following factors could produce additional differshyences variations In Input prices such as fuel wages and fringe benefits and historical regional patterns of medical treatment which prescribe defined lengths of stay In hospitals for particular medical procedures

PLACE OF RESIDENCE In this report state designations Indicate the locamiddot

tlon where the service was rendered In 1978 for exshyample the District of Columbia supplied $7473 milshylion worth of hospital seiVices These services were supp1ed to anyone who chose to purchase hospital services In that jurisdiction whether or not the Disshytrict of Columbia was their residence

Per capita estimates calculated using place of sermiddot vice expenditures and the total population of a state are presented in this report to assist the reader In demiddot termlning spending trends and levels However using per capita spending estimates for state comparisons may be misleading The per capita figures cannot be interpreted as spending per resident unless substanmiddot tlaily all of the services provided in a state are conmiddot sumed by residents of that state and unless resmiddot dents of that state purchase no additional services from other states

The only data available to Indicate the magnitude of difference when estimating on a provldermiddotof-servce versus a residence-of-recipient basis pertains to short-stay hospitals Estimates of per capita expendmiddot tures In community hospitals by place of residence of the recipient are presented in Table 6 The place-ofmiddot residence estimates are based on unpublished Medlmiddot care community hospital reimbursement data which

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numblr 2 9

TABLES

Community Hoapltbulll Pet Capita Health Expendltur 1976 1978

Place of Place of POS Place of SeJVIce Residence POR Service

Place of Residence

POS POR

jPOS jPOR jPOS jPOR us Total $21888 $21849 10009 $27694 $27675 10007 New England

Connecticut 25802 25376 10089 31827 22374 22465 9959 27482

31581 27802

10078 9865

Maine 19922 20860 9550 24789 25667 9658 Massachusetts 30799 29818 10329 38799 37518 10341 New Hampshire Rhode Island

16227 17237 9414 20537 23308 23829 9781 28199

21360 29147

9606 9875

Vermont 18172 18653 9742 21438 22839 9386 Mideast 25357 25358 10000 31080 31160 9974

Delaware 19984 20367 9812 24885 25325 9626 District of COlumbia 52123 35259 14783 67327 48366 14521 MarylandNew Jersey New York

19917 21496 9265 25559 20225 21636 9348 24062 29257 28996 10090 33943

27308 25666 33849

9360 9375

10028 Pennsylvania

Great Lakes 23241 23183 10025 31381 23915 24097 9924 30610

31353 30883

10009 9912

Illinois 26469 270S8 9779 34462 35251 9776 Indiana 19422 19387 10018 24910 248o7 10042 Michigan Ohio

25103 25374 9893 32492 23242 23011 10100 29477

32907 29272

9874 10070

Wisconsin 22070 22261 9914 26708 26978 9900 Plains 21722 21559 10076 28287 28075 10076

Iowa 19535 20198 9672 26214 27461 9548 Kansas 20498 22394 9153 26961 29463 9151 Minnesota 22924 21825 10504 28003 28686 10501 Missouri 23843 22822 10447 32071 30554 10496 Nebraska 20528 20636 9948 26544 26754 9922 North Dakota 22046 20892 10552 28550 26162 10913 South Dakota 15839 16831 9292 20158 21434 9405

Southeast 17961 18119 9913 23267 23418 9936 Alabama 18796 19056 9864 25243 25664 9836 Arkansas 15162 16565 9153 19885 21817 9114 Florida 21877 22304 9809 28117 28618 9825 GeorgiaKentucky Louisiana

17113 16661 10271 21910 18028 16784 9550 20089 19182 18965 10114 24842

21434 20953 24809

10222 9588

10095 Mlsstestppt North Carolina

15102 16542 9129 19992 15136 15118 10012 19765

21568 19649

9269 10059

South Carolina 13653 14446 9451 16989 17735 9579 Tennessee 20786 18761 11079 27284 24330 11214 Virginia West VIrginia

Southwest

18615 16938 9810 21606 20791 21851 9515 26448 18070 17828 10136 23291

22170 27623 22953

9748 9575

10147 Arizona 19641 18732 10485 24764 24028 10306 New Mexico 14579 15741 9262 18609 19936 9334 Oklahoma 17311 16419 9398 22746 24246 9381 Texas 18273 1l727 10308 23568 22754 10358

RockYc Mountain 18818 16754 10038 20759 20684 10036 Coorado 19630 18524 10597 23593 22405 10530 Idaho 13811 15785 8749 17144 19232 8914 Montana 15823 16831 9401 20599 21501 9580 Utah 14927 13952 10699 19014 17657 10769 Wyoming

Far West 12805 15936 7910 18021 22546 22247 10134 28742

20803 28342

77-01 10141

California 24385 24060 10135 31131 30683 10146 Nevada 23080 21956 10511 30583 28804 10618 OregonWashingtonAlaska

18590 18532 10031 23436 18823 16786 10022 20699 14080 13709 10271 22228

23225 20827 20550

10091 9939

10817 Hawatl 14967 14177 10557 19395 19048 10182 Adjusted by Medtcare ShortStay Hospital Reimbursements

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 10

Includes both the location of the service and resishydence of the recipient Ratios of the reimbursements on the place-of-residence and placemiddotofmiddotservice basis for the Medicare population are applied to community hospital expenditure estimates for the total populashytlon3 The per capita expenditure estimates by place of residence represent spending for all community hospital services purchased in any state or us posshysession by residents of that state

These estimates are valid to the extent that the Medicare population reflects the geographic conmiddot sumptlon patterns of the general population Table 6 shows that the ratio of community hospital services provided In a state to the services purchased by state residents cluster between 90 and 110 percent Within each region community hospital services purchased by residents equal991 to 1015 percent of community hospital services rendered In the region

At one extreme at least 45 percent of services promiddot vlded in the District of Columbia were purchased by residents of other states In 1978 District of Colummiddot bla per capita estimates by place of residence were $210 lower than the per capita estimate by place of service Wyoming Illustrates the opposite extreme residents purchased approximately 20 percent more services from other states than those which were proshyvided within the state The per capita spending for community hospital services by Wyoming residents is almost $48 higher per capita in 1978 than the per capmiddot ita estimates by place of service would indicate

Expend(tures for Physicians Services

Between 1966 and 1978 spending for physicians services the second largest component of personal health care expenditures garnered between 21 and 24 percent of every dollar spent on personal health care

Physicians influence on the level of health care spending Is much higher than physician expenditures indicate Physicians prescribe and direct many medlmiddot cal services including hospitalization and prescripshytion drugs

In the us in 1978 $161 per capita was spent for physicians services The Rocky Mountain Region spent the least at $143 per capita followed closely by the Southeast and New England Regions with $145 per capita Physician expenditures in the Far West at $219 per capita exceeded spending In all other reshygions

For 1966 through 1978 Californias physician exmiddot pendltures topped those of all other states In 1978 Its per capita expenditures were $238 For the first

Some research Indicates that travel patterns exhibited by Medicare recipients to obtain hospital services are similar to those exhibited by the general population In small rural areas There is no evidence to show that the same relationmiddot ship exists when examining state data However the asshysumption is made that the directional trends indicated by the place of residence estimates should provide a reasonable estimate of a net inflow or outflow of services in a state

half of the twelve year period Mississippis expendishytures for physician services were the lowest in the nashytion By 1976 Vermont had supplanted Mississippis position in 1978 Vermonts spending for physician services trailed those of sll other states at $90 per capita

In 1978 Massachusetts spent 158 percent of Its health care dollars on physicians services Contrastshying with that low was Hawaii where residents expendmiddot ed 295 percent of every health care dollar for physimiddot clans services

Researchers are examining levels of physician spending in an attempt to explain differences in costs of physician services As the concentration of physishycians increases do physicians induce demand by preshyscribing more laboratory tests and more frequent hosshypitalization and office visits Are the number of these ancillary services reflecting the physicians efforts to attain a target Income Or are these physicians ofmiddot ferlng a significant increase in quality of care Are physicians encouraged through reimbursement proceshydures to offer the most efficient and economical sermiddot vices available to their patients Do third party payshyments reduce the Incentive for consumers to choose physician services wisely

Each of these facets affects regions and states dlfmiddot ferently The mix of reimbursement systems (fee-formiddot service HMO prepaid group practice andor lnsurmiddot ance) standard of living historical medical practices and the concentration of physicians In each area inmiddot troduce different values into physician expenditure patterns in each geographic area

The number of physician services rendered is relatmiddot ed to the number of physicians An Increase In the number of physicians In a geographic area tends to increase the total amount of health care expenditures as more physician services become available for purshychase

Table 7 shows the wide range of physicians per 10000 population In states and regions The number of physicians per population grew from 91 physicians per 10000 population in 1969 to 107 physicians in 1978 For the same period the Far West and Califorshynia specifically maintained the lead over all other reshygions and states In concentration of physicians The lowest concentration of physicians occurred In the Southeast with physicians per 10000 population In Mississippi being the lowest In the nation for 1972 through 1978

Between 1969 and 1978 the Mideasts number of physicians Increased by 14 percent During the same time period the Southeast Southwest and Rocky Mountain states experienced the largest percentage gains In physicians In the nation from 45 to 47 permiddot cent Percent change In the number of physicians in states has been dramatic ranging from a low of 46 percent Increase in New Vorllt to a high of 1077 permiddot cent In Alaska Florida Arizona and Nevada exhibited the largest percent increases in the continental US with 867 801 and 722 percent Increase respectively

HEALTH CARE FINANCING REVIEWIDECEMampER 19821Volume 4 Number 2 11

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 2: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Introduction

Expenditures for personal health care include spending for such Items as hospital care physicians services dental services drugs eyeglasses and nursshyIng home care Levels of spending growth in spendmiddot ing over time and the mix of services purchased with the health care dollar vary considerably among states and regions bull This report presents estimates of pershysonal health care spending by state for 1966 1969 1972 and 1976 through 1978 and examines some of the differences which exist in the spending patterns by geographic area

During the 1966 to 1978 period rapidly escalating prices in the medical sector exceeding thOse of the overall Consumer Price Index spawned many remiddot quests for data on personal health care spending by state Policymakers concerned with cost containmiddot ment researchers examining alternative methods of delivering and financing health care and health marmiddot ket analysts trying to locate the most fertile geoshygraphic areas for marketing their goods and services all viewed expenditures by state as a useful tool in their analysis

National Health Expenditures (NHE) measure the costs of health care In the US (Gibson and Waldo 1981) The NHE accounts are constructed as a matrix which documents expenditure levels for medical sermiddot vices and goods and their sources of payment In admiddot dillon to medical services and goods which comprise personal health care the NHE accounts include estimiddot mates of expenditures for public health programs admiddot ministration research and constructionmiddotof health famiddot clllties

State expenditures for personal health care preshysented In this report are directly linked to the NHE They use the same definitions methods and data sources whenever possible (see Definitions and Methodology) These estimates attempt to fill the numerous requests of Federal state and local governshyments as well as private industry for a set of state health expenditure estimates consistent in definition with the NHE series The many state and local govshyernment agencies producing health care estimates for their areas attest to the demand for these estimates

This report is confined to personal health care exshypenditures such as spending for hospital care physishycian services and drugs A future report will outline the financing for these services by state The scope of this article is limited to the presentation of the data base and some corollary data sets which should prove useful in evaluating the expenditure data Some questions considered in current research are raised and some methods of analyzing the data are sugshygested More definitive analysiS is beYond the remiddot sources currently available tor this project

In all cases research into and testing of alternative data sources were undertaken to determine the best state distributor for an expenditure series The final step in estimating each series was adjusting the disshytribution to equal the NHE service total

To use the data effectively the Definitions and Methodology section of this report should be conshysulted tor an explanation of the limitations associated with the data used to estimate each set of service exshypenditures

The data is presented by economic region and state The economic regions are those developed by the Bureau of Economic Analysis (BEA) in the Departmiddot ment of Commerce and represent groups of ecoshynomically interdependent states These regional groupings were chosen instead of Health Care Fishynancing Administration (HCFA) Administrative Reshygions and Census Regions because the analysis of economically interdependent areas should demonmiddot strate stronger more distinct regional spending patmiddot terns For the convenience of the reader Census Reshygion totals are presented at the end of most tables Appendix A lists the states which compose both ecoshynomic and Census regions

Data presented In this report represent expendishytures for services by the location of the provider of servicebull Per capita estimates are presented to permit comparison of levels of spending among states and regions since they eliminate from the estimates the influence of population size and differential populashy

tlon growth Analysts should recognize however that these per

capita estimates are calculated using place of service estimates and resident population The interpretation of the per capita spending estimates would be the exshypenditure level of services rendered in a geographic area per resident population The resident population may actually purchase additional services from other states In addition states may furnish services to resishydents of other states The net flow among states of expenditures for personal health care services will either Inflate or deflate the per capita expenditures of an area

The major area where this flow Is important is In the District of Columbia As a major metropolitan area It attracts a significant number of users of medmiddot ical services and goods from Maryland and Virginia As a result all per capita estimates for the District of Columbia are significantly inflated therefore they are suppressed in this report to prevent inappropriate use They are however Included In all regional level estimates

Within the text of this report references to Apshypendix Tables will be omitted due to the frequency which the data contained in them is used Tables A-1 through A-6 list total expenditures by service for 1966 1969 1972 and 1976 through 1978 Tables Amiddot7 through A-12 contain the percentage distribution of personal health care expenditures among Its component goods and services for the same years Tables A-13 through A-21 present per capita expenditures by type of sershyvice for the same period

For community hospital expenditures estimates of exmiddot penditures on both a location of service and location of resimiddot dance basis are presented within a text table

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 2

National Trends

Between 1966 and 1978 personal health care exshypenditures grew from $392 billion to $1655 billion aan average annual rate of 128 percent Coupled withthis rapid growth has been a shift In the type of sershyvices purchased with the personal health care dollarIn 1966 395 percent of personal health expenditureswent for purchases of hospital services by 1978 hospitals had garnered 452 percent Similarly nursing homes increased their share of personal health carespending growing from 60 percent in 1966 to 92 pecent In 1978

Declines in shares of all other personal health sershyvices spending offset the Increases In the hospital and nursing home shares Drugs and drug sundries expenditures registered the largest decline over the 1966 through 1978 period All other services showedmoderate declines in their share of personal health care spending (Table 1)

A change in the financing of personal health care occurred during this time period The shift toward more institutionalized and expensive care in hospitaand nursing homes accompanied a shift in payment

source away from direct consumer payments toward public sources In 1966 out-of-pocket payments amounted to 492 percent of personal health expendimiddot tures by 1978 it had dropped to 325 percent Governshyt

ment financing which in 1966 accounted for 257 pershycent of personal health care spending reached 391

percent by 1978 Public funding of hospital services accounted for a

large portion of this change growing from 442 pershyshycent to 543 percent over the twelve year period The

enactment of the Medicare program In 1966 was largely responsible for the increase As the primary rmiddot payer tor hospital care for the elderly Medicare fl nanced 449 penent of the 1978 hospital care purmiddot chased with public funds

The public financing of nursing home care undermiddot went a similar spurt growing from 403 percent of toshytal nursing home care In 1966 to 554 percent In 1978 Of these public nursing home expenditures 864 permiddot cent comes from the Medicaid program

In 1966 public spending accounted for 93 percent of physicians services By 1978 the public share had grown to 257 percent The Medicare and Medicaid

ls programs together paid for over 80 penent of publicly financed physician services In 1978

TABLE 1

Services as a Percentage of Personal Health Care

1966 1969 1972 1976 1977 1978

Personal Health Care 1000 1000 1000 1000 1000 1000 Hospital Care 395 421 436 453 454 452 Physicians Services 234 225 216 211 216 216 Dental Services 76 75 71 72 71 71 Other Professional Services 30 26 23 24 24 25 Drugs and Medical Sundries 140 127 118 100 95 93 Eyeglasses and Appliances 34 30 28 26 25 25 Nursing Home Care 60 68 81 87 89 92 Other Health Services 32 29 28 27 26 26

TABLE 2

Public Funds as a Percentage of Seryenice Spending

1966 1969 1972 1976 1977 1978

Personal Health Care 257 354 360 391 389 391 Hospital Care 442 543 533 546 543 543 Physicians Services 93 219 228 258 252 257 Dental Services 28 56 53 51 47 42 Other Professional Services 51 151 140 212 234 242 Drugs and Medical Sundries 44 58 72 88 84 84 Eyeglasses and Appliances 28 58 62 78 85 90 Nursing Home Care 403 535 470 554 553 554 Other Care 687 704 731 741 732 739

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 3

Medicare and Medicaid also prompted changes In expenditures for other professional services includmiddot lng home health In 1966 public programs paid for 51 percent of other professional services by 1978 the public share had risen to 242 percent Medicares and Medicaids share of these public expenditures inmiddot creased from 68 percent in 1969 to over 82 percent In 1978

Shifts away from direct patient payments also ocmiddot curred in dental expenditures Consumers who had paid directly for 954 percent of dental care in 1966 had reduced direct spending to 762 percent by 1978 Most of this decrease was offset by Increases in primiddot vate insurance benefit payments which rose from less than one percent in 1966 to 196 percent in 1978

The consumer continued to be the primary payer tor drugs and eyeglasses throughout the period Primiddot vate insurance a subset of consumer payments paid for increasing proportions of these Items by 1978 however total payments for drugs and drug sundries by private Insurance did not exceed 10 percent of the total drug expenditures and total payments for eyeshyglasses and appliances by private Insurance did not exceed 4 percent of the total for that category

Expenditures for Personal Health Care

In 1978 $745 per capita was spent for personal health care Spending In the Far West Region topped $857 per person while personal health care expendishytures In the Southeast were the lowest in the nation at $636 per person

From 1966 to 1972 the New England Region led the nation with the highest regional per capita personal health spending by 1976 the Far West had surpassed New England maintaining Its lead through 1978 The lowest per capita personal health care spending ocshycurred in the Southeast Region for the entire twelve year span Slow growth in personal health spending in the Rocky Mountain Region has narrowed the gap between it and the Southeast Region

Figure 1 highlights the range in per capita spending among states the highest was Massachusetts with per capita expenditures of $935 and the lowest was South Carolina with spending of $521 per capita Massachusetts recorded the highest per capita permiddot sonal health care spending In the nation throughout the period with the exception of 1966 when New Yorks per capita equalled that of Massachusetts Mississippi whose per capita spending was lowest In the nation through 1972 relinquished that role to South Carolina tor 1976 through 1978

FIGURE 1 Personal Health Care Spending Per Capita

Calendar Year 1978

Expenditures by l ocation of Provider

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 4

Growth In Spending TABLE 3

Personal health care expenditures per capita grew an average of 116 percent per year between 1966 and 1978 (Table 3) Growth has been most dramatic In the Southeast where expenditures per capita more than quadrupled growing 126 percent per year Mississhysippi registered an average annual growth rate of 140 percent to lead the region and the nation in per capita personal health care growth The slowest growing reshygion was the Rocky Mountain Region with an average annual growth of 104 percent Wyoming registered the slowest growth in personal health care expendmiddot tures per capita in that region and the nation with an 89 percent average annual growth

When per capita personal health care estimates by state are divided by the US per capita the resulting percentages show a pattern of convergence toward the US per capita over the twelve year period (Table 4 Figure 2) The majority of states showed this patmiddot tern indicating that variations in health spending levels are narrowing among most states and regions The most notable exception to this pattern is in the Rocky Mountain Region in 1966 It was 979 percent of the US personal health care per capita by 1978 it had sunk to 860 percent

Expenditures for Hospital Care

Hospital expenditures represent the single largest component of personal health care spending In 1966 395 percent of each personal health care dollar went for hospital care by 1978 it had risen to 452 percent

Variations in the proportion of personal health care expenditures spent for hospital care exist among reshygions and states At one extreme the Mideast and New England spent over 48 percent of every personal health care dollar on hospital care in 1978 while the Far West spent only 40 percent The two states with the greatest proportion of health care expenditures devoted to hospital care are Massachusetts and West Virginia at least 52 percent of every health care dollar went for hospital care At the opposite extreme Idaho Washington and Oregon spent less than 37 percent of each dollar for hospital care

Throughout the twelve year span the New England Region and the state of Massachusetts recorded higher per capita hospital expenditures than all other regions and states in the nation The Rocky Mountain Region trailed all other regions in per capita hospital spending for 1976 through 1978 Idaho maintained the lowest per capita spending when compared against states for 1972 through 1978

In 1978 spending reached $337 per capita nationmiddot wide for hospital expenditures New England reshycorded the highest US per capita hospital expendishytures with $403 which exceeded the Rocky Mountain Regions spending by $141 per capita

The range in per capita hospital services becomes more dramatic when examining states a high of $490

Average Annual Growth In Per Capita Personal Health Care Expenditures 1968-1978

us Total 116 Southeast 126 Alabama 131 Arkansas 127

New England Connecticut Maine Massachusetts

112 110 119 115

Florida Georgia Kentucky louisiana

125 128 110 125

New Hampshire Rhode Island

102 112

Mississippi North Carolina

140 122

Vermont 103 South Carolina 128 Tennessee 124

Mideast Delaware District of Columbia

111 108 120

Virginia West Virginia

127 118

Maryland New Jersey New York

121 113 107

Southwest Arizona New Mexico

117 114 113

Pennsylvania 117 Oklahoma Texas

113 119

Great Lakes 116 Illinois Indiana

113 116

Rocky Mountain Colorado

104 98

Michigan Ohio

117 118

Idaho Montana

113 116

Wisconsin 117 Utah 109

Plains 117 Wyoming 89

Iowa 115 Far West 115 Kansas 123 california 116 Minnesota 107 Nevada 128 Missouri Nebraska North Dakota

122 118 124

Oregon Washington

116 104

South Dakota 116 Alaska 103 Hawaii 111

in Massachusetts contrasts a low of $197 in Idaho Massachusetts hospital expenditures exceeded those of its closest rival New York by over $73 per apita Some of the variation in hospital spending

levels can be attributed to the place of service per apita computation (see Place of Residence deshycription which follows) A minimum of 14 percent of he community hospital expenditures made by resimiddot ents of Idaho are for services rendered in other tates Included in Massachusetts expenditures on he other hand are over three percent of community ospital services rendered to out-of-state residents

bullcommunity hospitals Include all non-Federal short-stay eneral and other hospitals including primarily acute care fa ilities Excluded are hospital units In institutions Federal ospitals psychiatric hospitals and other long-term care hosmiddot ltals In 1978 there were 5851 community hospitals In opermiddot tion

c

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gchpa

HEALTH CARE FINANCING REVIEWDECEMBeR 19821Volume 4 Number 2 5

TABLE 4

Expenditures Per Capita for Personal Health Care as a Percentage of the US Average

1966 1969 1972 1976 1977 1978

us Total 1000 1000 1000 1000 1000 1000 New England 1170 1177 1153 1133 1126

Connecticut 1182 1184 1150 1117 1115 1124 1110

Maine 854 858 866 897 887 889 Massachusetts 1266 1293 1279 1256 1253 1254 New Hampshire 941 879 859 835 810 Rhode Island 1152 1124 1075 1107 1094

811 1104

Vermont 985 987 921 883 853 845 Mideast 1127 1137 1111 1101 1083 1076

Delaware 1048 1034 1000 985 975 969 District of Columbia Maryland 946 1018 1001 966 New Jersey 984 948 935 858 958 New York 1268 128pound 123~ 1228 1180

996 938

1152 Pennsylvania 997 995 976 973 987

Great lakes 1014 994 1000 1004 1009 1015 1018

Illinois 1092 1069 1068 1044 1045 1062 Indiana 887 891 665 892 903 901 Michigan 1060 1032 1038 1048 1061 Ohio 967 940 94pound 980 980

1076 990

Wisconsin 976 965 1012 1011 1005 995 Plains 997 973 970 987 996 1011

Iowa 979 945 925 924 951 971 Kansas 952 946 991 1000 1010 1028 Minnesota 1084 1034 1016 1008 1002 990 Missouri 968 979 962 1016 1036 1060 Nebraska 970 956 977 962 972 990 North Dakota 964 983 967 1039 1059 1058 South Dakota 881 851 885 658 873 886

Southeast 765 780 816 646 853 853 Alabama 724 749 795 638 649 850 Arkansas 699 701 749 78pound 787 785 Florida 931 949 990 1044 1044 1028 Georgia 756 782 854 85~ 886 Kentucky n4 779 755 732 729 Louisiana ns 801 646 645 653

666 728 880

MissiSSippi 574 562 643 712 729 746 North Carolina 720 729 742 763 765 773 South Carolina 614 642 650 701 705 889 Tennessee 826 825 651 883 904 905 Virginia 750 755 788 822 636 West Virginia 801 602 632 935 825

Southwest 668 885 889 907 902

642 820 901

Arizona 960 971 969 968 938 937 New Mexico n9 760 740 760 752 761 Oklahoma 916 94~ 923 892 892 691 Texas 880 664 893 913 912 909

Rocky Mountain 979 940 90~ 874 669 Colorado 1179 1120 1040 1001 981

880 972

Idaho 763 747 no 750 762 743 Montana 666 633 853 837 883 666 Utah 804 768 754 758 749 746 Wyoming 983 941 867 749 751

Far West 1163 1165 1165 1142 1154 739

1150 California 1204 1214 1224 1202 1215 1214 Nevada 978 1000 1028 1093 1110 1111 Oregon 977 971 957 972 987 Washington 1087 1053 1025 958 964 Alaska 1129 1010 862 977 996

977 952 986

Hawaii 1048 1074 1037 989 1006 998 ADDENDA CENSUS REGIONS

New England 1170 1177 1153 1133 1126 Middle Atlantic 1124 1130 1096 1093 1074

1124 1065

East North Central 1014 994 1000 1004 10o9 1018 West North Central 997 973 970 987 996 1011 South Atlantic 644 665 900 915 917 916 East South Central 741 751 776 803 815 818 West South Central 647 658 874 865 886 886 Mountain 949 928 911 887 887 883 Pacific 1166 1168 1168 1143 1155 1151

HEALTH CARE FINANCING ApoundVIpoundWfDECEMBEA 19821Volume 4 Number 2 6

--------

middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

FIGURE 2 Expenditures Per Capita for

Personal Health Care as a Percentage of the US Average

-1---------------------------------------------------------------------------l

_L____r--------~-------~--------r--------T~-------~~------~ t966 t969 1972 1976 19n t978

Calend YUill 1966 Through 1978

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- middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot _ --~ --------------------shy

Southwlllll ---------------- ~

middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

Southeastbullbullmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

Thus Massachusetts per capita spending is inflated by utilization by non-residents and use of services In other states underestimates per capita spending by Idaho residents

Variations In price and utilization among states acmiddot count for additional differences in hospital spending levels Salaries fringe benefits and non-labor costs vary among regions affecting the price structure for hospital services The admission rate and length of stay affected by the severity and frequency of illness and by historical patterns of medical practice inmiddot fluence the quantity of hospital services utilized interacting with these factors are the amount of sermiddot vices provided per employee the supply of hospital beds which the geographic area supports their occumiddot pancy rates the mix of types of hospitals in the geoshygraphic area the number of physicians personal inmiddot come per capita and the age structure of the populamiddot tion

Community Hospitals

Table 5 (AHA 1978 b) presents some of the factors which influenced expenditure levels In community

shy

hospitals in 1978 These factors will be discussed In the order in which they appear on the table

Per capita spending patterns for community hosshypital services are similar to those for services in all hospitals In the US $277 per capita was spent for community hospital services In New England per capita expenditures of $318 exceeded the level of exmiddot penditures in all other regions The Rocky Mountain Region trailed all other regions in community hospital spending with $208 per capita

Cost per day of community hospital care ranged from a regional high of $267 in the Far West to areshygional low of $164 in the Plains and Southeast with the US averaging $195 per day Labor costs acmiddot counted for approximately half of the cost-per-day figmiddot ures The Southeast inaintalned the lowest labor exmiddot pense at $79 per day of care while In the Far West labor costs per day amounted to $128 Labor expense nationwide amounted to $99 per day

Annual salary per employee is presented to supply an indication of the wage levels of an area In addimiddot tion It provides an indication of the cost of Jiving dlfmiddot ferences which exist among states and regions

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 7

TABLES

Community Hospital Statistics for 1978 Admlsmiddot

ExpendImiddot Salary Days of slon Expense tures Cost Labor Care Per Rate Length Cost Emmiddot Emmiddot 10000 Admls- o1

Capita Day Per Day ployee ployee Pop sion Stay

Beds Per 1000

Populamiddot tlon

Occumiddot pancy Rate

Number o1

Hosmiddot pitals

us Total $27694 $19535 $9931 $10927 1100 1n $1482 76 44 738 5851 New England

COnnecticut 31827 22255 12060 11971 993 172 1799 81 27482 22663 12563 12733 1014 159 1694 75

41 35

NA 783

259 36

Maine 24789 16874 8753 9523 1088 188 1301 77 46 716 49 Massachusetts 36799 24402 13127 12458 949 179 2101 86 45 790 117 New Hampshire 20537 16372 8417 9497 1128 189 1147 70 38 719 27 Rhode Island 28199 21668 12540 11788 940 160 1734 80 36 823 14 Vermont 21436 15151 8141 9967 1224 167 1251 83 45 729 16

Mideast Delaware

31060 20159 10832 12154 1122 170 1809 90 24885 19230 10388 11004 1059 146 1615 84

44 35

NA 810

710 8

District of Columbia 28145 15392 12916 839 2324 83 783 13 Maryland New Jersey New York

25559 20788 11066 11772 1064 138 1735 84 24061 17181 9142 11582 1267 159 1506 88 33943 21195 11794 13014 1103 188 2061 97

33 41 46

819 817 829

53 104 288

Pennsylvania Great Lakes

Illinois

31381 19389 9834 11128 1132 187 1615 83 30610 19879 10374 11338 1093 184 1577 79 34481 21303 11192 11739 1049 189 1690 79

47 47 49

783 NA 751

244 910 240

Indiana 24910 17058 8518 10178 1195 181 1312 77 44 755 114 Michigan Ohio

32492 22240 11447 12047 1052 179 1752 79 29477 18712 9900 10962 1107 188 1609 81

44 46

784 783

207 206

Wisconsin 26708 17683 9444 10918 1158 181 1416 80 51 691 143 Plains 28287 16356 8276 10010 1210 202 1326 81 58 NA 799

Iowa 26214 15290 7951 9728 1224 212 1139 75 58 672 131 Kansas 26961 15805 7958 9372 1178 206 1223 77 57 888 144 Minnesota 26003 16076 8890 11073 1274 191 1431 89 60 701 171 Missouri 32071 18259 8759 9967 1138 204 1504 82 56 743 147 Nebraska 26545 15020 7351 9494 1282 197 1239 82 60 889 96 North Dakota 28550 14784 7368 9692 1315 221 1219 82 70 881 53 South Dakota 20158 14684 7524 8715 1158 195 963 66 53 607 57

Southeast Alabama

23267 18440 7933 9297 1172 184 1164 71 25243 16070 7696 9125 1186 201 1134 71

44 49

NA 730

1449 132

Arkansas 19885 14058 6888 8341 1211 200 896 64 46 698 91 Florida 28117 19453 9033 10013 1109 181 1435 74 46 707 208 Georgia Kentucky

21910 17528 8758 9124 1042 188 1112 83 20089 14419 6954 9084 1306 165 1003 70

42 41

876 765

160 108

louisiana 24842 18180 8519 9209 1081 193 1171 64 44 690 139 Mississippi 19992 13735 6635 8413 1268 197 941 88 47 722 104 North Carolina 19765 15043 7573 9011 1190 187 1123 75 39 782 128 South Carolina 16989 14705 7210 8860 1229 156 1041 71 38 750 70 Tennessee 27284 15783 7520 9058 1205 217 1128 71 52 748 140 Virginia West Virginia

SOuthwest

21607 16483 6053 10031 1246 151 1320 80 26448 14859 7546 9395 1245 221 1084 73 23291 18273 8725 9322 1068 178 1205 88

39 53 42

751 735 NJA

102 67

718 Arizona 24764 21610 10268 10116 985 149 1531 71 34 723 58 New Mexico 18809 19360 9472 10333 1091 150 1165 60 30 659 37 Oklahoma 22746 18415 8585 9002 1049 175 1203 65 43 881 119 Texas 23588 17633 8454 9180 1086 188 1159 86 44 878 504

Rocky Mountain 20759 18292 9416 10200 1083 171 1157 63 39 NA 248 Colorado 23593 20038 10552 10718 1016 172 1338 67 40 683 83 Idaho 17144 15921 7861 9531 1212 169 964 61 36 652 46 Montana 20599 13224 8792 9584 1408 187 1033 78 58 842 57 Utah 19014 20932 10314 9970 967 161 1084 52 29 888 35 Wyoming 16021 18901 8984 9351 1043 174 870 52 38 544 27

Far West California

28742 26737 12799 12211 954 157 1708 84 31131 28188 13319 12437 934 158 1843 85

35 36

NA 663

758 518

Nevada 30563 24634 10388 11157 1078 187 1579 64 38 888 19 Oregon 23436 22329 11438 11243 983 162 1347 60 34 670 77 Washington Alaska

20699 21761 11116 11272 1014 158 1218 56 22282 34036 16277 16362 1005 115 1856 55

31 23

668 606

108 16

Hawaii 19395 19534 10253 11672 1138 122 1445 74 28 741 20 Table Is based on American Hospital Association data

HEALTH CARE FINANCING REVIEWDECEMBER ti821Volumbull 4 Numb 2 8

Nationwide an average of $10927 was paid to commiddot munlty hospital employees The Far West and Midmiddot east Regions paid the highest annual salaries and wages In the nation at $12200 The Southeast and Southwest Regions paid the least at $9300 Alaska paid the highest average wages and salaries to their community hospital emPloyees at $16362 This amount was over $3000 higher than the District of Columbia its closest rival

Days of care per full-time equivalent employee Is a rough Indicator of the Intensity of service rendered The fewer days of care for which an employee is reshysponsible permits each employee to devote more time to each patient In the Plains Region employees who were responsible for 121 days of care each year contrasted against the Far West where 95 days of care per employee were given

The admission rate per 10000 population was 177 nationwide In 1978 In the Plains states 202 admisshysions per 10000 population contrasted with the Far Wests 157 admissions

Expense per admission averaged $1482 In the US New England and the Midwest led au other regions In expense per admission with $1800 The Southeast and Rocky Mountain Regions trailed aU other regions with expenses per admission less than $1200 Comshymunity hospitals in the District of Columbia and Massachusetts Incurred the highest expense per admiddot mission with $2324 and $2101 Wyoming and Arkansas registered the lowest expense per admisshysion at $870 and $896 tess than half that of the highmiddot est states

The Plains states outpaced the nation In commiddot munty hospital beds maintained with 58 beds per 1000 population Due to the low population density and their larger than average elderly population more beds need to be available in order to offer easy acmiddot cess to the scattered population The Far West mainshytained 35 beds per thousand residents the lowest ratio maintained by any region

Massachusetts per capita community hospital spending of $388 the highest In the nation can be evaluated in the context of these community hospital statistics Persons receiving community hospital sershyvices In that state paid $244 per day for those sermiddot vices That was the fifth highest dally expense In the nation exceeded only by Alaska Cslifomia District of Columbia and Nevada Of the $244 per day $131 was attributed to labor costs the fourth highest labor expense per day In the US The length of stay In Massachusetts community hospitals was the highest In the New England Region and the third highest In the nation The combination of these factors led to Massachusetts community hospitals expense per admiddot mission being the second highest In the nation

One explanation for Massachusetts high per capita hospital spending may be that Boston serves as the major medical center for northern New England proshyviding more specialized medical services than those

which would be available In most local community hospitals in the region Admissions per 10000 populamiddot tlon would be higher since nonresidents would be atmiddot tracted to the state for these specialized services Length of stay would also be higher than average since more specialized procedures could Indicate more complicated medical problems The combinashytion of high cost per day and long length of stay promiddot duces high expense per admission

Regionally New England leads the nation In hosshypital spending per capita Examining the community hospital statistics show that the Far West Regions cost per day of community hospital care exceeded that of New England by $45 per day Yet the expendishytures In the Far West were $31 less per capita than those In New England Labor costs per day of care and days of care per employee were nearly Identical in both regions What differs was the admission rate (157 persons per 10000 population In the Far West versus 172 persons per 10000 in New England) and the length of stay (64 days of care per admissions In the Far West versus 81 days of care In New England)

Differences in the age structure and health status of the two populations contribute to some of the disshyparity In admission rates and length of stay The following factors could produce additional differshyences variations In Input prices such as fuel wages and fringe benefits and historical regional patterns of medical treatment which prescribe defined lengths of stay In hospitals for particular medical procedures

PLACE OF RESIDENCE In this report state designations Indicate the locamiddot

tlon where the service was rendered In 1978 for exshyample the District of Columbia supplied $7473 milshylion worth of hospital seiVices These services were supp1ed to anyone who chose to purchase hospital services In that jurisdiction whether or not the Disshytrict of Columbia was their residence

Per capita estimates calculated using place of sermiddot vice expenditures and the total population of a state are presented in this report to assist the reader In demiddot termlning spending trends and levels However using per capita spending estimates for state comparisons may be misleading The per capita figures cannot be interpreted as spending per resident unless substanmiddot tlaily all of the services provided in a state are conmiddot sumed by residents of that state and unless resmiddot dents of that state purchase no additional services from other states

The only data available to Indicate the magnitude of difference when estimating on a provldermiddotof-servce versus a residence-of-recipient basis pertains to short-stay hospitals Estimates of per capita expendmiddot tures In community hospitals by place of residence of the recipient are presented in Table 6 The place-ofmiddot residence estimates are based on unpublished Medlmiddot care community hospital reimbursement data which

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numblr 2 9

TABLES

Community Hoapltbulll Pet Capita Health Expendltur 1976 1978

Place of Place of POS Place of SeJVIce Residence POR Service

Place of Residence

POS POR

jPOS jPOR jPOS jPOR us Total $21888 $21849 10009 $27694 $27675 10007 New England

Connecticut 25802 25376 10089 31827 22374 22465 9959 27482

31581 27802

10078 9865

Maine 19922 20860 9550 24789 25667 9658 Massachusetts 30799 29818 10329 38799 37518 10341 New Hampshire Rhode Island

16227 17237 9414 20537 23308 23829 9781 28199

21360 29147

9606 9875

Vermont 18172 18653 9742 21438 22839 9386 Mideast 25357 25358 10000 31080 31160 9974

Delaware 19984 20367 9812 24885 25325 9626 District of COlumbia 52123 35259 14783 67327 48366 14521 MarylandNew Jersey New York

19917 21496 9265 25559 20225 21636 9348 24062 29257 28996 10090 33943

27308 25666 33849

9360 9375

10028 Pennsylvania

Great Lakes 23241 23183 10025 31381 23915 24097 9924 30610

31353 30883

10009 9912

Illinois 26469 270S8 9779 34462 35251 9776 Indiana 19422 19387 10018 24910 248o7 10042 Michigan Ohio

25103 25374 9893 32492 23242 23011 10100 29477

32907 29272

9874 10070

Wisconsin 22070 22261 9914 26708 26978 9900 Plains 21722 21559 10076 28287 28075 10076

Iowa 19535 20198 9672 26214 27461 9548 Kansas 20498 22394 9153 26961 29463 9151 Minnesota 22924 21825 10504 28003 28686 10501 Missouri 23843 22822 10447 32071 30554 10496 Nebraska 20528 20636 9948 26544 26754 9922 North Dakota 22046 20892 10552 28550 26162 10913 South Dakota 15839 16831 9292 20158 21434 9405

Southeast 17961 18119 9913 23267 23418 9936 Alabama 18796 19056 9864 25243 25664 9836 Arkansas 15162 16565 9153 19885 21817 9114 Florida 21877 22304 9809 28117 28618 9825 GeorgiaKentucky Louisiana

17113 16661 10271 21910 18028 16784 9550 20089 19182 18965 10114 24842

21434 20953 24809

10222 9588

10095 Mlsstestppt North Carolina

15102 16542 9129 19992 15136 15118 10012 19765

21568 19649

9269 10059

South Carolina 13653 14446 9451 16989 17735 9579 Tennessee 20786 18761 11079 27284 24330 11214 Virginia West VIrginia

Southwest

18615 16938 9810 21606 20791 21851 9515 26448 18070 17828 10136 23291

22170 27623 22953

9748 9575

10147 Arizona 19641 18732 10485 24764 24028 10306 New Mexico 14579 15741 9262 18609 19936 9334 Oklahoma 17311 16419 9398 22746 24246 9381 Texas 18273 1l727 10308 23568 22754 10358

RockYc Mountain 18818 16754 10038 20759 20684 10036 Coorado 19630 18524 10597 23593 22405 10530 Idaho 13811 15785 8749 17144 19232 8914 Montana 15823 16831 9401 20599 21501 9580 Utah 14927 13952 10699 19014 17657 10769 Wyoming

Far West 12805 15936 7910 18021 22546 22247 10134 28742

20803 28342

77-01 10141

California 24385 24060 10135 31131 30683 10146 Nevada 23080 21956 10511 30583 28804 10618 OregonWashingtonAlaska

18590 18532 10031 23436 18823 16786 10022 20699 14080 13709 10271 22228

23225 20827 20550

10091 9939

10817 Hawatl 14967 14177 10557 19395 19048 10182 Adjusted by Medtcare ShortStay Hospital Reimbursements

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 10

Includes both the location of the service and resishydence of the recipient Ratios of the reimbursements on the place-of-residence and placemiddotofmiddotservice basis for the Medicare population are applied to community hospital expenditure estimates for the total populashytlon3 The per capita expenditure estimates by place of residence represent spending for all community hospital services purchased in any state or us posshysession by residents of that state

These estimates are valid to the extent that the Medicare population reflects the geographic conmiddot sumptlon patterns of the general population Table 6 shows that the ratio of community hospital services provided In a state to the services purchased by state residents cluster between 90 and 110 percent Within each region community hospital services purchased by residents equal991 to 1015 percent of community hospital services rendered In the region

At one extreme at least 45 percent of services promiddot vlded in the District of Columbia were purchased by residents of other states In 1978 District of Colummiddot bla per capita estimates by place of residence were $210 lower than the per capita estimate by place of service Wyoming Illustrates the opposite extreme residents purchased approximately 20 percent more services from other states than those which were proshyvided within the state The per capita spending for community hospital services by Wyoming residents is almost $48 higher per capita in 1978 than the per capmiddot ita estimates by place of service would indicate

Expend(tures for Physicians Services

Between 1966 and 1978 spending for physicians services the second largest component of personal health care expenditures garnered between 21 and 24 percent of every dollar spent on personal health care

Physicians influence on the level of health care spending Is much higher than physician expenditures indicate Physicians prescribe and direct many medlmiddot cal services including hospitalization and prescripshytion drugs

In the us in 1978 $161 per capita was spent for physicians services The Rocky Mountain Region spent the least at $143 per capita followed closely by the Southeast and New England Regions with $145 per capita Physician expenditures in the Far West at $219 per capita exceeded spending In all other reshygions

For 1966 through 1978 Californias physician exmiddot pendltures topped those of all other states In 1978 Its per capita expenditures were $238 For the first

Some research Indicates that travel patterns exhibited by Medicare recipients to obtain hospital services are similar to those exhibited by the general population In small rural areas There is no evidence to show that the same relationmiddot ship exists when examining state data However the asshysumption is made that the directional trends indicated by the place of residence estimates should provide a reasonable estimate of a net inflow or outflow of services in a state

half of the twelve year period Mississippis expendishytures for physician services were the lowest in the nashytion By 1976 Vermont had supplanted Mississippis position in 1978 Vermonts spending for physician services trailed those of sll other states at $90 per capita

In 1978 Massachusetts spent 158 percent of Its health care dollars on physicians services Contrastshying with that low was Hawaii where residents expendmiddot ed 295 percent of every health care dollar for physimiddot clans services

Researchers are examining levels of physician spending in an attempt to explain differences in costs of physician services As the concentration of physishycians increases do physicians induce demand by preshyscribing more laboratory tests and more frequent hosshypitalization and office visits Are the number of these ancillary services reflecting the physicians efforts to attain a target Income Or are these physicians ofmiddot ferlng a significant increase in quality of care Are physicians encouraged through reimbursement proceshydures to offer the most efficient and economical sermiddot vices available to their patients Do third party payshyments reduce the Incentive for consumers to choose physician services wisely

Each of these facets affects regions and states dlfmiddot ferently The mix of reimbursement systems (fee-formiddot service HMO prepaid group practice andor lnsurmiddot ance) standard of living historical medical practices and the concentration of physicians In each area inmiddot troduce different values into physician expenditure patterns in each geographic area

The number of physician services rendered is relatmiddot ed to the number of physicians An Increase In the number of physicians In a geographic area tends to increase the total amount of health care expenditures as more physician services become available for purshychase

Table 7 shows the wide range of physicians per 10000 population In states and regions The number of physicians per population grew from 91 physicians per 10000 population in 1969 to 107 physicians in 1978 For the same period the Far West and Califorshynia specifically maintained the lead over all other reshygions and states In concentration of physicians The lowest concentration of physicians occurred In the Southeast with physicians per 10000 population In Mississippi being the lowest In the nation for 1972 through 1978

Between 1969 and 1978 the Mideasts number of physicians Increased by 14 percent During the same time period the Southeast Southwest and Rocky Mountain states experienced the largest percentage gains In physicians In the nation from 45 to 47 permiddot cent Percent change In the number of physicians in states has been dramatic ranging from a low of 46 percent Increase in New Vorllt to a high of 1077 permiddot cent In Alaska Florida Arizona and Nevada exhibited the largest percent increases in the continental US with 867 801 and 722 percent Increase respectively

HEALTH CARE FINANCING REVIEWIDECEMampER 19821Volume 4 Number 2 11

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 3: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

National Trends

Between 1966 and 1978 personal health care exshypenditures grew from $392 billion to $1655 billion aan average annual rate of 128 percent Coupled withthis rapid growth has been a shift In the type of sershyvices purchased with the personal health care dollarIn 1966 395 percent of personal health expenditureswent for purchases of hospital services by 1978 hospitals had garnered 452 percent Similarly nursing homes increased their share of personal health carespending growing from 60 percent in 1966 to 92 pecent In 1978

Declines in shares of all other personal health sershyvices spending offset the Increases In the hospital and nursing home shares Drugs and drug sundries expenditures registered the largest decline over the 1966 through 1978 period All other services showedmoderate declines in their share of personal health care spending (Table 1)

A change in the financing of personal health care occurred during this time period The shift toward more institutionalized and expensive care in hospitaand nursing homes accompanied a shift in payment

source away from direct consumer payments toward public sources In 1966 out-of-pocket payments amounted to 492 percent of personal health expendimiddot tures by 1978 it had dropped to 325 percent Governshyt

ment financing which in 1966 accounted for 257 pershycent of personal health care spending reached 391

percent by 1978 Public funding of hospital services accounted for a

large portion of this change growing from 442 pershyshycent to 543 percent over the twelve year period The

enactment of the Medicare program In 1966 was largely responsible for the increase As the primary rmiddot payer tor hospital care for the elderly Medicare fl nanced 449 penent of the 1978 hospital care purmiddot chased with public funds

The public financing of nursing home care undermiddot went a similar spurt growing from 403 percent of toshytal nursing home care In 1966 to 554 percent In 1978 Of these public nursing home expenditures 864 permiddot cent comes from the Medicaid program

In 1966 public spending accounted for 93 percent of physicians services By 1978 the public share had grown to 257 percent The Medicare and Medicaid

ls programs together paid for over 80 penent of publicly financed physician services In 1978

TABLE 1

Services as a Percentage of Personal Health Care

1966 1969 1972 1976 1977 1978

Personal Health Care 1000 1000 1000 1000 1000 1000 Hospital Care 395 421 436 453 454 452 Physicians Services 234 225 216 211 216 216 Dental Services 76 75 71 72 71 71 Other Professional Services 30 26 23 24 24 25 Drugs and Medical Sundries 140 127 118 100 95 93 Eyeglasses and Appliances 34 30 28 26 25 25 Nursing Home Care 60 68 81 87 89 92 Other Health Services 32 29 28 27 26 26

TABLE 2

Public Funds as a Percentage of Seryenice Spending

1966 1969 1972 1976 1977 1978

Personal Health Care 257 354 360 391 389 391 Hospital Care 442 543 533 546 543 543 Physicians Services 93 219 228 258 252 257 Dental Services 28 56 53 51 47 42 Other Professional Services 51 151 140 212 234 242 Drugs and Medical Sundries 44 58 72 88 84 84 Eyeglasses and Appliances 28 58 62 78 85 90 Nursing Home Care 403 535 470 554 553 554 Other Care 687 704 731 741 732 739

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 3

Medicare and Medicaid also prompted changes In expenditures for other professional services includmiddot lng home health In 1966 public programs paid for 51 percent of other professional services by 1978 the public share had risen to 242 percent Medicares and Medicaids share of these public expenditures inmiddot creased from 68 percent in 1969 to over 82 percent In 1978

Shifts away from direct patient payments also ocmiddot curred in dental expenditures Consumers who had paid directly for 954 percent of dental care in 1966 had reduced direct spending to 762 percent by 1978 Most of this decrease was offset by Increases in primiddot vate insurance benefit payments which rose from less than one percent in 1966 to 196 percent in 1978

The consumer continued to be the primary payer tor drugs and eyeglasses throughout the period Primiddot vate insurance a subset of consumer payments paid for increasing proportions of these Items by 1978 however total payments for drugs and drug sundries by private Insurance did not exceed 10 percent of the total drug expenditures and total payments for eyeshyglasses and appliances by private Insurance did not exceed 4 percent of the total for that category

Expenditures for Personal Health Care

In 1978 $745 per capita was spent for personal health care Spending In the Far West Region topped $857 per person while personal health care expendishytures In the Southeast were the lowest in the nation at $636 per person

From 1966 to 1972 the New England Region led the nation with the highest regional per capita personal health spending by 1976 the Far West had surpassed New England maintaining Its lead through 1978 The lowest per capita personal health care spending ocshycurred in the Southeast Region for the entire twelve year span Slow growth in personal health spending in the Rocky Mountain Region has narrowed the gap between it and the Southeast Region

Figure 1 highlights the range in per capita spending among states the highest was Massachusetts with per capita expenditures of $935 and the lowest was South Carolina with spending of $521 per capita Massachusetts recorded the highest per capita permiddot sonal health care spending In the nation throughout the period with the exception of 1966 when New Yorks per capita equalled that of Massachusetts Mississippi whose per capita spending was lowest In the nation through 1972 relinquished that role to South Carolina tor 1976 through 1978

FIGURE 1 Personal Health Care Spending Per Capita

Calendar Year 1978

Expenditures by l ocation of Provider

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 4

Growth In Spending TABLE 3

Personal health care expenditures per capita grew an average of 116 percent per year between 1966 and 1978 (Table 3) Growth has been most dramatic In the Southeast where expenditures per capita more than quadrupled growing 126 percent per year Mississhysippi registered an average annual growth rate of 140 percent to lead the region and the nation in per capita personal health care growth The slowest growing reshygion was the Rocky Mountain Region with an average annual growth of 104 percent Wyoming registered the slowest growth in personal health care expendmiddot tures per capita in that region and the nation with an 89 percent average annual growth

When per capita personal health care estimates by state are divided by the US per capita the resulting percentages show a pattern of convergence toward the US per capita over the twelve year period (Table 4 Figure 2) The majority of states showed this patmiddot tern indicating that variations in health spending levels are narrowing among most states and regions The most notable exception to this pattern is in the Rocky Mountain Region in 1966 It was 979 percent of the US personal health care per capita by 1978 it had sunk to 860 percent

Expenditures for Hospital Care

Hospital expenditures represent the single largest component of personal health care spending In 1966 395 percent of each personal health care dollar went for hospital care by 1978 it had risen to 452 percent

Variations in the proportion of personal health care expenditures spent for hospital care exist among reshygions and states At one extreme the Mideast and New England spent over 48 percent of every personal health care dollar on hospital care in 1978 while the Far West spent only 40 percent The two states with the greatest proportion of health care expenditures devoted to hospital care are Massachusetts and West Virginia at least 52 percent of every health care dollar went for hospital care At the opposite extreme Idaho Washington and Oregon spent less than 37 percent of each dollar for hospital care

Throughout the twelve year span the New England Region and the state of Massachusetts recorded higher per capita hospital expenditures than all other regions and states in the nation The Rocky Mountain Region trailed all other regions in per capita hospital spending for 1976 through 1978 Idaho maintained the lowest per capita spending when compared against states for 1972 through 1978

In 1978 spending reached $337 per capita nationmiddot wide for hospital expenditures New England reshycorded the highest US per capita hospital expendishytures with $403 which exceeded the Rocky Mountain Regions spending by $141 per capita

The range in per capita hospital services becomes more dramatic when examining states a high of $490

Average Annual Growth In Per Capita Personal Health Care Expenditures 1968-1978

us Total 116 Southeast 126 Alabama 131 Arkansas 127

New England Connecticut Maine Massachusetts

112 110 119 115

Florida Georgia Kentucky louisiana

125 128 110 125

New Hampshire Rhode Island

102 112

Mississippi North Carolina

140 122

Vermont 103 South Carolina 128 Tennessee 124

Mideast Delaware District of Columbia

111 108 120

Virginia West Virginia

127 118

Maryland New Jersey New York

121 113 107

Southwest Arizona New Mexico

117 114 113

Pennsylvania 117 Oklahoma Texas

113 119

Great Lakes 116 Illinois Indiana

113 116

Rocky Mountain Colorado

104 98

Michigan Ohio

117 118

Idaho Montana

113 116

Wisconsin 117 Utah 109

Plains 117 Wyoming 89

Iowa 115 Far West 115 Kansas 123 california 116 Minnesota 107 Nevada 128 Missouri Nebraska North Dakota

122 118 124

Oregon Washington

116 104

South Dakota 116 Alaska 103 Hawaii 111

in Massachusetts contrasts a low of $197 in Idaho Massachusetts hospital expenditures exceeded those of its closest rival New York by over $73 per apita Some of the variation in hospital spending

levels can be attributed to the place of service per apita computation (see Place of Residence deshycription which follows) A minimum of 14 percent of he community hospital expenditures made by resimiddot ents of Idaho are for services rendered in other tates Included in Massachusetts expenditures on he other hand are over three percent of community ospital services rendered to out-of-state residents

bullcommunity hospitals Include all non-Federal short-stay eneral and other hospitals including primarily acute care fa ilities Excluded are hospital units In institutions Federal ospitals psychiatric hospitals and other long-term care hosmiddot ltals In 1978 there were 5851 community hospitals In opermiddot tion

c

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gchpa

HEALTH CARE FINANCING REVIEWDECEMBeR 19821Volume 4 Number 2 5

TABLE 4

Expenditures Per Capita for Personal Health Care as a Percentage of the US Average

1966 1969 1972 1976 1977 1978

us Total 1000 1000 1000 1000 1000 1000 New England 1170 1177 1153 1133 1126

Connecticut 1182 1184 1150 1117 1115 1124 1110

Maine 854 858 866 897 887 889 Massachusetts 1266 1293 1279 1256 1253 1254 New Hampshire 941 879 859 835 810 Rhode Island 1152 1124 1075 1107 1094

811 1104

Vermont 985 987 921 883 853 845 Mideast 1127 1137 1111 1101 1083 1076

Delaware 1048 1034 1000 985 975 969 District of Columbia Maryland 946 1018 1001 966 New Jersey 984 948 935 858 958 New York 1268 128pound 123~ 1228 1180

996 938

1152 Pennsylvania 997 995 976 973 987

Great lakes 1014 994 1000 1004 1009 1015 1018

Illinois 1092 1069 1068 1044 1045 1062 Indiana 887 891 665 892 903 901 Michigan 1060 1032 1038 1048 1061 Ohio 967 940 94pound 980 980

1076 990

Wisconsin 976 965 1012 1011 1005 995 Plains 997 973 970 987 996 1011

Iowa 979 945 925 924 951 971 Kansas 952 946 991 1000 1010 1028 Minnesota 1084 1034 1016 1008 1002 990 Missouri 968 979 962 1016 1036 1060 Nebraska 970 956 977 962 972 990 North Dakota 964 983 967 1039 1059 1058 South Dakota 881 851 885 658 873 886

Southeast 765 780 816 646 853 853 Alabama 724 749 795 638 649 850 Arkansas 699 701 749 78pound 787 785 Florida 931 949 990 1044 1044 1028 Georgia 756 782 854 85~ 886 Kentucky n4 779 755 732 729 Louisiana ns 801 646 645 653

666 728 880

MissiSSippi 574 562 643 712 729 746 North Carolina 720 729 742 763 765 773 South Carolina 614 642 650 701 705 889 Tennessee 826 825 651 883 904 905 Virginia 750 755 788 822 636 West Virginia 801 602 632 935 825

Southwest 668 885 889 907 902

642 820 901

Arizona 960 971 969 968 938 937 New Mexico n9 760 740 760 752 761 Oklahoma 916 94~ 923 892 892 691 Texas 880 664 893 913 912 909

Rocky Mountain 979 940 90~ 874 669 Colorado 1179 1120 1040 1001 981

880 972

Idaho 763 747 no 750 762 743 Montana 666 633 853 837 883 666 Utah 804 768 754 758 749 746 Wyoming 983 941 867 749 751

Far West 1163 1165 1165 1142 1154 739

1150 California 1204 1214 1224 1202 1215 1214 Nevada 978 1000 1028 1093 1110 1111 Oregon 977 971 957 972 987 Washington 1087 1053 1025 958 964 Alaska 1129 1010 862 977 996

977 952 986

Hawaii 1048 1074 1037 989 1006 998 ADDENDA CENSUS REGIONS

New England 1170 1177 1153 1133 1126 Middle Atlantic 1124 1130 1096 1093 1074

1124 1065

East North Central 1014 994 1000 1004 10o9 1018 West North Central 997 973 970 987 996 1011 South Atlantic 644 665 900 915 917 916 East South Central 741 751 776 803 815 818 West South Central 647 658 874 865 886 886 Mountain 949 928 911 887 887 883 Pacific 1166 1168 1168 1143 1155 1151

HEALTH CARE FINANCING ApoundVIpoundWfDECEMBEA 19821Volume 4 Number 2 6

--------

middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

FIGURE 2 Expenditures Per Capita for

Personal Health Care as a Percentage of the US Average

-1---------------------------------------------------------------------------l

_L____r--------~-------~--------r--------T~-------~~------~ t966 t969 1972 1976 19n t978

Calend YUill 1966 Through 1978

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- middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot _ --~ --------------------shy

Southwlllll ---------------- ~

middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

Southeastbullbullmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

Thus Massachusetts per capita spending is inflated by utilization by non-residents and use of services In other states underestimates per capita spending by Idaho residents

Variations In price and utilization among states acmiddot count for additional differences in hospital spending levels Salaries fringe benefits and non-labor costs vary among regions affecting the price structure for hospital services The admission rate and length of stay affected by the severity and frequency of illness and by historical patterns of medical practice inmiddot fluence the quantity of hospital services utilized interacting with these factors are the amount of sermiddot vices provided per employee the supply of hospital beds which the geographic area supports their occumiddot pancy rates the mix of types of hospitals in the geoshygraphic area the number of physicians personal inmiddot come per capita and the age structure of the populamiddot tion

Community Hospitals

Table 5 (AHA 1978 b) presents some of the factors which influenced expenditure levels In community

shy

hospitals in 1978 These factors will be discussed In the order in which they appear on the table

Per capita spending patterns for community hosshypital services are similar to those for services in all hospitals In the US $277 per capita was spent for community hospital services In New England per capita expenditures of $318 exceeded the level of exmiddot penditures in all other regions The Rocky Mountain Region trailed all other regions in community hospital spending with $208 per capita

Cost per day of community hospital care ranged from a regional high of $267 in the Far West to areshygional low of $164 in the Plains and Southeast with the US averaging $195 per day Labor costs acmiddot counted for approximately half of the cost-per-day figmiddot ures The Southeast inaintalned the lowest labor exmiddot pense at $79 per day of care while In the Far West labor costs per day amounted to $128 Labor expense nationwide amounted to $99 per day

Annual salary per employee is presented to supply an indication of the wage levels of an area In addimiddot tion It provides an indication of the cost of Jiving dlfmiddot ferences which exist among states and regions

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 7

TABLES

Community Hospital Statistics for 1978 Admlsmiddot

ExpendImiddot Salary Days of slon Expense tures Cost Labor Care Per Rate Length Cost Emmiddot Emmiddot 10000 Admls- o1

Capita Day Per Day ployee ployee Pop sion Stay

Beds Per 1000

Populamiddot tlon

Occumiddot pancy Rate

Number o1

Hosmiddot pitals

us Total $27694 $19535 $9931 $10927 1100 1n $1482 76 44 738 5851 New England

COnnecticut 31827 22255 12060 11971 993 172 1799 81 27482 22663 12563 12733 1014 159 1694 75

41 35

NA 783

259 36

Maine 24789 16874 8753 9523 1088 188 1301 77 46 716 49 Massachusetts 36799 24402 13127 12458 949 179 2101 86 45 790 117 New Hampshire 20537 16372 8417 9497 1128 189 1147 70 38 719 27 Rhode Island 28199 21668 12540 11788 940 160 1734 80 36 823 14 Vermont 21436 15151 8141 9967 1224 167 1251 83 45 729 16

Mideast Delaware

31060 20159 10832 12154 1122 170 1809 90 24885 19230 10388 11004 1059 146 1615 84

44 35

NA 810

710 8

District of Columbia 28145 15392 12916 839 2324 83 783 13 Maryland New Jersey New York

25559 20788 11066 11772 1064 138 1735 84 24061 17181 9142 11582 1267 159 1506 88 33943 21195 11794 13014 1103 188 2061 97

33 41 46

819 817 829

53 104 288

Pennsylvania Great Lakes

Illinois

31381 19389 9834 11128 1132 187 1615 83 30610 19879 10374 11338 1093 184 1577 79 34481 21303 11192 11739 1049 189 1690 79

47 47 49

783 NA 751

244 910 240

Indiana 24910 17058 8518 10178 1195 181 1312 77 44 755 114 Michigan Ohio

32492 22240 11447 12047 1052 179 1752 79 29477 18712 9900 10962 1107 188 1609 81

44 46

784 783

207 206

Wisconsin 26708 17683 9444 10918 1158 181 1416 80 51 691 143 Plains 28287 16356 8276 10010 1210 202 1326 81 58 NA 799

Iowa 26214 15290 7951 9728 1224 212 1139 75 58 672 131 Kansas 26961 15805 7958 9372 1178 206 1223 77 57 888 144 Minnesota 26003 16076 8890 11073 1274 191 1431 89 60 701 171 Missouri 32071 18259 8759 9967 1138 204 1504 82 56 743 147 Nebraska 26545 15020 7351 9494 1282 197 1239 82 60 889 96 North Dakota 28550 14784 7368 9692 1315 221 1219 82 70 881 53 South Dakota 20158 14684 7524 8715 1158 195 963 66 53 607 57

Southeast Alabama

23267 18440 7933 9297 1172 184 1164 71 25243 16070 7696 9125 1186 201 1134 71

44 49

NA 730

1449 132

Arkansas 19885 14058 6888 8341 1211 200 896 64 46 698 91 Florida 28117 19453 9033 10013 1109 181 1435 74 46 707 208 Georgia Kentucky

21910 17528 8758 9124 1042 188 1112 83 20089 14419 6954 9084 1306 165 1003 70

42 41

876 765

160 108

louisiana 24842 18180 8519 9209 1081 193 1171 64 44 690 139 Mississippi 19992 13735 6635 8413 1268 197 941 88 47 722 104 North Carolina 19765 15043 7573 9011 1190 187 1123 75 39 782 128 South Carolina 16989 14705 7210 8860 1229 156 1041 71 38 750 70 Tennessee 27284 15783 7520 9058 1205 217 1128 71 52 748 140 Virginia West Virginia

SOuthwest

21607 16483 6053 10031 1246 151 1320 80 26448 14859 7546 9395 1245 221 1084 73 23291 18273 8725 9322 1068 178 1205 88

39 53 42

751 735 NJA

102 67

718 Arizona 24764 21610 10268 10116 985 149 1531 71 34 723 58 New Mexico 18809 19360 9472 10333 1091 150 1165 60 30 659 37 Oklahoma 22746 18415 8585 9002 1049 175 1203 65 43 881 119 Texas 23588 17633 8454 9180 1086 188 1159 86 44 878 504

Rocky Mountain 20759 18292 9416 10200 1083 171 1157 63 39 NA 248 Colorado 23593 20038 10552 10718 1016 172 1338 67 40 683 83 Idaho 17144 15921 7861 9531 1212 169 964 61 36 652 46 Montana 20599 13224 8792 9584 1408 187 1033 78 58 842 57 Utah 19014 20932 10314 9970 967 161 1084 52 29 888 35 Wyoming 16021 18901 8984 9351 1043 174 870 52 38 544 27

Far West California

28742 26737 12799 12211 954 157 1708 84 31131 28188 13319 12437 934 158 1843 85

35 36

NA 663

758 518

Nevada 30563 24634 10388 11157 1078 187 1579 64 38 888 19 Oregon 23436 22329 11438 11243 983 162 1347 60 34 670 77 Washington Alaska

20699 21761 11116 11272 1014 158 1218 56 22282 34036 16277 16362 1005 115 1856 55

31 23

668 606

108 16

Hawaii 19395 19534 10253 11672 1138 122 1445 74 28 741 20 Table Is based on American Hospital Association data

HEALTH CARE FINANCING REVIEWDECEMBER ti821Volumbull 4 Numb 2 8

Nationwide an average of $10927 was paid to commiddot munlty hospital employees The Far West and Midmiddot east Regions paid the highest annual salaries and wages In the nation at $12200 The Southeast and Southwest Regions paid the least at $9300 Alaska paid the highest average wages and salaries to their community hospital emPloyees at $16362 This amount was over $3000 higher than the District of Columbia its closest rival

Days of care per full-time equivalent employee Is a rough Indicator of the Intensity of service rendered The fewer days of care for which an employee is reshysponsible permits each employee to devote more time to each patient In the Plains Region employees who were responsible for 121 days of care each year contrasted against the Far West where 95 days of care per employee were given

The admission rate per 10000 population was 177 nationwide In 1978 In the Plains states 202 admisshysions per 10000 population contrasted with the Far Wests 157 admissions

Expense per admission averaged $1482 In the US New England and the Midwest led au other regions In expense per admission with $1800 The Southeast and Rocky Mountain Regions trailed aU other regions with expenses per admission less than $1200 Comshymunity hospitals in the District of Columbia and Massachusetts Incurred the highest expense per admiddot mission with $2324 and $2101 Wyoming and Arkansas registered the lowest expense per admisshysion at $870 and $896 tess than half that of the highmiddot est states

The Plains states outpaced the nation In commiddot munty hospital beds maintained with 58 beds per 1000 population Due to the low population density and their larger than average elderly population more beds need to be available in order to offer easy acmiddot cess to the scattered population The Far West mainshytained 35 beds per thousand residents the lowest ratio maintained by any region

Massachusetts per capita community hospital spending of $388 the highest In the nation can be evaluated in the context of these community hospital statistics Persons receiving community hospital sershyvices In that state paid $244 per day for those sermiddot vices That was the fifth highest dally expense In the nation exceeded only by Alaska Cslifomia District of Columbia and Nevada Of the $244 per day $131 was attributed to labor costs the fourth highest labor expense per day In the US The length of stay In Massachusetts community hospitals was the highest In the New England Region and the third highest In the nation The combination of these factors led to Massachusetts community hospitals expense per admiddot mission being the second highest In the nation

One explanation for Massachusetts high per capita hospital spending may be that Boston serves as the major medical center for northern New England proshyviding more specialized medical services than those

which would be available In most local community hospitals in the region Admissions per 10000 populamiddot tlon would be higher since nonresidents would be atmiddot tracted to the state for these specialized services Length of stay would also be higher than average since more specialized procedures could Indicate more complicated medical problems The combinashytion of high cost per day and long length of stay promiddot duces high expense per admission

Regionally New England leads the nation In hosshypital spending per capita Examining the community hospital statistics show that the Far West Regions cost per day of community hospital care exceeded that of New England by $45 per day Yet the expendishytures In the Far West were $31 less per capita than those In New England Labor costs per day of care and days of care per employee were nearly Identical in both regions What differs was the admission rate (157 persons per 10000 population In the Far West versus 172 persons per 10000 in New England) and the length of stay (64 days of care per admissions In the Far West versus 81 days of care In New England)

Differences in the age structure and health status of the two populations contribute to some of the disshyparity In admission rates and length of stay The following factors could produce additional differshyences variations In Input prices such as fuel wages and fringe benefits and historical regional patterns of medical treatment which prescribe defined lengths of stay In hospitals for particular medical procedures

PLACE OF RESIDENCE In this report state designations Indicate the locamiddot

tlon where the service was rendered In 1978 for exshyample the District of Columbia supplied $7473 milshylion worth of hospital seiVices These services were supp1ed to anyone who chose to purchase hospital services In that jurisdiction whether or not the Disshytrict of Columbia was their residence

Per capita estimates calculated using place of sermiddot vice expenditures and the total population of a state are presented in this report to assist the reader In demiddot termlning spending trends and levels However using per capita spending estimates for state comparisons may be misleading The per capita figures cannot be interpreted as spending per resident unless substanmiddot tlaily all of the services provided in a state are conmiddot sumed by residents of that state and unless resmiddot dents of that state purchase no additional services from other states

The only data available to Indicate the magnitude of difference when estimating on a provldermiddotof-servce versus a residence-of-recipient basis pertains to short-stay hospitals Estimates of per capita expendmiddot tures In community hospitals by place of residence of the recipient are presented in Table 6 The place-ofmiddot residence estimates are based on unpublished Medlmiddot care community hospital reimbursement data which

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numblr 2 9

TABLES

Community Hoapltbulll Pet Capita Health Expendltur 1976 1978

Place of Place of POS Place of SeJVIce Residence POR Service

Place of Residence

POS POR

jPOS jPOR jPOS jPOR us Total $21888 $21849 10009 $27694 $27675 10007 New England

Connecticut 25802 25376 10089 31827 22374 22465 9959 27482

31581 27802

10078 9865

Maine 19922 20860 9550 24789 25667 9658 Massachusetts 30799 29818 10329 38799 37518 10341 New Hampshire Rhode Island

16227 17237 9414 20537 23308 23829 9781 28199

21360 29147

9606 9875

Vermont 18172 18653 9742 21438 22839 9386 Mideast 25357 25358 10000 31080 31160 9974

Delaware 19984 20367 9812 24885 25325 9626 District of COlumbia 52123 35259 14783 67327 48366 14521 MarylandNew Jersey New York

19917 21496 9265 25559 20225 21636 9348 24062 29257 28996 10090 33943

27308 25666 33849

9360 9375

10028 Pennsylvania

Great Lakes 23241 23183 10025 31381 23915 24097 9924 30610

31353 30883

10009 9912

Illinois 26469 270S8 9779 34462 35251 9776 Indiana 19422 19387 10018 24910 248o7 10042 Michigan Ohio

25103 25374 9893 32492 23242 23011 10100 29477

32907 29272

9874 10070

Wisconsin 22070 22261 9914 26708 26978 9900 Plains 21722 21559 10076 28287 28075 10076

Iowa 19535 20198 9672 26214 27461 9548 Kansas 20498 22394 9153 26961 29463 9151 Minnesota 22924 21825 10504 28003 28686 10501 Missouri 23843 22822 10447 32071 30554 10496 Nebraska 20528 20636 9948 26544 26754 9922 North Dakota 22046 20892 10552 28550 26162 10913 South Dakota 15839 16831 9292 20158 21434 9405

Southeast 17961 18119 9913 23267 23418 9936 Alabama 18796 19056 9864 25243 25664 9836 Arkansas 15162 16565 9153 19885 21817 9114 Florida 21877 22304 9809 28117 28618 9825 GeorgiaKentucky Louisiana

17113 16661 10271 21910 18028 16784 9550 20089 19182 18965 10114 24842

21434 20953 24809

10222 9588

10095 Mlsstestppt North Carolina

15102 16542 9129 19992 15136 15118 10012 19765

21568 19649

9269 10059

South Carolina 13653 14446 9451 16989 17735 9579 Tennessee 20786 18761 11079 27284 24330 11214 Virginia West VIrginia

Southwest

18615 16938 9810 21606 20791 21851 9515 26448 18070 17828 10136 23291

22170 27623 22953

9748 9575

10147 Arizona 19641 18732 10485 24764 24028 10306 New Mexico 14579 15741 9262 18609 19936 9334 Oklahoma 17311 16419 9398 22746 24246 9381 Texas 18273 1l727 10308 23568 22754 10358

RockYc Mountain 18818 16754 10038 20759 20684 10036 Coorado 19630 18524 10597 23593 22405 10530 Idaho 13811 15785 8749 17144 19232 8914 Montana 15823 16831 9401 20599 21501 9580 Utah 14927 13952 10699 19014 17657 10769 Wyoming

Far West 12805 15936 7910 18021 22546 22247 10134 28742

20803 28342

77-01 10141

California 24385 24060 10135 31131 30683 10146 Nevada 23080 21956 10511 30583 28804 10618 OregonWashingtonAlaska

18590 18532 10031 23436 18823 16786 10022 20699 14080 13709 10271 22228

23225 20827 20550

10091 9939

10817 Hawatl 14967 14177 10557 19395 19048 10182 Adjusted by Medtcare ShortStay Hospital Reimbursements

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 10

Includes both the location of the service and resishydence of the recipient Ratios of the reimbursements on the place-of-residence and placemiddotofmiddotservice basis for the Medicare population are applied to community hospital expenditure estimates for the total populashytlon3 The per capita expenditure estimates by place of residence represent spending for all community hospital services purchased in any state or us posshysession by residents of that state

These estimates are valid to the extent that the Medicare population reflects the geographic conmiddot sumptlon patterns of the general population Table 6 shows that the ratio of community hospital services provided In a state to the services purchased by state residents cluster between 90 and 110 percent Within each region community hospital services purchased by residents equal991 to 1015 percent of community hospital services rendered In the region

At one extreme at least 45 percent of services promiddot vlded in the District of Columbia were purchased by residents of other states In 1978 District of Colummiddot bla per capita estimates by place of residence were $210 lower than the per capita estimate by place of service Wyoming Illustrates the opposite extreme residents purchased approximately 20 percent more services from other states than those which were proshyvided within the state The per capita spending for community hospital services by Wyoming residents is almost $48 higher per capita in 1978 than the per capmiddot ita estimates by place of service would indicate

Expend(tures for Physicians Services

Between 1966 and 1978 spending for physicians services the second largest component of personal health care expenditures garnered between 21 and 24 percent of every dollar spent on personal health care

Physicians influence on the level of health care spending Is much higher than physician expenditures indicate Physicians prescribe and direct many medlmiddot cal services including hospitalization and prescripshytion drugs

In the us in 1978 $161 per capita was spent for physicians services The Rocky Mountain Region spent the least at $143 per capita followed closely by the Southeast and New England Regions with $145 per capita Physician expenditures in the Far West at $219 per capita exceeded spending In all other reshygions

For 1966 through 1978 Californias physician exmiddot pendltures topped those of all other states In 1978 Its per capita expenditures were $238 For the first

Some research Indicates that travel patterns exhibited by Medicare recipients to obtain hospital services are similar to those exhibited by the general population In small rural areas There is no evidence to show that the same relationmiddot ship exists when examining state data However the asshysumption is made that the directional trends indicated by the place of residence estimates should provide a reasonable estimate of a net inflow or outflow of services in a state

half of the twelve year period Mississippis expendishytures for physician services were the lowest in the nashytion By 1976 Vermont had supplanted Mississippis position in 1978 Vermonts spending for physician services trailed those of sll other states at $90 per capita

In 1978 Massachusetts spent 158 percent of Its health care dollars on physicians services Contrastshying with that low was Hawaii where residents expendmiddot ed 295 percent of every health care dollar for physimiddot clans services

Researchers are examining levels of physician spending in an attempt to explain differences in costs of physician services As the concentration of physishycians increases do physicians induce demand by preshyscribing more laboratory tests and more frequent hosshypitalization and office visits Are the number of these ancillary services reflecting the physicians efforts to attain a target Income Or are these physicians ofmiddot ferlng a significant increase in quality of care Are physicians encouraged through reimbursement proceshydures to offer the most efficient and economical sermiddot vices available to their patients Do third party payshyments reduce the Incentive for consumers to choose physician services wisely

Each of these facets affects regions and states dlfmiddot ferently The mix of reimbursement systems (fee-formiddot service HMO prepaid group practice andor lnsurmiddot ance) standard of living historical medical practices and the concentration of physicians In each area inmiddot troduce different values into physician expenditure patterns in each geographic area

The number of physician services rendered is relatmiddot ed to the number of physicians An Increase In the number of physicians In a geographic area tends to increase the total amount of health care expenditures as more physician services become available for purshychase

Table 7 shows the wide range of physicians per 10000 population In states and regions The number of physicians per population grew from 91 physicians per 10000 population in 1969 to 107 physicians in 1978 For the same period the Far West and Califorshynia specifically maintained the lead over all other reshygions and states In concentration of physicians The lowest concentration of physicians occurred In the Southeast with physicians per 10000 population In Mississippi being the lowest In the nation for 1972 through 1978

Between 1969 and 1978 the Mideasts number of physicians Increased by 14 percent During the same time period the Southeast Southwest and Rocky Mountain states experienced the largest percentage gains In physicians In the nation from 45 to 47 permiddot cent Percent change In the number of physicians in states has been dramatic ranging from a low of 46 percent Increase in New Vorllt to a high of 1077 permiddot cent In Alaska Florida Arizona and Nevada exhibited the largest percent increases in the continental US with 867 801 and 722 percent Increase respectively

HEALTH CARE FINANCING REVIEWIDECEMampER 19821Volume 4 Number 2 11

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 4: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Medicare and Medicaid also prompted changes In expenditures for other professional services includmiddot lng home health In 1966 public programs paid for 51 percent of other professional services by 1978 the public share had risen to 242 percent Medicares and Medicaids share of these public expenditures inmiddot creased from 68 percent in 1969 to over 82 percent In 1978

Shifts away from direct patient payments also ocmiddot curred in dental expenditures Consumers who had paid directly for 954 percent of dental care in 1966 had reduced direct spending to 762 percent by 1978 Most of this decrease was offset by Increases in primiddot vate insurance benefit payments which rose from less than one percent in 1966 to 196 percent in 1978

The consumer continued to be the primary payer tor drugs and eyeglasses throughout the period Primiddot vate insurance a subset of consumer payments paid for increasing proportions of these Items by 1978 however total payments for drugs and drug sundries by private Insurance did not exceed 10 percent of the total drug expenditures and total payments for eyeshyglasses and appliances by private Insurance did not exceed 4 percent of the total for that category

Expenditures for Personal Health Care

In 1978 $745 per capita was spent for personal health care Spending In the Far West Region topped $857 per person while personal health care expendishytures In the Southeast were the lowest in the nation at $636 per person

From 1966 to 1972 the New England Region led the nation with the highest regional per capita personal health spending by 1976 the Far West had surpassed New England maintaining Its lead through 1978 The lowest per capita personal health care spending ocshycurred in the Southeast Region for the entire twelve year span Slow growth in personal health spending in the Rocky Mountain Region has narrowed the gap between it and the Southeast Region

Figure 1 highlights the range in per capita spending among states the highest was Massachusetts with per capita expenditures of $935 and the lowest was South Carolina with spending of $521 per capita Massachusetts recorded the highest per capita permiddot sonal health care spending In the nation throughout the period with the exception of 1966 when New Yorks per capita equalled that of Massachusetts Mississippi whose per capita spending was lowest In the nation through 1972 relinquished that role to South Carolina tor 1976 through 1978

FIGURE 1 Personal Health Care Spending Per Capita

Calendar Year 1978

Expenditures by l ocation of Provider

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 4

Growth In Spending TABLE 3

Personal health care expenditures per capita grew an average of 116 percent per year between 1966 and 1978 (Table 3) Growth has been most dramatic In the Southeast where expenditures per capita more than quadrupled growing 126 percent per year Mississhysippi registered an average annual growth rate of 140 percent to lead the region and the nation in per capita personal health care growth The slowest growing reshygion was the Rocky Mountain Region with an average annual growth of 104 percent Wyoming registered the slowest growth in personal health care expendmiddot tures per capita in that region and the nation with an 89 percent average annual growth

When per capita personal health care estimates by state are divided by the US per capita the resulting percentages show a pattern of convergence toward the US per capita over the twelve year period (Table 4 Figure 2) The majority of states showed this patmiddot tern indicating that variations in health spending levels are narrowing among most states and regions The most notable exception to this pattern is in the Rocky Mountain Region in 1966 It was 979 percent of the US personal health care per capita by 1978 it had sunk to 860 percent

Expenditures for Hospital Care

Hospital expenditures represent the single largest component of personal health care spending In 1966 395 percent of each personal health care dollar went for hospital care by 1978 it had risen to 452 percent

Variations in the proportion of personal health care expenditures spent for hospital care exist among reshygions and states At one extreme the Mideast and New England spent over 48 percent of every personal health care dollar on hospital care in 1978 while the Far West spent only 40 percent The two states with the greatest proportion of health care expenditures devoted to hospital care are Massachusetts and West Virginia at least 52 percent of every health care dollar went for hospital care At the opposite extreme Idaho Washington and Oregon spent less than 37 percent of each dollar for hospital care

Throughout the twelve year span the New England Region and the state of Massachusetts recorded higher per capita hospital expenditures than all other regions and states in the nation The Rocky Mountain Region trailed all other regions in per capita hospital spending for 1976 through 1978 Idaho maintained the lowest per capita spending when compared against states for 1972 through 1978

In 1978 spending reached $337 per capita nationmiddot wide for hospital expenditures New England reshycorded the highest US per capita hospital expendishytures with $403 which exceeded the Rocky Mountain Regions spending by $141 per capita

The range in per capita hospital services becomes more dramatic when examining states a high of $490

Average Annual Growth In Per Capita Personal Health Care Expenditures 1968-1978

us Total 116 Southeast 126 Alabama 131 Arkansas 127

New England Connecticut Maine Massachusetts

112 110 119 115

Florida Georgia Kentucky louisiana

125 128 110 125

New Hampshire Rhode Island

102 112

Mississippi North Carolina

140 122

Vermont 103 South Carolina 128 Tennessee 124

Mideast Delaware District of Columbia

111 108 120

Virginia West Virginia

127 118

Maryland New Jersey New York

121 113 107

Southwest Arizona New Mexico

117 114 113

Pennsylvania 117 Oklahoma Texas

113 119

Great Lakes 116 Illinois Indiana

113 116

Rocky Mountain Colorado

104 98

Michigan Ohio

117 118

Idaho Montana

113 116

Wisconsin 117 Utah 109

Plains 117 Wyoming 89

Iowa 115 Far West 115 Kansas 123 california 116 Minnesota 107 Nevada 128 Missouri Nebraska North Dakota

122 118 124

Oregon Washington

116 104

South Dakota 116 Alaska 103 Hawaii 111

in Massachusetts contrasts a low of $197 in Idaho Massachusetts hospital expenditures exceeded those of its closest rival New York by over $73 per apita Some of the variation in hospital spending

levels can be attributed to the place of service per apita computation (see Place of Residence deshycription which follows) A minimum of 14 percent of he community hospital expenditures made by resimiddot ents of Idaho are for services rendered in other tates Included in Massachusetts expenditures on he other hand are over three percent of community ospital services rendered to out-of-state residents

bullcommunity hospitals Include all non-Federal short-stay eneral and other hospitals including primarily acute care fa ilities Excluded are hospital units In institutions Federal ospitals psychiatric hospitals and other long-term care hosmiddot ltals In 1978 there were 5851 community hospitals In opermiddot tion

c

cstdsth

gchpa

HEALTH CARE FINANCING REVIEWDECEMBeR 19821Volume 4 Number 2 5

TABLE 4

Expenditures Per Capita for Personal Health Care as a Percentage of the US Average

1966 1969 1972 1976 1977 1978

us Total 1000 1000 1000 1000 1000 1000 New England 1170 1177 1153 1133 1126

Connecticut 1182 1184 1150 1117 1115 1124 1110

Maine 854 858 866 897 887 889 Massachusetts 1266 1293 1279 1256 1253 1254 New Hampshire 941 879 859 835 810 Rhode Island 1152 1124 1075 1107 1094

811 1104

Vermont 985 987 921 883 853 845 Mideast 1127 1137 1111 1101 1083 1076

Delaware 1048 1034 1000 985 975 969 District of Columbia Maryland 946 1018 1001 966 New Jersey 984 948 935 858 958 New York 1268 128pound 123~ 1228 1180

996 938

1152 Pennsylvania 997 995 976 973 987

Great lakes 1014 994 1000 1004 1009 1015 1018

Illinois 1092 1069 1068 1044 1045 1062 Indiana 887 891 665 892 903 901 Michigan 1060 1032 1038 1048 1061 Ohio 967 940 94pound 980 980

1076 990

Wisconsin 976 965 1012 1011 1005 995 Plains 997 973 970 987 996 1011

Iowa 979 945 925 924 951 971 Kansas 952 946 991 1000 1010 1028 Minnesota 1084 1034 1016 1008 1002 990 Missouri 968 979 962 1016 1036 1060 Nebraska 970 956 977 962 972 990 North Dakota 964 983 967 1039 1059 1058 South Dakota 881 851 885 658 873 886

Southeast 765 780 816 646 853 853 Alabama 724 749 795 638 649 850 Arkansas 699 701 749 78pound 787 785 Florida 931 949 990 1044 1044 1028 Georgia 756 782 854 85~ 886 Kentucky n4 779 755 732 729 Louisiana ns 801 646 645 653

666 728 880

MissiSSippi 574 562 643 712 729 746 North Carolina 720 729 742 763 765 773 South Carolina 614 642 650 701 705 889 Tennessee 826 825 651 883 904 905 Virginia 750 755 788 822 636 West Virginia 801 602 632 935 825

Southwest 668 885 889 907 902

642 820 901

Arizona 960 971 969 968 938 937 New Mexico n9 760 740 760 752 761 Oklahoma 916 94~ 923 892 892 691 Texas 880 664 893 913 912 909

Rocky Mountain 979 940 90~ 874 669 Colorado 1179 1120 1040 1001 981

880 972

Idaho 763 747 no 750 762 743 Montana 666 633 853 837 883 666 Utah 804 768 754 758 749 746 Wyoming 983 941 867 749 751

Far West 1163 1165 1165 1142 1154 739

1150 California 1204 1214 1224 1202 1215 1214 Nevada 978 1000 1028 1093 1110 1111 Oregon 977 971 957 972 987 Washington 1087 1053 1025 958 964 Alaska 1129 1010 862 977 996

977 952 986

Hawaii 1048 1074 1037 989 1006 998 ADDENDA CENSUS REGIONS

New England 1170 1177 1153 1133 1126 Middle Atlantic 1124 1130 1096 1093 1074

1124 1065

East North Central 1014 994 1000 1004 10o9 1018 West North Central 997 973 970 987 996 1011 South Atlantic 644 665 900 915 917 916 East South Central 741 751 776 803 815 818 West South Central 647 658 874 865 886 886 Mountain 949 928 911 887 887 883 Pacific 1166 1168 1168 1143 1155 1151

HEALTH CARE FINANCING ApoundVIpoundWfDECEMBEA 19821Volume 4 Number 2 6

--------

middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

FIGURE 2 Expenditures Per Capita for

Personal Health Care as a Percentage of the US Average

-1---------------------------------------------------------------------------l

_L____r--------~-------~--------r--------T~-------~~------~ t966 t969 1972 1976 19n t978

Calend YUill 1966 Through 1978

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Great Lakebull --middot-middot- 7-middot- middot---middot-middot-middot-middot ---gt18tnsmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot -middot-middot- middotmiddotmiddotbullmiddotmiddotmiddotmiddotmiddot -- middotmiddotmiddotmiddotmiddotmiddot Mountaons_ bullbullbullbullbullbull bullbullbullbullbullbullbullbull

- middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot _ --~ --------------------shy

Southwlllll ---------------- ~

middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

Southeastbullbullmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

Thus Massachusetts per capita spending is inflated by utilization by non-residents and use of services In other states underestimates per capita spending by Idaho residents

Variations In price and utilization among states acmiddot count for additional differences in hospital spending levels Salaries fringe benefits and non-labor costs vary among regions affecting the price structure for hospital services The admission rate and length of stay affected by the severity and frequency of illness and by historical patterns of medical practice inmiddot fluence the quantity of hospital services utilized interacting with these factors are the amount of sermiddot vices provided per employee the supply of hospital beds which the geographic area supports their occumiddot pancy rates the mix of types of hospitals in the geoshygraphic area the number of physicians personal inmiddot come per capita and the age structure of the populamiddot tion

Community Hospitals

Table 5 (AHA 1978 b) presents some of the factors which influenced expenditure levels In community

shy

hospitals in 1978 These factors will be discussed In the order in which they appear on the table

Per capita spending patterns for community hosshypital services are similar to those for services in all hospitals In the US $277 per capita was spent for community hospital services In New England per capita expenditures of $318 exceeded the level of exmiddot penditures in all other regions The Rocky Mountain Region trailed all other regions in community hospital spending with $208 per capita

Cost per day of community hospital care ranged from a regional high of $267 in the Far West to areshygional low of $164 in the Plains and Southeast with the US averaging $195 per day Labor costs acmiddot counted for approximately half of the cost-per-day figmiddot ures The Southeast inaintalned the lowest labor exmiddot pense at $79 per day of care while In the Far West labor costs per day amounted to $128 Labor expense nationwide amounted to $99 per day

Annual salary per employee is presented to supply an indication of the wage levels of an area In addimiddot tion It provides an indication of the cost of Jiving dlfmiddot ferences which exist among states and regions

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 7

TABLES

Community Hospital Statistics for 1978 Admlsmiddot

ExpendImiddot Salary Days of slon Expense tures Cost Labor Care Per Rate Length Cost Emmiddot Emmiddot 10000 Admls- o1

Capita Day Per Day ployee ployee Pop sion Stay

Beds Per 1000

Populamiddot tlon

Occumiddot pancy Rate

Number o1

Hosmiddot pitals

us Total $27694 $19535 $9931 $10927 1100 1n $1482 76 44 738 5851 New England

COnnecticut 31827 22255 12060 11971 993 172 1799 81 27482 22663 12563 12733 1014 159 1694 75

41 35

NA 783

259 36

Maine 24789 16874 8753 9523 1088 188 1301 77 46 716 49 Massachusetts 36799 24402 13127 12458 949 179 2101 86 45 790 117 New Hampshire 20537 16372 8417 9497 1128 189 1147 70 38 719 27 Rhode Island 28199 21668 12540 11788 940 160 1734 80 36 823 14 Vermont 21436 15151 8141 9967 1224 167 1251 83 45 729 16

Mideast Delaware

31060 20159 10832 12154 1122 170 1809 90 24885 19230 10388 11004 1059 146 1615 84

44 35

NA 810

710 8

District of Columbia 28145 15392 12916 839 2324 83 783 13 Maryland New Jersey New York

25559 20788 11066 11772 1064 138 1735 84 24061 17181 9142 11582 1267 159 1506 88 33943 21195 11794 13014 1103 188 2061 97

33 41 46

819 817 829

53 104 288

Pennsylvania Great Lakes

Illinois

31381 19389 9834 11128 1132 187 1615 83 30610 19879 10374 11338 1093 184 1577 79 34481 21303 11192 11739 1049 189 1690 79

47 47 49

783 NA 751

244 910 240

Indiana 24910 17058 8518 10178 1195 181 1312 77 44 755 114 Michigan Ohio

32492 22240 11447 12047 1052 179 1752 79 29477 18712 9900 10962 1107 188 1609 81

44 46

784 783

207 206

Wisconsin 26708 17683 9444 10918 1158 181 1416 80 51 691 143 Plains 28287 16356 8276 10010 1210 202 1326 81 58 NA 799

Iowa 26214 15290 7951 9728 1224 212 1139 75 58 672 131 Kansas 26961 15805 7958 9372 1178 206 1223 77 57 888 144 Minnesota 26003 16076 8890 11073 1274 191 1431 89 60 701 171 Missouri 32071 18259 8759 9967 1138 204 1504 82 56 743 147 Nebraska 26545 15020 7351 9494 1282 197 1239 82 60 889 96 North Dakota 28550 14784 7368 9692 1315 221 1219 82 70 881 53 South Dakota 20158 14684 7524 8715 1158 195 963 66 53 607 57

Southeast Alabama

23267 18440 7933 9297 1172 184 1164 71 25243 16070 7696 9125 1186 201 1134 71

44 49

NA 730

1449 132

Arkansas 19885 14058 6888 8341 1211 200 896 64 46 698 91 Florida 28117 19453 9033 10013 1109 181 1435 74 46 707 208 Georgia Kentucky

21910 17528 8758 9124 1042 188 1112 83 20089 14419 6954 9084 1306 165 1003 70

42 41

876 765

160 108

louisiana 24842 18180 8519 9209 1081 193 1171 64 44 690 139 Mississippi 19992 13735 6635 8413 1268 197 941 88 47 722 104 North Carolina 19765 15043 7573 9011 1190 187 1123 75 39 782 128 South Carolina 16989 14705 7210 8860 1229 156 1041 71 38 750 70 Tennessee 27284 15783 7520 9058 1205 217 1128 71 52 748 140 Virginia West Virginia

SOuthwest

21607 16483 6053 10031 1246 151 1320 80 26448 14859 7546 9395 1245 221 1084 73 23291 18273 8725 9322 1068 178 1205 88

39 53 42

751 735 NJA

102 67

718 Arizona 24764 21610 10268 10116 985 149 1531 71 34 723 58 New Mexico 18809 19360 9472 10333 1091 150 1165 60 30 659 37 Oklahoma 22746 18415 8585 9002 1049 175 1203 65 43 881 119 Texas 23588 17633 8454 9180 1086 188 1159 86 44 878 504

Rocky Mountain 20759 18292 9416 10200 1083 171 1157 63 39 NA 248 Colorado 23593 20038 10552 10718 1016 172 1338 67 40 683 83 Idaho 17144 15921 7861 9531 1212 169 964 61 36 652 46 Montana 20599 13224 8792 9584 1408 187 1033 78 58 842 57 Utah 19014 20932 10314 9970 967 161 1084 52 29 888 35 Wyoming 16021 18901 8984 9351 1043 174 870 52 38 544 27

Far West California

28742 26737 12799 12211 954 157 1708 84 31131 28188 13319 12437 934 158 1843 85

35 36

NA 663

758 518

Nevada 30563 24634 10388 11157 1078 187 1579 64 38 888 19 Oregon 23436 22329 11438 11243 983 162 1347 60 34 670 77 Washington Alaska

20699 21761 11116 11272 1014 158 1218 56 22282 34036 16277 16362 1005 115 1856 55

31 23

668 606

108 16

Hawaii 19395 19534 10253 11672 1138 122 1445 74 28 741 20 Table Is based on American Hospital Association data

HEALTH CARE FINANCING REVIEWDECEMBER ti821Volumbull 4 Numb 2 8

Nationwide an average of $10927 was paid to commiddot munlty hospital employees The Far West and Midmiddot east Regions paid the highest annual salaries and wages In the nation at $12200 The Southeast and Southwest Regions paid the least at $9300 Alaska paid the highest average wages and salaries to their community hospital emPloyees at $16362 This amount was over $3000 higher than the District of Columbia its closest rival

Days of care per full-time equivalent employee Is a rough Indicator of the Intensity of service rendered The fewer days of care for which an employee is reshysponsible permits each employee to devote more time to each patient In the Plains Region employees who were responsible for 121 days of care each year contrasted against the Far West where 95 days of care per employee were given

The admission rate per 10000 population was 177 nationwide In 1978 In the Plains states 202 admisshysions per 10000 population contrasted with the Far Wests 157 admissions

Expense per admission averaged $1482 In the US New England and the Midwest led au other regions In expense per admission with $1800 The Southeast and Rocky Mountain Regions trailed aU other regions with expenses per admission less than $1200 Comshymunity hospitals in the District of Columbia and Massachusetts Incurred the highest expense per admiddot mission with $2324 and $2101 Wyoming and Arkansas registered the lowest expense per admisshysion at $870 and $896 tess than half that of the highmiddot est states

The Plains states outpaced the nation In commiddot munty hospital beds maintained with 58 beds per 1000 population Due to the low population density and their larger than average elderly population more beds need to be available in order to offer easy acmiddot cess to the scattered population The Far West mainshytained 35 beds per thousand residents the lowest ratio maintained by any region

Massachusetts per capita community hospital spending of $388 the highest In the nation can be evaluated in the context of these community hospital statistics Persons receiving community hospital sershyvices In that state paid $244 per day for those sermiddot vices That was the fifth highest dally expense In the nation exceeded only by Alaska Cslifomia District of Columbia and Nevada Of the $244 per day $131 was attributed to labor costs the fourth highest labor expense per day In the US The length of stay In Massachusetts community hospitals was the highest In the New England Region and the third highest In the nation The combination of these factors led to Massachusetts community hospitals expense per admiddot mission being the second highest In the nation

One explanation for Massachusetts high per capita hospital spending may be that Boston serves as the major medical center for northern New England proshyviding more specialized medical services than those

which would be available In most local community hospitals in the region Admissions per 10000 populamiddot tlon would be higher since nonresidents would be atmiddot tracted to the state for these specialized services Length of stay would also be higher than average since more specialized procedures could Indicate more complicated medical problems The combinashytion of high cost per day and long length of stay promiddot duces high expense per admission

Regionally New England leads the nation In hosshypital spending per capita Examining the community hospital statistics show that the Far West Regions cost per day of community hospital care exceeded that of New England by $45 per day Yet the expendishytures In the Far West were $31 less per capita than those In New England Labor costs per day of care and days of care per employee were nearly Identical in both regions What differs was the admission rate (157 persons per 10000 population In the Far West versus 172 persons per 10000 in New England) and the length of stay (64 days of care per admissions In the Far West versus 81 days of care In New England)

Differences in the age structure and health status of the two populations contribute to some of the disshyparity In admission rates and length of stay The following factors could produce additional differshyences variations In Input prices such as fuel wages and fringe benefits and historical regional patterns of medical treatment which prescribe defined lengths of stay In hospitals for particular medical procedures

PLACE OF RESIDENCE In this report state designations Indicate the locamiddot

tlon where the service was rendered In 1978 for exshyample the District of Columbia supplied $7473 milshylion worth of hospital seiVices These services were supp1ed to anyone who chose to purchase hospital services In that jurisdiction whether or not the Disshytrict of Columbia was their residence

Per capita estimates calculated using place of sermiddot vice expenditures and the total population of a state are presented in this report to assist the reader In demiddot termlning spending trends and levels However using per capita spending estimates for state comparisons may be misleading The per capita figures cannot be interpreted as spending per resident unless substanmiddot tlaily all of the services provided in a state are conmiddot sumed by residents of that state and unless resmiddot dents of that state purchase no additional services from other states

The only data available to Indicate the magnitude of difference when estimating on a provldermiddotof-servce versus a residence-of-recipient basis pertains to short-stay hospitals Estimates of per capita expendmiddot tures In community hospitals by place of residence of the recipient are presented in Table 6 The place-ofmiddot residence estimates are based on unpublished Medlmiddot care community hospital reimbursement data which

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numblr 2 9

TABLES

Community Hoapltbulll Pet Capita Health Expendltur 1976 1978

Place of Place of POS Place of SeJVIce Residence POR Service

Place of Residence

POS POR

jPOS jPOR jPOS jPOR us Total $21888 $21849 10009 $27694 $27675 10007 New England

Connecticut 25802 25376 10089 31827 22374 22465 9959 27482

31581 27802

10078 9865

Maine 19922 20860 9550 24789 25667 9658 Massachusetts 30799 29818 10329 38799 37518 10341 New Hampshire Rhode Island

16227 17237 9414 20537 23308 23829 9781 28199

21360 29147

9606 9875

Vermont 18172 18653 9742 21438 22839 9386 Mideast 25357 25358 10000 31080 31160 9974

Delaware 19984 20367 9812 24885 25325 9626 District of COlumbia 52123 35259 14783 67327 48366 14521 MarylandNew Jersey New York

19917 21496 9265 25559 20225 21636 9348 24062 29257 28996 10090 33943

27308 25666 33849

9360 9375

10028 Pennsylvania

Great Lakes 23241 23183 10025 31381 23915 24097 9924 30610

31353 30883

10009 9912

Illinois 26469 270S8 9779 34462 35251 9776 Indiana 19422 19387 10018 24910 248o7 10042 Michigan Ohio

25103 25374 9893 32492 23242 23011 10100 29477

32907 29272

9874 10070

Wisconsin 22070 22261 9914 26708 26978 9900 Plains 21722 21559 10076 28287 28075 10076

Iowa 19535 20198 9672 26214 27461 9548 Kansas 20498 22394 9153 26961 29463 9151 Minnesota 22924 21825 10504 28003 28686 10501 Missouri 23843 22822 10447 32071 30554 10496 Nebraska 20528 20636 9948 26544 26754 9922 North Dakota 22046 20892 10552 28550 26162 10913 South Dakota 15839 16831 9292 20158 21434 9405

Southeast 17961 18119 9913 23267 23418 9936 Alabama 18796 19056 9864 25243 25664 9836 Arkansas 15162 16565 9153 19885 21817 9114 Florida 21877 22304 9809 28117 28618 9825 GeorgiaKentucky Louisiana

17113 16661 10271 21910 18028 16784 9550 20089 19182 18965 10114 24842

21434 20953 24809

10222 9588

10095 Mlsstestppt North Carolina

15102 16542 9129 19992 15136 15118 10012 19765

21568 19649

9269 10059

South Carolina 13653 14446 9451 16989 17735 9579 Tennessee 20786 18761 11079 27284 24330 11214 Virginia West VIrginia

Southwest

18615 16938 9810 21606 20791 21851 9515 26448 18070 17828 10136 23291

22170 27623 22953

9748 9575

10147 Arizona 19641 18732 10485 24764 24028 10306 New Mexico 14579 15741 9262 18609 19936 9334 Oklahoma 17311 16419 9398 22746 24246 9381 Texas 18273 1l727 10308 23568 22754 10358

RockYc Mountain 18818 16754 10038 20759 20684 10036 Coorado 19630 18524 10597 23593 22405 10530 Idaho 13811 15785 8749 17144 19232 8914 Montana 15823 16831 9401 20599 21501 9580 Utah 14927 13952 10699 19014 17657 10769 Wyoming

Far West 12805 15936 7910 18021 22546 22247 10134 28742

20803 28342

77-01 10141

California 24385 24060 10135 31131 30683 10146 Nevada 23080 21956 10511 30583 28804 10618 OregonWashingtonAlaska

18590 18532 10031 23436 18823 16786 10022 20699 14080 13709 10271 22228

23225 20827 20550

10091 9939

10817 Hawatl 14967 14177 10557 19395 19048 10182 Adjusted by Medtcare ShortStay Hospital Reimbursements

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 10

Includes both the location of the service and resishydence of the recipient Ratios of the reimbursements on the place-of-residence and placemiddotofmiddotservice basis for the Medicare population are applied to community hospital expenditure estimates for the total populashytlon3 The per capita expenditure estimates by place of residence represent spending for all community hospital services purchased in any state or us posshysession by residents of that state

These estimates are valid to the extent that the Medicare population reflects the geographic conmiddot sumptlon patterns of the general population Table 6 shows that the ratio of community hospital services provided In a state to the services purchased by state residents cluster between 90 and 110 percent Within each region community hospital services purchased by residents equal991 to 1015 percent of community hospital services rendered In the region

At one extreme at least 45 percent of services promiddot vlded in the District of Columbia were purchased by residents of other states In 1978 District of Colummiddot bla per capita estimates by place of residence were $210 lower than the per capita estimate by place of service Wyoming Illustrates the opposite extreme residents purchased approximately 20 percent more services from other states than those which were proshyvided within the state The per capita spending for community hospital services by Wyoming residents is almost $48 higher per capita in 1978 than the per capmiddot ita estimates by place of service would indicate

Expend(tures for Physicians Services

Between 1966 and 1978 spending for physicians services the second largest component of personal health care expenditures garnered between 21 and 24 percent of every dollar spent on personal health care

Physicians influence on the level of health care spending Is much higher than physician expenditures indicate Physicians prescribe and direct many medlmiddot cal services including hospitalization and prescripshytion drugs

In the us in 1978 $161 per capita was spent for physicians services The Rocky Mountain Region spent the least at $143 per capita followed closely by the Southeast and New England Regions with $145 per capita Physician expenditures in the Far West at $219 per capita exceeded spending In all other reshygions

For 1966 through 1978 Californias physician exmiddot pendltures topped those of all other states In 1978 Its per capita expenditures were $238 For the first

Some research Indicates that travel patterns exhibited by Medicare recipients to obtain hospital services are similar to those exhibited by the general population In small rural areas There is no evidence to show that the same relationmiddot ship exists when examining state data However the asshysumption is made that the directional trends indicated by the place of residence estimates should provide a reasonable estimate of a net inflow or outflow of services in a state

half of the twelve year period Mississippis expendishytures for physician services were the lowest in the nashytion By 1976 Vermont had supplanted Mississippis position in 1978 Vermonts spending for physician services trailed those of sll other states at $90 per capita

In 1978 Massachusetts spent 158 percent of Its health care dollars on physicians services Contrastshying with that low was Hawaii where residents expendmiddot ed 295 percent of every health care dollar for physimiddot clans services

Researchers are examining levels of physician spending in an attempt to explain differences in costs of physician services As the concentration of physishycians increases do physicians induce demand by preshyscribing more laboratory tests and more frequent hosshypitalization and office visits Are the number of these ancillary services reflecting the physicians efforts to attain a target Income Or are these physicians ofmiddot ferlng a significant increase in quality of care Are physicians encouraged through reimbursement proceshydures to offer the most efficient and economical sermiddot vices available to their patients Do third party payshyments reduce the Incentive for consumers to choose physician services wisely

Each of these facets affects regions and states dlfmiddot ferently The mix of reimbursement systems (fee-formiddot service HMO prepaid group practice andor lnsurmiddot ance) standard of living historical medical practices and the concentration of physicians In each area inmiddot troduce different values into physician expenditure patterns in each geographic area

The number of physician services rendered is relatmiddot ed to the number of physicians An Increase In the number of physicians In a geographic area tends to increase the total amount of health care expenditures as more physician services become available for purshychase

Table 7 shows the wide range of physicians per 10000 population In states and regions The number of physicians per population grew from 91 physicians per 10000 population in 1969 to 107 physicians in 1978 For the same period the Far West and Califorshynia specifically maintained the lead over all other reshygions and states In concentration of physicians The lowest concentration of physicians occurred In the Southeast with physicians per 10000 population In Mississippi being the lowest In the nation for 1972 through 1978

Between 1969 and 1978 the Mideasts number of physicians Increased by 14 percent During the same time period the Southeast Southwest and Rocky Mountain states experienced the largest percentage gains In physicians In the nation from 45 to 47 permiddot cent Percent change In the number of physicians in states has been dramatic ranging from a low of 46 percent Increase in New Vorllt to a high of 1077 permiddot cent In Alaska Florida Arizona and Nevada exhibited the largest percent increases in the continental US with 867 801 and 722 percent Increase respectively

HEALTH CARE FINANCING REVIEWIDECEMampER 19821Volume 4 Number 2 11

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 5: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Growth In Spending TABLE 3

Personal health care expenditures per capita grew an average of 116 percent per year between 1966 and 1978 (Table 3) Growth has been most dramatic In the Southeast where expenditures per capita more than quadrupled growing 126 percent per year Mississhysippi registered an average annual growth rate of 140 percent to lead the region and the nation in per capita personal health care growth The slowest growing reshygion was the Rocky Mountain Region with an average annual growth of 104 percent Wyoming registered the slowest growth in personal health care expendmiddot tures per capita in that region and the nation with an 89 percent average annual growth

When per capita personal health care estimates by state are divided by the US per capita the resulting percentages show a pattern of convergence toward the US per capita over the twelve year period (Table 4 Figure 2) The majority of states showed this patmiddot tern indicating that variations in health spending levels are narrowing among most states and regions The most notable exception to this pattern is in the Rocky Mountain Region in 1966 It was 979 percent of the US personal health care per capita by 1978 it had sunk to 860 percent

Expenditures for Hospital Care

Hospital expenditures represent the single largest component of personal health care spending In 1966 395 percent of each personal health care dollar went for hospital care by 1978 it had risen to 452 percent

Variations in the proportion of personal health care expenditures spent for hospital care exist among reshygions and states At one extreme the Mideast and New England spent over 48 percent of every personal health care dollar on hospital care in 1978 while the Far West spent only 40 percent The two states with the greatest proportion of health care expenditures devoted to hospital care are Massachusetts and West Virginia at least 52 percent of every health care dollar went for hospital care At the opposite extreme Idaho Washington and Oregon spent less than 37 percent of each dollar for hospital care

Throughout the twelve year span the New England Region and the state of Massachusetts recorded higher per capita hospital expenditures than all other regions and states in the nation The Rocky Mountain Region trailed all other regions in per capita hospital spending for 1976 through 1978 Idaho maintained the lowest per capita spending when compared against states for 1972 through 1978

In 1978 spending reached $337 per capita nationmiddot wide for hospital expenditures New England reshycorded the highest US per capita hospital expendishytures with $403 which exceeded the Rocky Mountain Regions spending by $141 per capita

The range in per capita hospital services becomes more dramatic when examining states a high of $490

Average Annual Growth In Per Capita Personal Health Care Expenditures 1968-1978

us Total 116 Southeast 126 Alabama 131 Arkansas 127

New England Connecticut Maine Massachusetts

112 110 119 115

Florida Georgia Kentucky louisiana

125 128 110 125

New Hampshire Rhode Island

102 112

Mississippi North Carolina

140 122

Vermont 103 South Carolina 128 Tennessee 124

Mideast Delaware District of Columbia

111 108 120

Virginia West Virginia

127 118

Maryland New Jersey New York

121 113 107

Southwest Arizona New Mexico

117 114 113

Pennsylvania 117 Oklahoma Texas

113 119

Great Lakes 116 Illinois Indiana

113 116

Rocky Mountain Colorado

104 98

Michigan Ohio

117 118

Idaho Montana

113 116

Wisconsin 117 Utah 109

Plains 117 Wyoming 89

Iowa 115 Far West 115 Kansas 123 california 116 Minnesota 107 Nevada 128 Missouri Nebraska North Dakota

122 118 124

Oregon Washington

116 104

South Dakota 116 Alaska 103 Hawaii 111

in Massachusetts contrasts a low of $197 in Idaho Massachusetts hospital expenditures exceeded those of its closest rival New York by over $73 per apita Some of the variation in hospital spending

levels can be attributed to the place of service per apita computation (see Place of Residence deshycription which follows) A minimum of 14 percent of he community hospital expenditures made by resimiddot ents of Idaho are for services rendered in other tates Included in Massachusetts expenditures on he other hand are over three percent of community ospital services rendered to out-of-state residents

bullcommunity hospitals Include all non-Federal short-stay eneral and other hospitals including primarily acute care fa ilities Excluded are hospital units In institutions Federal ospitals psychiatric hospitals and other long-term care hosmiddot ltals In 1978 there were 5851 community hospitals In opermiddot tion

c

cstdsth

gchpa

HEALTH CARE FINANCING REVIEWDECEMBeR 19821Volume 4 Number 2 5

TABLE 4

Expenditures Per Capita for Personal Health Care as a Percentage of the US Average

1966 1969 1972 1976 1977 1978

us Total 1000 1000 1000 1000 1000 1000 New England 1170 1177 1153 1133 1126

Connecticut 1182 1184 1150 1117 1115 1124 1110

Maine 854 858 866 897 887 889 Massachusetts 1266 1293 1279 1256 1253 1254 New Hampshire 941 879 859 835 810 Rhode Island 1152 1124 1075 1107 1094

811 1104

Vermont 985 987 921 883 853 845 Mideast 1127 1137 1111 1101 1083 1076

Delaware 1048 1034 1000 985 975 969 District of Columbia Maryland 946 1018 1001 966 New Jersey 984 948 935 858 958 New York 1268 128pound 123~ 1228 1180

996 938

1152 Pennsylvania 997 995 976 973 987

Great lakes 1014 994 1000 1004 1009 1015 1018

Illinois 1092 1069 1068 1044 1045 1062 Indiana 887 891 665 892 903 901 Michigan 1060 1032 1038 1048 1061 Ohio 967 940 94pound 980 980

1076 990

Wisconsin 976 965 1012 1011 1005 995 Plains 997 973 970 987 996 1011

Iowa 979 945 925 924 951 971 Kansas 952 946 991 1000 1010 1028 Minnesota 1084 1034 1016 1008 1002 990 Missouri 968 979 962 1016 1036 1060 Nebraska 970 956 977 962 972 990 North Dakota 964 983 967 1039 1059 1058 South Dakota 881 851 885 658 873 886

Southeast 765 780 816 646 853 853 Alabama 724 749 795 638 649 850 Arkansas 699 701 749 78pound 787 785 Florida 931 949 990 1044 1044 1028 Georgia 756 782 854 85~ 886 Kentucky n4 779 755 732 729 Louisiana ns 801 646 645 653

666 728 880

MissiSSippi 574 562 643 712 729 746 North Carolina 720 729 742 763 765 773 South Carolina 614 642 650 701 705 889 Tennessee 826 825 651 883 904 905 Virginia 750 755 788 822 636 West Virginia 801 602 632 935 825

Southwest 668 885 889 907 902

642 820 901

Arizona 960 971 969 968 938 937 New Mexico n9 760 740 760 752 761 Oklahoma 916 94~ 923 892 892 691 Texas 880 664 893 913 912 909

Rocky Mountain 979 940 90~ 874 669 Colorado 1179 1120 1040 1001 981

880 972

Idaho 763 747 no 750 762 743 Montana 666 633 853 837 883 666 Utah 804 768 754 758 749 746 Wyoming 983 941 867 749 751

Far West 1163 1165 1165 1142 1154 739

1150 California 1204 1214 1224 1202 1215 1214 Nevada 978 1000 1028 1093 1110 1111 Oregon 977 971 957 972 987 Washington 1087 1053 1025 958 964 Alaska 1129 1010 862 977 996

977 952 986

Hawaii 1048 1074 1037 989 1006 998 ADDENDA CENSUS REGIONS

New England 1170 1177 1153 1133 1126 Middle Atlantic 1124 1130 1096 1093 1074

1124 1065

East North Central 1014 994 1000 1004 10o9 1018 West North Central 997 973 970 987 996 1011 South Atlantic 644 665 900 915 917 916 East South Central 741 751 776 803 815 818 West South Central 647 658 874 865 886 886 Mountain 949 928 911 887 887 883 Pacific 1166 1168 1168 1143 1155 1151

HEALTH CARE FINANCING ApoundVIpoundWfDECEMBEA 19821Volume 4 Number 2 6

--------

middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

FIGURE 2 Expenditures Per Capita for

Personal Health Care as a Percentage of the US Average

-1---------------------------------------------------------------------------l

_L____r--------~-------~--------r--------T~-------~~------~ t966 t969 1972 1976 19n t978

Calend YUill 1966 Through 1978

115shy

110shy 105shy bull too-us0

_ bull bull

NewEnglandoobullbullbullbullbullbullbullbullbullbullbullbullbullFarWest-------------r---- _ - ----------shymiddotmiddotmiddotmiddotmiddotmiddotmiddot-----shy

Great Lakebull --middot-middot- 7-middot- middot---middot-middot-middot-middot ---gt18tnsmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot -middot-middot- middotmiddotmiddotbullmiddotmiddotmiddotmiddotmiddot -- middotmiddotmiddotmiddotmiddotmiddot Mountaons_ bullbullbullbullbullbull bullbullbullbullbullbullbullbull

- middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot _ --~ --------------------shy

Southwlllll ---------------- ~

middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

Southeastbullbullmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

Thus Massachusetts per capita spending is inflated by utilization by non-residents and use of services In other states underestimates per capita spending by Idaho residents

Variations In price and utilization among states acmiddot count for additional differences in hospital spending levels Salaries fringe benefits and non-labor costs vary among regions affecting the price structure for hospital services The admission rate and length of stay affected by the severity and frequency of illness and by historical patterns of medical practice inmiddot fluence the quantity of hospital services utilized interacting with these factors are the amount of sermiddot vices provided per employee the supply of hospital beds which the geographic area supports their occumiddot pancy rates the mix of types of hospitals in the geoshygraphic area the number of physicians personal inmiddot come per capita and the age structure of the populamiddot tion

Community Hospitals

Table 5 (AHA 1978 b) presents some of the factors which influenced expenditure levels In community

shy

hospitals in 1978 These factors will be discussed In the order in which they appear on the table

Per capita spending patterns for community hosshypital services are similar to those for services in all hospitals In the US $277 per capita was spent for community hospital services In New England per capita expenditures of $318 exceeded the level of exmiddot penditures in all other regions The Rocky Mountain Region trailed all other regions in community hospital spending with $208 per capita

Cost per day of community hospital care ranged from a regional high of $267 in the Far West to areshygional low of $164 in the Plains and Southeast with the US averaging $195 per day Labor costs acmiddot counted for approximately half of the cost-per-day figmiddot ures The Southeast inaintalned the lowest labor exmiddot pense at $79 per day of care while In the Far West labor costs per day amounted to $128 Labor expense nationwide amounted to $99 per day

Annual salary per employee is presented to supply an indication of the wage levels of an area In addimiddot tion It provides an indication of the cost of Jiving dlfmiddot ferences which exist among states and regions

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 7

TABLES

Community Hospital Statistics for 1978 Admlsmiddot

ExpendImiddot Salary Days of slon Expense tures Cost Labor Care Per Rate Length Cost Emmiddot Emmiddot 10000 Admls- o1

Capita Day Per Day ployee ployee Pop sion Stay

Beds Per 1000

Populamiddot tlon

Occumiddot pancy Rate

Number o1

Hosmiddot pitals

us Total $27694 $19535 $9931 $10927 1100 1n $1482 76 44 738 5851 New England

COnnecticut 31827 22255 12060 11971 993 172 1799 81 27482 22663 12563 12733 1014 159 1694 75

41 35

NA 783

259 36

Maine 24789 16874 8753 9523 1088 188 1301 77 46 716 49 Massachusetts 36799 24402 13127 12458 949 179 2101 86 45 790 117 New Hampshire 20537 16372 8417 9497 1128 189 1147 70 38 719 27 Rhode Island 28199 21668 12540 11788 940 160 1734 80 36 823 14 Vermont 21436 15151 8141 9967 1224 167 1251 83 45 729 16

Mideast Delaware

31060 20159 10832 12154 1122 170 1809 90 24885 19230 10388 11004 1059 146 1615 84

44 35

NA 810

710 8

District of Columbia 28145 15392 12916 839 2324 83 783 13 Maryland New Jersey New York

25559 20788 11066 11772 1064 138 1735 84 24061 17181 9142 11582 1267 159 1506 88 33943 21195 11794 13014 1103 188 2061 97

33 41 46

819 817 829

53 104 288

Pennsylvania Great Lakes

Illinois

31381 19389 9834 11128 1132 187 1615 83 30610 19879 10374 11338 1093 184 1577 79 34481 21303 11192 11739 1049 189 1690 79

47 47 49

783 NA 751

244 910 240

Indiana 24910 17058 8518 10178 1195 181 1312 77 44 755 114 Michigan Ohio

32492 22240 11447 12047 1052 179 1752 79 29477 18712 9900 10962 1107 188 1609 81

44 46

784 783

207 206

Wisconsin 26708 17683 9444 10918 1158 181 1416 80 51 691 143 Plains 28287 16356 8276 10010 1210 202 1326 81 58 NA 799

Iowa 26214 15290 7951 9728 1224 212 1139 75 58 672 131 Kansas 26961 15805 7958 9372 1178 206 1223 77 57 888 144 Minnesota 26003 16076 8890 11073 1274 191 1431 89 60 701 171 Missouri 32071 18259 8759 9967 1138 204 1504 82 56 743 147 Nebraska 26545 15020 7351 9494 1282 197 1239 82 60 889 96 North Dakota 28550 14784 7368 9692 1315 221 1219 82 70 881 53 South Dakota 20158 14684 7524 8715 1158 195 963 66 53 607 57

Southeast Alabama

23267 18440 7933 9297 1172 184 1164 71 25243 16070 7696 9125 1186 201 1134 71

44 49

NA 730

1449 132

Arkansas 19885 14058 6888 8341 1211 200 896 64 46 698 91 Florida 28117 19453 9033 10013 1109 181 1435 74 46 707 208 Georgia Kentucky

21910 17528 8758 9124 1042 188 1112 83 20089 14419 6954 9084 1306 165 1003 70

42 41

876 765

160 108

louisiana 24842 18180 8519 9209 1081 193 1171 64 44 690 139 Mississippi 19992 13735 6635 8413 1268 197 941 88 47 722 104 North Carolina 19765 15043 7573 9011 1190 187 1123 75 39 782 128 South Carolina 16989 14705 7210 8860 1229 156 1041 71 38 750 70 Tennessee 27284 15783 7520 9058 1205 217 1128 71 52 748 140 Virginia West Virginia

SOuthwest

21607 16483 6053 10031 1246 151 1320 80 26448 14859 7546 9395 1245 221 1084 73 23291 18273 8725 9322 1068 178 1205 88

39 53 42

751 735 NJA

102 67

718 Arizona 24764 21610 10268 10116 985 149 1531 71 34 723 58 New Mexico 18809 19360 9472 10333 1091 150 1165 60 30 659 37 Oklahoma 22746 18415 8585 9002 1049 175 1203 65 43 881 119 Texas 23588 17633 8454 9180 1086 188 1159 86 44 878 504

Rocky Mountain 20759 18292 9416 10200 1083 171 1157 63 39 NA 248 Colorado 23593 20038 10552 10718 1016 172 1338 67 40 683 83 Idaho 17144 15921 7861 9531 1212 169 964 61 36 652 46 Montana 20599 13224 8792 9584 1408 187 1033 78 58 842 57 Utah 19014 20932 10314 9970 967 161 1084 52 29 888 35 Wyoming 16021 18901 8984 9351 1043 174 870 52 38 544 27

Far West California

28742 26737 12799 12211 954 157 1708 84 31131 28188 13319 12437 934 158 1843 85

35 36

NA 663

758 518

Nevada 30563 24634 10388 11157 1078 187 1579 64 38 888 19 Oregon 23436 22329 11438 11243 983 162 1347 60 34 670 77 Washington Alaska

20699 21761 11116 11272 1014 158 1218 56 22282 34036 16277 16362 1005 115 1856 55

31 23

668 606

108 16

Hawaii 19395 19534 10253 11672 1138 122 1445 74 28 741 20 Table Is based on American Hospital Association data

HEALTH CARE FINANCING REVIEWDECEMBER ti821Volumbull 4 Numb 2 8

Nationwide an average of $10927 was paid to commiddot munlty hospital employees The Far West and Midmiddot east Regions paid the highest annual salaries and wages In the nation at $12200 The Southeast and Southwest Regions paid the least at $9300 Alaska paid the highest average wages and salaries to their community hospital emPloyees at $16362 This amount was over $3000 higher than the District of Columbia its closest rival

Days of care per full-time equivalent employee Is a rough Indicator of the Intensity of service rendered The fewer days of care for which an employee is reshysponsible permits each employee to devote more time to each patient In the Plains Region employees who were responsible for 121 days of care each year contrasted against the Far West where 95 days of care per employee were given

The admission rate per 10000 population was 177 nationwide In 1978 In the Plains states 202 admisshysions per 10000 population contrasted with the Far Wests 157 admissions

Expense per admission averaged $1482 In the US New England and the Midwest led au other regions In expense per admission with $1800 The Southeast and Rocky Mountain Regions trailed aU other regions with expenses per admission less than $1200 Comshymunity hospitals in the District of Columbia and Massachusetts Incurred the highest expense per admiddot mission with $2324 and $2101 Wyoming and Arkansas registered the lowest expense per admisshysion at $870 and $896 tess than half that of the highmiddot est states

The Plains states outpaced the nation In commiddot munty hospital beds maintained with 58 beds per 1000 population Due to the low population density and their larger than average elderly population more beds need to be available in order to offer easy acmiddot cess to the scattered population The Far West mainshytained 35 beds per thousand residents the lowest ratio maintained by any region

Massachusetts per capita community hospital spending of $388 the highest In the nation can be evaluated in the context of these community hospital statistics Persons receiving community hospital sershyvices In that state paid $244 per day for those sermiddot vices That was the fifth highest dally expense In the nation exceeded only by Alaska Cslifomia District of Columbia and Nevada Of the $244 per day $131 was attributed to labor costs the fourth highest labor expense per day In the US The length of stay In Massachusetts community hospitals was the highest In the New England Region and the third highest In the nation The combination of these factors led to Massachusetts community hospitals expense per admiddot mission being the second highest In the nation

One explanation for Massachusetts high per capita hospital spending may be that Boston serves as the major medical center for northern New England proshyviding more specialized medical services than those

which would be available In most local community hospitals in the region Admissions per 10000 populamiddot tlon would be higher since nonresidents would be atmiddot tracted to the state for these specialized services Length of stay would also be higher than average since more specialized procedures could Indicate more complicated medical problems The combinashytion of high cost per day and long length of stay promiddot duces high expense per admission

Regionally New England leads the nation In hosshypital spending per capita Examining the community hospital statistics show that the Far West Regions cost per day of community hospital care exceeded that of New England by $45 per day Yet the expendishytures In the Far West were $31 less per capita than those In New England Labor costs per day of care and days of care per employee were nearly Identical in both regions What differs was the admission rate (157 persons per 10000 population In the Far West versus 172 persons per 10000 in New England) and the length of stay (64 days of care per admissions In the Far West versus 81 days of care In New England)

Differences in the age structure and health status of the two populations contribute to some of the disshyparity In admission rates and length of stay The following factors could produce additional differshyences variations In Input prices such as fuel wages and fringe benefits and historical regional patterns of medical treatment which prescribe defined lengths of stay In hospitals for particular medical procedures

PLACE OF RESIDENCE In this report state designations Indicate the locamiddot

tlon where the service was rendered In 1978 for exshyample the District of Columbia supplied $7473 milshylion worth of hospital seiVices These services were supp1ed to anyone who chose to purchase hospital services In that jurisdiction whether or not the Disshytrict of Columbia was their residence

Per capita estimates calculated using place of sermiddot vice expenditures and the total population of a state are presented in this report to assist the reader In demiddot termlning spending trends and levels However using per capita spending estimates for state comparisons may be misleading The per capita figures cannot be interpreted as spending per resident unless substanmiddot tlaily all of the services provided in a state are conmiddot sumed by residents of that state and unless resmiddot dents of that state purchase no additional services from other states

The only data available to Indicate the magnitude of difference when estimating on a provldermiddotof-servce versus a residence-of-recipient basis pertains to short-stay hospitals Estimates of per capita expendmiddot tures In community hospitals by place of residence of the recipient are presented in Table 6 The place-ofmiddot residence estimates are based on unpublished Medlmiddot care community hospital reimbursement data which

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numblr 2 9

TABLES

Community Hoapltbulll Pet Capita Health Expendltur 1976 1978

Place of Place of POS Place of SeJVIce Residence POR Service

Place of Residence

POS POR

jPOS jPOR jPOS jPOR us Total $21888 $21849 10009 $27694 $27675 10007 New England

Connecticut 25802 25376 10089 31827 22374 22465 9959 27482

31581 27802

10078 9865

Maine 19922 20860 9550 24789 25667 9658 Massachusetts 30799 29818 10329 38799 37518 10341 New Hampshire Rhode Island

16227 17237 9414 20537 23308 23829 9781 28199

21360 29147

9606 9875

Vermont 18172 18653 9742 21438 22839 9386 Mideast 25357 25358 10000 31080 31160 9974

Delaware 19984 20367 9812 24885 25325 9626 District of COlumbia 52123 35259 14783 67327 48366 14521 MarylandNew Jersey New York

19917 21496 9265 25559 20225 21636 9348 24062 29257 28996 10090 33943

27308 25666 33849

9360 9375

10028 Pennsylvania

Great Lakes 23241 23183 10025 31381 23915 24097 9924 30610

31353 30883

10009 9912

Illinois 26469 270S8 9779 34462 35251 9776 Indiana 19422 19387 10018 24910 248o7 10042 Michigan Ohio

25103 25374 9893 32492 23242 23011 10100 29477

32907 29272

9874 10070

Wisconsin 22070 22261 9914 26708 26978 9900 Plains 21722 21559 10076 28287 28075 10076

Iowa 19535 20198 9672 26214 27461 9548 Kansas 20498 22394 9153 26961 29463 9151 Minnesota 22924 21825 10504 28003 28686 10501 Missouri 23843 22822 10447 32071 30554 10496 Nebraska 20528 20636 9948 26544 26754 9922 North Dakota 22046 20892 10552 28550 26162 10913 South Dakota 15839 16831 9292 20158 21434 9405

Southeast 17961 18119 9913 23267 23418 9936 Alabama 18796 19056 9864 25243 25664 9836 Arkansas 15162 16565 9153 19885 21817 9114 Florida 21877 22304 9809 28117 28618 9825 GeorgiaKentucky Louisiana

17113 16661 10271 21910 18028 16784 9550 20089 19182 18965 10114 24842

21434 20953 24809

10222 9588

10095 Mlsstestppt North Carolina

15102 16542 9129 19992 15136 15118 10012 19765

21568 19649

9269 10059

South Carolina 13653 14446 9451 16989 17735 9579 Tennessee 20786 18761 11079 27284 24330 11214 Virginia West VIrginia

Southwest

18615 16938 9810 21606 20791 21851 9515 26448 18070 17828 10136 23291

22170 27623 22953

9748 9575

10147 Arizona 19641 18732 10485 24764 24028 10306 New Mexico 14579 15741 9262 18609 19936 9334 Oklahoma 17311 16419 9398 22746 24246 9381 Texas 18273 1l727 10308 23568 22754 10358

RockYc Mountain 18818 16754 10038 20759 20684 10036 Coorado 19630 18524 10597 23593 22405 10530 Idaho 13811 15785 8749 17144 19232 8914 Montana 15823 16831 9401 20599 21501 9580 Utah 14927 13952 10699 19014 17657 10769 Wyoming

Far West 12805 15936 7910 18021 22546 22247 10134 28742

20803 28342

77-01 10141

California 24385 24060 10135 31131 30683 10146 Nevada 23080 21956 10511 30583 28804 10618 OregonWashingtonAlaska

18590 18532 10031 23436 18823 16786 10022 20699 14080 13709 10271 22228

23225 20827 20550

10091 9939

10817 Hawatl 14967 14177 10557 19395 19048 10182 Adjusted by Medtcare ShortStay Hospital Reimbursements

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 10

Includes both the location of the service and resishydence of the recipient Ratios of the reimbursements on the place-of-residence and placemiddotofmiddotservice basis for the Medicare population are applied to community hospital expenditure estimates for the total populashytlon3 The per capita expenditure estimates by place of residence represent spending for all community hospital services purchased in any state or us posshysession by residents of that state

These estimates are valid to the extent that the Medicare population reflects the geographic conmiddot sumptlon patterns of the general population Table 6 shows that the ratio of community hospital services provided In a state to the services purchased by state residents cluster between 90 and 110 percent Within each region community hospital services purchased by residents equal991 to 1015 percent of community hospital services rendered In the region

At one extreme at least 45 percent of services promiddot vlded in the District of Columbia were purchased by residents of other states In 1978 District of Colummiddot bla per capita estimates by place of residence were $210 lower than the per capita estimate by place of service Wyoming Illustrates the opposite extreme residents purchased approximately 20 percent more services from other states than those which were proshyvided within the state The per capita spending for community hospital services by Wyoming residents is almost $48 higher per capita in 1978 than the per capmiddot ita estimates by place of service would indicate

Expend(tures for Physicians Services

Between 1966 and 1978 spending for physicians services the second largest component of personal health care expenditures garnered between 21 and 24 percent of every dollar spent on personal health care

Physicians influence on the level of health care spending Is much higher than physician expenditures indicate Physicians prescribe and direct many medlmiddot cal services including hospitalization and prescripshytion drugs

In the us in 1978 $161 per capita was spent for physicians services The Rocky Mountain Region spent the least at $143 per capita followed closely by the Southeast and New England Regions with $145 per capita Physician expenditures in the Far West at $219 per capita exceeded spending In all other reshygions

For 1966 through 1978 Californias physician exmiddot pendltures topped those of all other states In 1978 Its per capita expenditures were $238 For the first

Some research Indicates that travel patterns exhibited by Medicare recipients to obtain hospital services are similar to those exhibited by the general population In small rural areas There is no evidence to show that the same relationmiddot ship exists when examining state data However the asshysumption is made that the directional trends indicated by the place of residence estimates should provide a reasonable estimate of a net inflow or outflow of services in a state

half of the twelve year period Mississippis expendishytures for physician services were the lowest in the nashytion By 1976 Vermont had supplanted Mississippis position in 1978 Vermonts spending for physician services trailed those of sll other states at $90 per capita

In 1978 Massachusetts spent 158 percent of Its health care dollars on physicians services Contrastshying with that low was Hawaii where residents expendmiddot ed 295 percent of every health care dollar for physimiddot clans services

Researchers are examining levels of physician spending in an attempt to explain differences in costs of physician services As the concentration of physishycians increases do physicians induce demand by preshyscribing more laboratory tests and more frequent hosshypitalization and office visits Are the number of these ancillary services reflecting the physicians efforts to attain a target Income Or are these physicians ofmiddot ferlng a significant increase in quality of care Are physicians encouraged through reimbursement proceshydures to offer the most efficient and economical sermiddot vices available to their patients Do third party payshyments reduce the Incentive for consumers to choose physician services wisely

Each of these facets affects regions and states dlfmiddot ferently The mix of reimbursement systems (fee-formiddot service HMO prepaid group practice andor lnsurmiddot ance) standard of living historical medical practices and the concentration of physicians In each area inmiddot troduce different values into physician expenditure patterns in each geographic area

The number of physician services rendered is relatmiddot ed to the number of physicians An Increase In the number of physicians In a geographic area tends to increase the total amount of health care expenditures as more physician services become available for purshychase

Table 7 shows the wide range of physicians per 10000 population In states and regions The number of physicians per population grew from 91 physicians per 10000 population in 1969 to 107 physicians in 1978 For the same period the Far West and Califorshynia specifically maintained the lead over all other reshygions and states In concentration of physicians The lowest concentration of physicians occurred In the Southeast with physicians per 10000 population In Mississippi being the lowest In the nation for 1972 through 1978

Between 1969 and 1978 the Mideasts number of physicians Increased by 14 percent During the same time period the Southeast Southwest and Rocky Mountain states experienced the largest percentage gains In physicians In the nation from 45 to 47 permiddot cent Percent change In the number of physicians in states has been dramatic ranging from a low of 46 percent Increase in New Vorllt to a high of 1077 permiddot cent In Alaska Florida Arizona and Nevada exhibited the largest percent increases in the continental US with 867 801 and 722 percent Increase respectively

HEALTH CARE FINANCING REVIEWIDECEMampER 19821Volume 4 Number 2 11

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 6: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLE 4

Expenditures Per Capita for Personal Health Care as a Percentage of the US Average

1966 1969 1972 1976 1977 1978

us Total 1000 1000 1000 1000 1000 1000 New England 1170 1177 1153 1133 1126

Connecticut 1182 1184 1150 1117 1115 1124 1110

Maine 854 858 866 897 887 889 Massachusetts 1266 1293 1279 1256 1253 1254 New Hampshire 941 879 859 835 810 Rhode Island 1152 1124 1075 1107 1094

811 1104

Vermont 985 987 921 883 853 845 Mideast 1127 1137 1111 1101 1083 1076

Delaware 1048 1034 1000 985 975 969 District of Columbia Maryland 946 1018 1001 966 New Jersey 984 948 935 858 958 New York 1268 128pound 123~ 1228 1180

996 938

1152 Pennsylvania 997 995 976 973 987

Great lakes 1014 994 1000 1004 1009 1015 1018

Illinois 1092 1069 1068 1044 1045 1062 Indiana 887 891 665 892 903 901 Michigan 1060 1032 1038 1048 1061 Ohio 967 940 94pound 980 980

1076 990

Wisconsin 976 965 1012 1011 1005 995 Plains 997 973 970 987 996 1011

Iowa 979 945 925 924 951 971 Kansas 952 946 991 1000 1010 1028 Minnesota 1084 1034 1016 1008 1002 990 Missouri 968 979 962 1016 1036 1060 Nebraska 970 956 977 962 972 990 North Dakota 964 983 967 1039 1059 1058 South Dakota 881 851 885 658 873 886

Southeast 765 780 816 646 853 853 Alabama 724 749 795 638 649 850 Arkansas 699 701 749 78pound 787 785 Florida 931 949 990 1044 1044 1028 Georgia 756 782 854 85~ 886 Kentucky n4 779 755 732 729 Louisiana ns 801 646 645 653

666 728 880

MissiSSippi 574 562 643 712 729 746 North Carolina 720 729 742 763 765 773 South Carolina 614 642 650 701 705 889 Tennessee 826 825 651 883 904 905 Virginia 750 755 788 822 636 West Virginia 801 602 632 935 825

Southwest 668 885 889 907 902

642 820 901

Arizona 960 971 969 968 938 937 New Mexico n9 760 740 760 752 761 Oklahoma 916 94~ 923 892 892 691 Texas 880 664 893 913 912 909

Rocky Mountain 979 940 90~ 874 669 Colorado 1179 1120 1040 1001 981

880 972

Idaho 763 747 no 750 762 743 Montana 666 633 853 837 883 666 Utah 804 768 754 758 749 746 Wyoming 983 941 867 749 751

Far West 1163 1165 1165 1142 1154 739

1150 California 1204 1214 1224 1202 1215 1214 Nevada 978 1000 1028 1093 1110 1111 Oregon 977 971 957 972 987 Washington 1087 1053 1025 958 964 Alaska 1129 1010 862 977 996

977 952 986

Hawaii 1048 1074 1037 989 1006 998 ADDENDA CENSUS REGIONS

New England 1170 1177 1153 1133 1126 Middle Atlantic 1124 1130 1096 1093 1074

1124 1065

East North Central 1014 994 1000 1004 10o9 1018 West North Central 997 973 970 987 996 1011 South Atlantic 644 665 900 915 917 916 East South Central 741 751 776 803 815 818 West South Central 647 658 874 865 886 886 Mountain 949 928 911 887 887 883 Pacific 1166 1168 1168 1143 1155 1151

HEALTH CARE FINANCING ApoundVIpoundWfDECEMBEA 19821Volume 4 Number 2 6

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FIGURE 2 Expenditures Per Capita for

Personal Health Care as a Percentage of the US Average

-1---------------------------------------------------------------------------l

_L____r--------~-------~--------r--------T~-------~~------~ t966 t969 1972 1976 19n t978

Calend YUill 1966 Through 1978

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middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

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Thus Massachusetts per capita spending is inflated by utilization by non-residents and use of services In other states underestimates per capita spending by Idaho residents

Variations In price and utilization among states acmiddot count for additional differences in hospital spending levels Salaries fringe benefits and non-labor costs vary among regions affecting the price structure for hospital services The admission rate and length of stay affected by the severity and frequency of illness and by historical patterns of medical practice inmiddot fluence the quantity of hospital services utilized interacting with these factors are the amount of sermiddot vices provided per employee the supply of hospital beds which the geographic area supports their occumiddot pancy rates the mix of types of hospitals in the geoshygraphic area the number of physicians personal inmiddot come per capita and the age structure of the populamiddot tion

Community Hospitals

Table 5 (AHA 1978 b) presents some of the factors which influenced expenditure levels In community

shy

hospitals in 1978 These factors will be discussed In the order in which they appear on the table

Per capita spending patterns for community hosshypital services are similar to those for services in all hospitals In the US $277 per capita was spent for community hospital services In New England per capita expenditures of $318 exceeded the level of exmiddot penditures in all other regions The Rocky Mountain Region trailed all other regions in community hospital spending with $208 per capita

Cost per day of community hospital care ranged from a regional high of $267 in the Far West to areshygional low of $164 in the Plains and Southeast with the US averaging $195 per day Labor costs acmiddot counted for approximately half of the cost-per-day figmiddot ures The Southeast inaintalned the lowest labor exmiddot pense at $79 per day of care while In the Far West labor costs per day amounted to $128 Labor expense nationwide amounted to $99 per day

Annual salary per employee is presented to supply an indication of the wage levels of an area In addimiddot tion It provides an indication of the cost of Jiving dlfmiddot ferences which exist among states and regions

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 7

TABLES

Community Hospital Statistics for 1978 Admlsmiddot

ExpendImiddot Salary Days of slon Expense tures Cost Labor Care Per Rate Length Cost Emmiddot Emmiddot 10000 Admls- o1

Capita Day Per Day ployee ployee Pop sion Stay

Beds Per 1000

Populamiddot tlon

Occumiddot pancy Rate

Number o1

Hosmiddot pitals

us Total $27694 $19535 $9931 $10927 1100 1n $1482 76 44 738 5851 New England

COnnecticut 31827 22255 12060 11971 993 172 1799 81 27482 22663 12563 12733 1014 159 1694 75

41 35

NA 783

259 36

Maine 24789 16874 8753 9523 1088 188 1301 77 46 716 49 Massachusetts 36799 24402 13127 12458 949 179 2101 86 45 790 117 New Hampshire 20537 16372 8417 9497 1128 189 1147 70 38 719 27 Rhode Island 28199 21668 12540 11788 940 160 1734 80 36 823 14 Vermont 21436 15151 8141 9967 1224 167 1251 83 45 729 16

Mideast Delaware

31060 20159 10832 12154 1122 170 1809 90 24885 19230 10388 11004 1059 146 1615 84

44 35

NA 810

710 8

District of Columbia 28145 15392 12916 839 2324 83 783 13 Maryland New Jersey New York

25559 20788 11066 11772 1064 138 1735 84 24061 17181 9142 11582 1267 159 1506 88 33943 21195 11794 13014 1103 188 2061 97

33 41 46

819 817 829

53 104 288

Pennsylvania Great Lakes

Illinois

31381 19389 9834 11128 1132 187 1615 83 30610 19879 10374 11338 1093 184 1577 79 34481 21303 11192 11739 1049 189 1690 79

47 47 49

783 NA 751

244 910 240

Indiana 24910 17058 8518 10178 1195 181 1312 77 44 755 114 Michigan Ohio

32492 22240 11447 12047 1052 179 1752 79 29477 18712 9900 10962 1107 188 1609 81

44 46

784 783

207 206

Wisconsin 26708 17683 9444 10918 1158 181 1416 80 51 691 143 Plains 28287 16356 8276 10010 1210 202 1326 81 58 NA 799

Iowa 26214 15290 7951 9728 1224 212 1139 75 58 672 131 Kansas 26961 15805 7958 9372 1178 206 1223 77 57 888 144 Minnesota 26003 16076 8890 11073 1274 191 1431 89 60 701 171 Missouri 32071 18259 8759 9967 1138 204 1504 82 56 743 147 Nebraska 26545 15020 7351 9494 1282 197 1239 82 60 889 96 North Dakota 28550 14784 7368 9692 1315 221 1219 82 70 881 53 South Dakota 20158 14684 7524 8715 1158 195 963 66 53 607 57

Southeast Alabama

23267 18440 7933 9297 1172 184 1164 71 25243 16070 7696 9125 1186 201 1134 71

44 49

NA 730

1449 132

Arkansas 19885 14058 6888 8341 1211 200 896 64 46 698 91 Florida 28117 19453 9033 10013 1109 181 1435 74 46 707 208 Georgia Kentucky

21910 17528 8758 9124 1042 188 1112 83 20089 14419 6954 9084 1306 165 1003 70

42 41

876 765

160 108

louisiana 24842 18180 8519 9209 1081 193 1171 64 44 690 139 Mississippi 19992 13735 6635 8413 1268 197 941 88 47 722 104 North Carolina 19765 15043 7573 9011 1190 187 1123 75 39 782 128 South Carolina 16989 14705 7210 8860 1229 156 1041 71 38 750 70 Tennessee 27284 15783 7520 9058 1205 217 1128 71 52 748 140 Virginia West Virginia

SOuthwest

21607 16483 6053 10031 1246 151 1320 80 26448 14859 7546 9395 1245 221 1084 73 23291 18273 8725 9322 1068 178 1205 88

39 53 42

751 735 NJA

102 67

718 Arizona 24764 21610 10268 10116 985 149 1531 71 34 723 58 New Mexico 18809 19360 9472 10333 1091 150 1165 60 30 659 37 Oklahoma 22746 18415 8585 9002 1049 175 1203 65 43 881 119 Texas 23588 17633 8454 9180 1086 188 1159 86 44 878 504

Rocky Mountain 20759 18292 9416 10200 1083 171 1157 63 39 NA 248 Colorado 23593 20038 10552 10718 1016 172 1338 67 40 683 83 Idaho 17144 15921 7861 9531 1212 169 964 61 36 652 46 Montana 20599 13224 8792 9584 1408 187 1033 78 58 842 57 Utah 19014 20932 10314 9970 967 161 1084 52 29 888 35 Wyoming 16021 18901 8984 9351 1043 174 870 52 38 544 27

Far West California

28742 26737 12799 12211 954 157 1708 84 31131 28188 13319 12437 934 158 1843 85

35 36

NA 663

758 518

Nevada 30563 24634 10388 11157 1078 187 1579 64 38 888 19 Oregon 23436 22329 11438 11243 983 162 1347 60 34 670 77 Washington Alaska

20699 21761 11116 11272 1014 158 1218 56 22282 34036 16277 16362 1005 115 1856 55

31 23

668 606

108 16

Hawaii 19395 19534 10253 11672 1138 122 1445 74 28 741 20 Table Is based on American Hospital Association data

HEALTH CARE FINANCING REVIEWDECEMBER ti821Volumbull 4 Numb 2 8

Nationwide an average of $10927 was paid to commiddot munlty hospital employees The Far West and Midmiddot east Regions paid the highest annual salaries and wages In the nation at $12200 The Southeast and Southwest Regions paid the least at $9300 Alaska paid the highest average wages and salaries to their community hospital emPloyees at $16362 This amount was over $3000 higher than the District of Columbia its closest rival

Days of care per full-time equivalent employee Is a rough Indicator of the Intensity of service rendered The fewer days of care for which an employee is reshysponsible permits each employee to devote more time to each patient In the Plains Region employees who were responsible for 121 days of care each year contrasted against the Far West where 95 days of care per employee were given

The admission rate per 10000 population was 177 nationwide In 1978 In the Plains states 202 admisshysions per 10000 population contrasted with the Far Wests 157 admissions

Expense per admission averaged $1482 In the US New England and the Midwest led au other regions In expense per admission with $1800 The Southeast and Rocky Mountain Regions trailed aU other regions with expenses per admission less than $1200 Comshymunity hospitals in the District of Columbia and Massachusetts Incurred the highest expense per admiddot mission with $2324 and $2101 Wyoming and Arkansas registered the lowest expense per admisshysion at $870 and $896 tess than half that of the highmiddot est states

The Plains states outpaced the nation In commiddot munty hospital beds maintained with 58 beds per 1000 population Due to the low population density and their larger than average elderly population more beds need to be available in order to offer easy acmiddot cess to the scattered population The Far West mainshytained 35 beds per thousand residents the lowest ratio maintained by any region

Massachusetts per capita community hospital spending of $388 the highest In the nation can be evaluated in the context of these community hospital statistics Persons receiving community hospital sershyvices In that state paid $244 per day for those sermiddot vices That was the fifth highest dally expense In the nation exceeded only by Alaska Cslifomia District of Columbia and Nevada Of the $244 per day $131 was attributed to labor costs the fourth highest labor expense per day In the US The length of stay In Massachusetts community hospitals was the highest In the New England Region and the third highest In the nation The combination of these factors led to Massachusetts community hospitals expense per admiddot mission being the second highest In the nation

One explanation for Massachusetts high per capita hospital spending may be that Boston serves as the major medical center for northern New England proshyviding more specialized medical services than those

which would be available In most local community hospitals in the region Admissions per 10000 populamiddot tlon would be higher since nonresidents would be atmiddot tracted to the state for these specialized services Length of stay would also be higher than average since more specialized procedures could Indicate more complicated medical problems The combinashytion of high cost per day and long length of stay promiddot duces high expense per admission

Regionally New England leads the nation In hosshypital spending per capita Examining the community hospital statistics show that the Far West Regions cost per day of community hospital care exceeded that of New England by $45 per day Yet the expendishytures In the Far West were $31 less per capita than those In New England Labor costs per day of care and days of care per employee were nearly Identical in both regions What differs was the admission rate (157 persons per 10000 population In the Far West versus 172 persons per 10000 in New England) and the length of stay (64 days of care per admissions In the Far West versus 81 days of care In New England)

Differences in the age structure and health status of the two populations contribute to some of the disshyparity In admission rates and length of stay The following factors could produce additional differshyences variations In Input prices such as fuel wages and fringe benefits and historical regional patterns of medical treatment which prescribe defined lengths of stay In hospitals for particular medical procedures

PLACE OF RESIDENCE In this report state designations Indicate the locamiddot

tlon where the service was rendered In 1978 for exshyample the District of Columbia supplied $7473 milshylion worth of hospital seiVices These services were supp1ed to anyone who chose to purchase hospital services In that jurisdiction whether or not the Disshytrict of Columbia was their residence

Per capita estimates calculated using place of sermiddot vice expenditures and the total population of a state are presented in this report to assist the reader In demiddot termlning spending trends and levels However using per capita spending estimates for state comparisons may be misleading The per capita figures cannot be interpreted as spending per resident unless substanmiddot tlaily all of the services provided in a state are conmiddot sumed by residents of that state and unless resmiddot dents of that state purchase no additional services from other states

The only data available to Indicate the magnitude of difference when estimating on a provldermiddotof-servce versus a residence-of-recipient basis pertains to short-stay hospitals Estimates of per capita expendmiddot tures In community hospitals by place of residence of the recipient are presented in Table 6 The place-ofmiddot residence estimates are based on unpublished Medlmiddot care community hospital reimbursement data which

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numblr 2 9

TABLES

Community Hoapltbulll Pet Capita Health Expendltur 1976 1978

Place of Place of POS Place of SeJVIce Residence POR Service

Place of Residence

POS POR

jPOS jPOR jPOS jPOR us Total $21888 $21849 10009 $27694 $27675 10007 New England

Connecticut 25802 25376 10089 31827 22374 22465 9959 27482

31581 27802

10078 9865

Maine 19922 20860 9550 24789 25667 9658 Massachusetts 30799 29818 10329 38799 37518 10341 New Hampshire Rhode Island

16227 17237 9414 20537 23308 23829 9781 28199

21360 29147

9606 9875

Vermont 18172 18653 9742 21438 22839 9386 Mideast 25357 25358 10000 31080 31160 9974

Delaware 19984 20367 9812 24885 25325 9626 District of COlumbia 52123 35259 14783 67327 48366 14521 MarylandNew Jersey New York

19917 21496 9265 25559 20225 21636 9348 24062 29257 28996 10090 33943

27308 25666 33849

9360 9375

10028 Pennsylvania

Great Lakes 23241 23183 10025 31381 23915 24097 9924 30610

31353 30883

10009 9912

Illinois 26469 270S8 9779 34462 35251 9776 Indiana 19422 19387 10018 24910 248o7 10042 Michigan Ohio

25103 25374 9893 32492 23242 23011 10100 29477

32907 29272

9874 10070

Wisconsin 22070 22261 9914 26708 26978 9900 Plains 21722 21559 10076 28287 28075 10076

Iowa 19535 20198 9672 26214 27461 9548 Kansas 20498 22394 9153 26961 29463 9151 Minnesota 22924 21825 10504 28003 28686 10501 Missouri 23843 22822 10447 32071 30554 10496 Nebraska 20528 20636 9948 26544 26754 9922 North Dakota 22046 20892 10552 28550 26162 10913 South Dakota 15839 16831 9292 20158 21434 9405

Southeast 17961 18119 9913 23267 23418 9936 Alabama 18796 19056 9864 25243 25664 9836 Arkansas 15162 16565 9153 19885 21817 9114 Florida 21877 22304 9809 28117 28618 9825 GeorgiaKentucky Louisiana

17113 16661 10271 21910 18028 16784 9550 20089 19182 18965 10114 24842

21434 20953 24809

10222 9588

10095 Mlsstestppt North Carolina

15102 16542 9129 19992 15136 15118 10012 19765

21568 19649

9269 10059

South Carolina 13653 14446 9451 16989 17735 9579 Tennessee 20786 18761 11079 27284 24330 11214 Virginia West VIrginia

Southwest

18615 16938 9810 21606 20791 21851 9515 26448 18070 17828 10136 23291

22170 27623 22953

9748 9575

10147 Arizona 19641 18732 10485 24764 24028 10306 New Mexico 14579 15741 9262 18609 19936 9334 Oklahoma 17311 16419 9398 22746 24246 9381 Texas 18273 1l727 10308 23568 22754 10358

RockYc Mountain 18818 16754 10038 20759 20684 10036 Coorado 19630 18524 10597 23593 22405 10530 Idaho 13811 15785 8749 17144 19232 8914 Montana 15823 16831 9401 20599 21501 9580 Utah 14927 13952 10699 19014 17657 10769 Wyoming

Far West 12805 15936 7910 18021 22546 22247 10134 28742

20803 28342

77-01 10141

California 24385 24060 10135 31131 30683 10146 Nevada 23080 21956 10511 30583 28804 10618 OregonWashingtonAlaska

18590 18532 10031 23436 18823 16786 10022 20699 14080 13709 10271 22228

23225 20827 20550

10091 9939

10817 Hawatl 14967 14177 10557 19395 19048 10182 Adjusted by Medtcare ShortStay Hospital Reimbursements

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 10

Includes both the location of the service and resishydence of the recipient Ratios of the reimbursements on the place-of-residence and placemiddotofmiddotservice basis for the Medicare population are applied to community hospital expenditure estimates for the total populashytlon3 The per capita expenditure estimates by place of residence represent spending for all community hospital services purchased in any state or us posshysession by residents of that state

These estimates are valid to the extent that the Medicare population reflects the geographic conmiddot sumptlon patterns of the general population Table 6 shows that the ratio of community hospital services provided In a state to the services purchased by state residents cluster between 90 and 110 percent Within each region community hospital services purchased by residents equal991 to 1015 percent of community hospital services rendered In the region

At one extreme at least 45 percent of services promiddot vlded in the District of Columbia were purchased by residents of other states In 1978 District of Colummiddot bla per capita estimates by place of residence were $210 lower than the per capita estimate by place of service Wyoming Illustrates the opposite extreme residents purchased approximately 20 percent more services from other states than those which were proshyvided within the state The per capita spending for community hospital services by Wyoming residents is almost $48 higher per capita in 1978 than the per capmiddot ita estimates by place of service would indicate

Expend(tures for Physicians Services

Between 1966 and 1978 spending for physicians services the second largest component of personal health care expenditures garnered between 21 and 24 percent of every dollar spent on personal health care

Physicians influence on the level of health care spending Is much higher than physician expenditures indicate Physicians prescribe and direct many medlmiddot cal services including hospitalization and prescripshytion drugs

In the us in 1978 $161 per capita was spent for physicians services The Rocky Mountain Region spent the least at $143 per capita followed closely by the Southeast and New England Regions with $145 per capita Physician expenditures in the Far West at $219 per capita exceeded spending In all other reshygions

For 1966 through 1978 Californias physician exmiddot pendltures topped those of all other states In 1978 Its per capita expenditures were $238 For the first

Some research Indicates that travel patterns exhibited by Medicare recipients to obtain hospital services are similar to those exhibited by the general population In small rural areas There is no evidence to show that the same relationmiddot ship exists when examining state data However the asshysumption is made that the directional trends indicated by the place of residence estimates should provide a reasonable estimate of a net inflow or outflow of services in a state

half of the twelve year period Mississippis expendishytures for physician services were the lowest in the nashytion By 1976 Vermont had supplanted Mississippis position in 1978 Vermonts spending for physician services trailed those of sll other states at $90 per capita

In 1978 Massachusetts spent 158 percent of Its health care dollars on physicians services Contrastshying with that low was Hawaii where residents expendmiddot ed 295 percent of every health care dollar for physimiddot clans services

Researchers are examining levels of physician spending in an attempt to explain differences in costs of physician services As the concentration of physishycians increases do physicians induce demand by preshyscribing more laboratory tests and more frequent hosshypitalization and office visits Are the number of these ancillary services reflecting the physicians efforts to attain a target Income Or are these physicians ofmiddot ferlng a significant increase in quality of care Are physicians encouraged through reimbursement proceshydures to offer the most efficient and economical sermiddot vices available to their patients Do third party payshyments reduce the Incentive for consumers to choose physician services wisely

Each of these facets affects regions and states dlfmiddot ferently The mix of reimbursement systems (fee-formiddot service HMO prepaid group practice andor lnsurmiddot ance) standard of living historical medical practices and the concentration of physicians In each area inmiddot troduce different values into physician expenditure patterns in each geographic area

The number of physician services rendered is relatmiddot ed to the number of physicians An Increase In the number of physicians In a geographic area tends to increase the total amount of health care expenditures as more physician services become available for purshychase

Table 7 shows the wide range of physicians per 10000 population In states and regions The number of physicians per population grew from 91 physicians per 10000 population in 1969 to 107 physicians in 1978 For the same period the Far West and Califorshynia specifically maintained the lead over all other reshygions and states In concentration of physicians The lowest concentration of physicians occurred In the Southeast with physicians per 10000 population In Mississippi being the lowest In the nation for 1972 through 1978

Between 1969 and 1978 the Mideasts number of physicians Increased by 14 percent During the same time period the Southeast Southwest and Rocky Mountain states experienced the largest percentage gains In physicians In the nation from 45 to 47 permiddot cent Percent change In the number of physicians in states has been dramatic ranging from a low of 46 percent Increase in New Vorllt to a high of 1077 permiddot cent In Alaska Florida Arizona and Nevada exhibited the largest percent increases in the continental US with 867 801 and 722 percent Increase respectively

HEALTH CARE FINANCING REVIEWIDECEMampER 19821Volume 4 Number 2 11

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 7: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

--------

middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

FIGURE 2 Expenditures Per Capita for

Personal Health Care as a Percentage of the US Average

-1---------------------------------------------------------------------------l

_L____r--------~-------~--------r--------T~-------~~------~ t966 t969 1972 1976 19n t978

Calend YUill 1966 Through 1978

115shy

110shy 105shy bull too-us0

_ bull bull

NewEnglandoobullbullbullbullbullbullbullbullbullbullbullbullbullFarWest-------------r---- _ - ----------shymiddotmiddotmiddotmiddotmiddotmiddotmiddot-----shy

Great Lakebull --middot-middot- 7-middot- middot---middot-middot-middot-middot ---gt18tnsmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot -middot-middot- middotmiddotmiddotbullmiddotmiddotmiddotmiddotmiddot -- middotmiddotmiddotmiddotmiddotmiddot Mountaons_ bullbullbullbullbullbull bullbullbullbullbullbullbullbull

- middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot _ --~ --------------------shy

Southwlllll ---------------- ~

middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

Southeastbullbullmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot

Thus Massachusetts per capita spending is inflated by utilization by non-residents and use of services In other states underestimates per capita spending by Idaho residents

Variations In price and utilization among states acmiddot count for additional differences in hospital spending levels Salaries fringe benefits and non-labor costs vary among regions affecting the price structure for hospital services The admission rate and length of stay affected by the severity and frequency of illness and by historical patterns of medical practice inmiddot fluence the quantity of hospital services utilized interacting with these factors are the amount of sermiddot vices provided per employee the supply of hospital beds which the geographic area supports their occumiddot pancy rates the mix of types of hospitals in the geoshygraphic area the number of physicians personal inmiddot come per capita and the age structure of the populamiddot tion

Community Hospitals

Table 5 (AHA 1978 b) presents some of the factors which influenced expenditure levels In community

shy

hospitals in 1978 These factors will be discussed In the order in which they appear on the table

Per capita spending patterns for community hosshypital services are similar to those for services in all hospitals In the US $277 per capita was spent for community hospital services In New England per capita expenditures of $318 exceeded the level of exmiddot penditures in all other regions The Rocky Mountain Region trailed all other regions in community hospital spending with $208 per capita

Cost per day of community hospital care ranged from a regional high of $267 in the Far West to areshygional low of $164 in the Plains and Southeast with the US averaging $195 per day Labor costs acmiddot counted for approximately half of the cost-per-day figmiddot ures The Southeast inaintalned the lowest labor exmiddot pense at $79 per day of care while In the Far West labor costs per day amounted to $128 Labor expense nationwide amounted to $99 per day

Annual salary per employee is presented to supply an indication of the wage levels of an area In addimiddot tion It provides an indication of the cost of Jiving dlfmiddot ferences which exist among states and regions

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 7

TABLES

Community Hospital Statistics for 1978 Admlsmiddot

ExpendImiddot Salary Days of slon Expense tures Cost Labor Care Per Rate Length Cost Emmiddot Emmiddot 10000 Admls- o1

Capita Day Per Day ployee ployee Pop sion Stay

Beds Per 1000

Populamiddot tlon

Occumiddot pancy Rate

Number o1

Hosmiddot pitals

us Total $27694 $19535 $9931 $10927 1100 1n $1482 76 44 738 5851 New England

COnnecticut 31827 22255 12060 11971 993 172 1799 81 27482 22663 12563 12733 1014 159 1694 75

41 35

NA 783

259 36

Maine 24789 16874 8753 9523 1088 188 1301 77 46 716 49 Massachusetts 36799 24402 13127 12458 949 179 2101 86 45 790 117 New Hampshire 20537 16372 8417 9497 1128 189 1147 70 38 719 27 Rhode Island 28199 21668 12540 11788 940 160 1734 80 36 823 14 Vermont 21436 15151 8141 9967 1224 167 1251 83 45 729 16

Mideast Delaware

31060 20159 10832 12154 1122 170 1809 90 24885 19230 10388 11004 1059 146 1615 84

44 35

NA 810

710 8

District of Columbia 28145 15392 12916 839 2324 83 783 13 Maryland New Jersey New York

25559 20788 11066 11772 1064 138 1735 84 24061 17181 9142 11582 1267 159 1506 88 33943 21195 11794 13014 1103 188 2061 97

33 41 46

819 817 829

53 104 288

Pennsylvania Great Lakes

Illinois

31381 19389 9834 11128 1132 187 1615 83 30610 19879 10374 11338 1093 184 1577 79 34481 21303 11192 11739 1049 189 1690 79

47 47 49

783 NA 751

244 910 240

Indiana 24910 17058 8518 10178 1195 181 1312 77 44 755 114 Michigan Ohio

32492 22240 11447 12047 1052 179 1752 79 29477 18712 9900 10962 1107 188 1609 81

44 46

784 783

207 206

Wisconsin 26708 17683 9444 10918 1158 181 1416 80 51 691 143 Plains 28287 16356 8276 10010 1210 202 1326 81 58 NA 799

Iowa 26214 15290 7951 9728 1224 212 1139 75 58 672 131 Kansas 26961 15805 7958 9372 1178 206 1223 77 57 888 144 Minnesota 26003 16076 8890 11073 1274 191 1431 89 60 701 171 Missouri 32071 18259 8759 9967 1138 204 1504 82 56 743 147 Nebraska 26545 15020 7351 9494 1282 197 1239 82 60 889 96 North Dakota 28550 14784 7368 9692 1315 221 1219 82 70 881 53 South Dakota 20158 14684 7524 8715 1158 195 963 66 53 607 57

Southeast Alabama

23267 18440 7933 9297 1172 184 1164 71 25243 16070 7696 9125 1186 201 1134 71

44 49

NA 730

1449 132

Arkansas 19885 14058 6888 8341 1211 200 896 64 46 698 91 Florida 28117 19453 9033 10013 1109 181 1435 74 46 707 208 Georgia Kentucky

21910 17528 8758 9124 1042 188 1112 83 20089 14419 6954 9084 1306 165 1003 70

42 41

876 765

160 108

louisiana 24842 18180 8519 9209 1081 193 1171 64 44 690 139 Mississippi 19992 13735 6635 8413 1268 197 941 88 47 722 104 North Carolina 19765 15043 7573 9011 1190 187 1123 75 39 782 128 South Carolina 16989 14705 7210 8860 1229 156 1041 71 38 750 70 Tennessee 27284 15783 7520 9058 1205 217 1128 71 52 748 140 Virginia West Virginia

SOuthwest

21607 16483 6053 10031 1246 151 1320 80 26448 14859 7546 9395 1245 221 1084 73 23291 18273 8725 9322 1068 178 1205 88

39 53 42

751 735 NJA

102 67

718 Arizona 24764 21610 10268 10116 985 149 1531 71 34 723 58 New Mexico 18809 19360 9472 10333 1091 150 1165 60 30 659 37 Oklahoma 22746 18415 8585 9002 1049 175 1203 65 43 881 119 Texas 23588 17633 8454 9180 1086 188 1159 86 44 878 504

Rocky Mountain 20759 18292 9416 10200 1083 171 1157 63 39 NA 248 Colorado 23593 20038 10552 10718 1016 172 1338 67 40 683 83 Idaho 17144 15921 7861 9531 1212 169 964 61 36 652 46 Montana 20599 13224 8792 9584 1408 187 1033 78 58 842 57 Utah 19014 20932 10314 9970 967 161 1084 52 29 888 35 Wyoming 16021 18901 8984 9351 1043 174 870 52 38 544 27

Far West California

28742 26737 12799 12211 954 157 1708 84 31131 28188 13319 12437 934 158 1843 85

35 36

NA 663

758 518

Nevada 30563 24634 10388 11157 1078 187 1579 64 38 888 19 Oregon 23436 22329 11438 11243 983 162 1347 60 34 670 77 Washington Alaska

20699 21761 11116 11272 1014 158 1218 56 22282 34036 16277 16362 1005 115 1856 55

31 23

668 606

108 16

Hawaii 19395 19534 10253 11672 1138 122 1445 74 28 741 20 Table Is based on American Hospital Association data

HEALTH CARE FINANCING REVIEWDECEMBER ti821Volumbull 4 Numb 2 8

Nationwide an average of $10927 was paid to commiddot munlty hospital employees The Far West and Midmiddot east Regions paid the highest annual salaries and wages In the nation at $12200 The Southeast and Southwest Regions paid the least at $9300 Alaska paid the highest average wages and salaries to their community hospital emPloyees at $16362 This amount was over $3000 higher than the District of Columbia its closest rival

Days of care per full-time equivalent employee Is a rough Indicator of the Intensity of service rendered The fewer days of care for which an employee is reshysponsible permits each employee to devote more time to each patient In the Plains Region employees who were responsible for 121 days of care each year contrasted against the Far West where 95 days of care per employee were given

The admission rate per 10000 population was 177 nationwide In 1978 In the Plains states 202 admisshysions per 10000 population contrasted with the Far Wests 157 admissions

Expense per admission averaged $1482 In the US New England and the Midwest led au other regions In expense per admission with $1800 The Southeast and Rocky Mountain Regions trailed aU other regions with expenses per admission less than $1200 Comshymunity hospitals in the District of Columbia and Massachusetts Incurred the highest expense per admiddot mission with $2324 and $2101 Wyoming and Arkansas registered the lowest expense per admisshysion at $870 and $896 tess than half that of the highmiddot est states

The Plains states outpaced the nation In commiddot munty hospital beds maintained with 58 beds per 1000 population Due to the low population density and their larger than average elderly population more beds need to be available in order to offer easy acmiddot cess to the scattered population The Far West mainshytained 35 beds per thousand residents the lowest ratio maintained by any region

Massachusetts per capita community hospital spending of $388 the highest In the nation can be evaluated in the context of these community hospital statistics Persons receiving community hospital sershyvices In that state paid $244 per day for those sermiddot vices That was the fifth highest dally expense In the nation exceeded only by Alaska Cslifomia District of Columbia and Nevada Of the $244 per day $131 was attributed to labor costs the fourth highest labor expense per day In the US The length of stay In Massachusetts community hospitals was the highest In the New England Region and the third highest In the nation The combination of these factors led to Massachusetts community hospitals expense per admiddot mission being the second highest In the nation

One explanation for Massachusetts high per capita hospital spending may be that Boston serves as the major medical center for northern New England proshyviding more specialized medical services than those

which would be available In most local community hospitals in the region Admissions per 10000 populamiddot tlon would be higher since nonresidents would be atmiddot tracted to the state for these specialized services Length of stay would also be higher than average since more specialized procedures could Indicate more complicated medical problems The combinashytion of high cost per day and long length of stay promiddot duces high expense per admission

Regionally New England leads the nation In hosshypital spending per capita Examining the community hospital statistics show that the Far West Regions cost per day of community hospital care exceeded that of New England by $45 per day Yet the expendishytures In the Far West were $31 less per capita than those In New England Labor costs per day of care and days of care per employee were nearly Identical in both regions What differs was the admission rate (157 persons per 10000 population In the Far West versus 172 persons per 10000 in New England) and the length of stay (64 days of care per admissions In the Far West versus 81 days of care In New England)

Differences in the age structure and health status of the two populations contribute to some of the disshyparity In admission rates and length of stay The following factors could produce additional differshyences variations In Input prices such as fuel wages and fringe benefits and historical regional patterns of medical treatment which prescribe defined lengths of stay In hospitals for particular medical procedures

PLACE OF RESIDENCE In this report state designations Indicate the locamiddot

tlon where the service was rendered In 1978 for exshyample the District of Columbia supplied $7473 milshylion worth of hospital seiVices These services were supp1ed to anyone who chose to purchase hospital services In that jurisdiction whether or not the Disshytrict of Columbia was their residence

Per capita estimates calculated using place of sermiddot vice expenditures and the total population of a state are presented in this report to assist the reader In demiddot termlning spending trends and levels However using per capita spending estimates for state comparisons may be misleading The per capita figures cannot be interpreted as spending per resident unless substanmiddot tlaily all of the services provided in a state are conmiddot sumed by residents of that state and unless resmiddot dents of that state purchase no additional services from other states

The only data available to Indicate the magnitude of difference when estimating on a provldermiddotof-servce versus a residence-of-recipient basis pertains to short-stay hospitals Estimates of per capita expendmiddot tures In community hospitals by place of residence of the recipient are presented in Table 6 The place-ofmiddot residence estimates are based on unpublished Medlmiddot care community hospital reimbursement data which

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numblr 2 9

TABLES

Community Hoapltbulll Pet Capita Health Expendltur 1976 1978

Place of Place of POS Place of SeJVIce Residence POR Service

Place of Residence

POS POR

jPOS jPOR jPOS jPOR us Total $21888 $21849 10009 $27694 $27675 10007 New England

Connecticut 25802 25376 10089 31827 22374 22465 9959 27482

31581 27802

10078 9865

Maine 19922 20860 9550 24789 25667 9658 Massachusetts 30799 29818 10329 38799 37518 10341 New Hampshire Rhode Island

16227 17237 9414 20537 23308 23829 9781 28199

21360 29147

9606 9875

Vermont 18172 18653 9742 21438 22839 9386 Mideast 25357 25358 10000 31080 31160 9974

Delaware 19984 20367 9812 24885 25325 9626 District of COlumbia 52123 35259 14783 67327 48366 14521 MarylandNew Jersey New York

19917 21496 9265 25559 20225 21636 9348 24062 29257 28996 10090 33943

27308 25666 33849

9360 9375

10028 Pennsylvania

Great Lakes 23241 23183 10025 31381 23915 24097 9924 30610

31353 30883

10009 9912

Illinois 26469 270S8 9779 34462 35251 9776 Indiana 19422 19387 10018 24910 248o7 10042 Michigan Ohio

25103 25374 9893 32492 23242 23011 10100 29477

32907 29272

9874 10070

Wisconsin 22070 22261 9914 26708 26978 9900 Plains 21722 21559 10076 28287 28075 10076

Iowa 19535 20198 9672 26214 27461 9548 Kansas 20498 22394 9153 26961 29463 9151 Minnesota 22924 21825 10504 28003 28686 10501 Missouri 23843 22822 10447 32071 30554 10496 Nebraska 20528 20636 9948 26544 26754 9922 North Dakota 22046 20892 10552 28550 26162 10913 South Dakota 15839 16831 9292 20158 21434 9405

Southeast 17961 18119 9913 23267 23418 9936 Alabama 18796 19056 9864 25243 25664 9836 Arkansas 15162 16565 9153 19885 21817 9114 Florida 21877 22304 9809 28117 28618 9825 GeorgiaKentucky Louisiana

17113 16661 10271 21910 18028 16784 9550 20089 19182 18965 10114 24842

21434 20953 24809

10222 9588

10095 Mlsstestppt North Carolina

15102 16542 9129 19992 15136 15118 10012 19765

21568 19649

9269 10059

South Carolina 13653 14446 9451 16989 17735 9579 Tennessee 20786 18761 11079 27284 24330 11214 Virginia West VIrginia

Southwest

18615 16938 9810 21606 20791 21851 9515 26448 18070 17828 10136 23291

22170 27623 22953

9748 9575

10147 Arizona 19641 18732 10485 24764 24028 10306 New Mexico 14579 15741 9262 18609 19936 9334 Oklahoma 17311 16419 9398 22746 24246 9381 Texas 18273 1l727 10308 23568 22754 10358

RockYc Mountain 18818 16754 10038 20759 20684 10036 Coorado 19630 18524 10597 23593 22405 10530 Idaho 13811 15785 8749 17144 19232 8914 Montana 15823 16831 9401 20599 21501 9580 Utah 14927 13952 10699 19014 17657 10769 Wyoming

Far West 12805 15936 7910 18021 22546 22247 10134 28742

20803 28342

77-01 10141

California 24385 24060 10135 31131 30683 10146 Nevada 23080 21956 10511 30583 28804 10618 OregonWashingtonAlaska

18590 18532 10031 23436 18823 16786 10022 20699 14080 13709 10271 22228

23225 20827 20550

10091 9939

10817 Hawatl 14967 14177 10557 19395 19048 10182 Adjusted by Medtcare ShortStay Hospital Reimbursements

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 10

Includes both the location of the service and resishydence of the recipient Ratios of the reimbursements on the place-of-residence and placemiddotofmiddotservice basis for the Medicare population are applied to community hospital expenditure estimates for the total populashytlon3 The per capita expenditure estimates by place of residence represent spending for all community hospital services purchased in any state or us posshysession by residents of that state

These estimates are valid to the extent that the Medicare population reflects the geographic conmiddot sumptlon patterns of the general population Table 6 shows that the ratio of community hospital services provided In a state to the services purchased by state residents cluster between 90 and 110 percent Within each region community hospital services purchased by residents equal991 to 1015 percent of community hospital services rendered In the region

At one extreme at least 45 percent of services promiddot vlded in the District of Columbia were purchased by residents of other states In 1978 District of Colummiddot bla per capita estimates by place of residence were $210 lower than the per capita estimate by place of service Wyoming Illustrates the opposite extreme residents purchased approximately 20 percent more services from other states than those which were proshyvided within the state The per capita spending for community hospital services by Wyoming residents is almost $48 higher per capita in 1978 than the per capmiddot ita estimates by place of service would indicate

Expend(tures for Physicians Services

Between 1966 and 1978 spending for physicians services the second largest component of personal health care expenditures garnered between 21 and 24 percent of every dollar spent on personal health care

Physicians influence on the level of health care spending Is much higher than physician expenditures indicate Physicians prescribe and direct many medlmiddot cal services including hospitalization and prescripshytion drugs

In the us in 1978 $161 per capita was spent for physicians services The Rocky Mountain Region spent the least at $143 per capita followed closely by the Southeast and New England Regions with $145 per capita Physician expenditures in the Far West at $219 per capita exceeded spending In all other reshygions

For 1966 through 1978 Californias physician exmiddot pendltures topped those of all other states In 1978 Its per capita expenditures were $238 For the first

Some research Indicates that travel patterns exhibited by Medicare recipients to obtain hospital services are similar to those exhibited by the general population In small rural areas There is no evidence to show that the same relationmiddot ship exists when examining state data However the asshysumption is made that the directional trends indicated by the place of residence estimates should provide a reasonable estimate of a net inflow or outflow of services in a state

half of the twelve year period Mississippis expendishytures for physician services were the lowest in the nashytion By 1976 Vermont had supplanted Mississippis position in 1978 Vermonts spending for physician services trailed those of sll other states at $90 per capita

In 1978 Massachusetts spent 158 percent of Its health care dollars on physicians services Contrastshying with that low was Hawaii where residents expendmiddot ed 295 percent of every health care dollar for physimiddot clans services

Researchers are examining levels of physician spending in an attempt to explain differences in costs of physician services As the concentration of physishycians increases do physicians induce demand by preshyscribing more laboratory tests and more frequent hosshypitalization and office visits Are the number of these ancillary services reflecting the physicians efforts to attain a target Income Or are these physicians ofmiddot ferlng a significant increase in quality of care Are physicians encouraged through reimbursement proceshydures to offer the most efficient and economical sermiddot vices available to their patients Do third party payshyments reduce the Incentive for consumers to choose physician services wisely

Each of these facets affects regions and states dlfmiddot ferently The mix of reimbursement systems (fee-formiddot service HMO prepaid group practice andor lnsurmiddot ance) standard of living historical medical practices and the concentration of physicians In each area inmiddot troduce different values into physician expenditure patterns in each geographic area

The number of physician services rendered is relatmiddot ed to the number of physicians An Increase In the number of physicians In a geographic area tends to increase the total amount of health care expenditures as more physician services become available for purshychase

Table 7 shows the wide range of physicians per 10000 population In states and regions The number of physicians per population grew from 91 physicians per 10000 population in 1969 to 107 physicians in 1978 For the same period the Far West and Califorshynia specifically maintained the lead over all other reshygions and states In concentration of physicians The lowest concentration of physicians occurred In the Southeast with physicians per 10000 population In Mississippi being the lowest In the nation for 1972 through 1978

Between 1969 and 1978 the Mideasts number of physicians Increased by 14 percent During the same time period the Southeast Southwest and Rocky Mountain states experienced the largest percentage gains In physicians In the nation from 45 to 47 permiddot cent Percent change In the number of physicians in states has been dramatic ranging from a low of 46 percent Increase in New Vorllt to a high of 1077 permiddot cent In Alaska Florida Arizona and Nevada exhibited the largest percent increases in the continental US with 867 801 and 722 percent Increase respectively

HEALTH CARE FINANCING REVIEWIDECEMampER 19821Volume 4 Number 2 11

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 8: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLES

Community Hospital Statistics for 1978 Admlsmiddot

ExpendImiddot Salary Days of slon Expense tures Cost Labor Care Per Rate Length Cost Emmiddot Emmiddot 10000 Admls- o1

Capita Day Per Day ployee ployee Pop sion Stay

Beds Per 1000

Populamiddot tlon

Occumiddot pancy Rate

Number o1

Hosmiddot pitals

us Total $27694 $19535 $9931 $10927 1100 1n $1482 76 44 738 5851 New England

COnnecticut 31827 22255 12060 11971 993 172 1799 81 27482 22663 12563 12733 1014 159 1694 75

41 35

NA 783

259 36

Maine 24789 16874 8753 9523 1088 188 1301 77 46 716 49 Massachusetts 36799 24402 13127 12458 949 179 2101 86 45 790 117 New Hampshire 20537 16372 8417 9497 1128 189 1147 70 38 719 27 Rhode Island 28199 21668 12540 11788 940 160 1734 80 36 823 14 Vermont 21436 15151 8141 9967 1224 167 1251 83 45 729 16

Mideast Delaware

31060 20159 10832 12154 1122 170 1809 90 24885 19230 10388 11004 1059 146 1615 84

44 35

NA 810

710 8

District of Columbia 28145 15392 12916 839 2324 83 783 13 Maryland New Jersey New York

25559 20788 11066 11772 1064 138 1735 84 24061 17181 9142 11582 1267 159 1506 88 33943 21195 11794 13014 1103 188 2061 97

33 41 46

819 817 829

53 104 288

Pennsylvania Great Lakes

Illinois

31381 19389 9834 11128 1132 187 1615 83 30610 19879 10374 11338 1093 184 1577 79 34481 21303 11192 11739 1049 189 1690 79

47 47 49

783 NA 751

244 910 240

Indiana 24910 17058 8518 10178 1195 181 1312 77 44 755 114 Michigan Ohio

32492 22240 11447 12047 1052 179 1752 79 29477 18712 9900 10962 1107 188 1609 81

44 46

784 783

207 206

Wisconsin 26708 17683 9444 10918 1158 181 1416 80 51 691 143 Plains 28287 16356 8276 10010 1210 202 1326 81 58 NA 799

Iowa 26214 15290 7951 9728 1224 212 1139 75 58 672 131 Kansas 26961 15805 7958 9372 1178 206 1223 77 57 888 144 Minnesota 26003 16076 8890 11073 1274 191 1431 89 60 701 171 Missouri 32071 18259 8759 9967 1138 204 1504 82 56 743 147 Nebraska 26545 15020 7351 9494 1282 197 1239 82 60 889 96 North Dakota 28550 14784 7368 9692 1315 221 1219 82 70 881 53 South Dakota 20158 14684 7524 8715 1158 195 963 66 53 607 57

Southeast Alabama

23267 18440 7933 9297 1172 184 1164 71 25243 16070 7696 9125 1186 201 1134 71

44 49

NA 730

1449 132

Arkansas 19885 14058 6888 8341 1211 200 896 64 46 698 91 Florida 28117 19453 9033 10013 1109 181 1435 74 46 707 208 Georgia Kentucky

21910 17528 8758 9124 1042 188 1112 83 20089 14419 6954 9084 1306 165 1003 70

42 41

876 765

160 108

louisiana 24842 18180 8519 9209 1081 193 1171 64 44 690 139 Mississippi 19992 13735 6635 8413 1268 197 941 88 47 722 104 North Carolina 19765 15043 7573 9011 1190 187 1123 75 39 782 128 South Carolina 16989 14705 7210 8860 1229 156 1041 71 38 750 70 Tennessee 27284 15783 7520 9058 1205 217 1128 71 52 748 140 Virginia West Virginia

SOuthwest

21607 16483 6053 10031 1246 151 1320 80 26448 14859 7546 9395 1245 221 1084 73 23291 18273 8725 9322 1068 178 1205 88

39 53 42

751 735 NJA

102 67

718 Arizona 24764 21610 10268 10116 985 149 1531 71 34 723 58 New Mexico 18809 19360 9472 10333 1091 150 1165 60 30 659 37 Oklahoma 22746 18415 8585 9002 1049 175 1203 65 43 881 119 Texas 23588 17633 8454 9180 1086 188 1159 86 44 878 504

Rocky Mountain 20759 18292 9416 10200 1083 171 1157 63 39 NA 248 Colorado 23593 20038 10552 10718 1016 172 1338 67 40 683 83 Idaho 17144 15921 7861 9531 1212 169 964 61 36 652 46 Montana 20599 13224 8792 9584 1408 187 1033 78 58 842 57 Utah 19014 20932 10314 9970 967 161 1084 52 29 888 35 Wyoming 16021 18901 8984 9351 1043 174 870 52 38 544 27

Far West California

28742 26737 12799 12211 954 157 1708 84 31131 28188 13319 12437 934 158 1843 85

35 36

NA 663

758 518

Nevada 30563 24634 10388 11157 1078 187 1579 64 38 888 19 Oregon 23436 22329 11438 11243 983 162 1347 60 34 670 77 Washington Alaska

20699 21761 11116 11272 1014 158 1218 56 22282 34036 16277 16362 1005 115 1856 55

31 23

668 606

108 16

Hawaii 19395 19534 10253 11672 1138 122 1445 74 28 741 20 Table Is based on American Hospital Association data

HEALTH CARE FINANCING REVIEWDECEMBER ti821Volumbull 4 Numb 2 8

Nationwide an average of $10927 was paid to commiddot munlty hospital employees The Far West and Midmiddot east Regions paid the highest annual salaries and wages In the nation at $12200 The Southeast and Southwest Regions paid the least at $9300 Alaska paid the highest average wages and salaries to their community hospital emPloyees at $16362 This amount was over $3000 higher than the District of Columbia its closest rival

Days of care per full-time equivalent employee Is a rough Indicator of the Intensity of service rendered The fewer days of care for which an employee is reshysponsible permits each employee to devote more time to each patient In the Plains Region employees who were responsible for 121 days of care each year contrasted against the Far West where 95 days of care per employee were given

The admission rate per 10000 population was 177 nationwide In 1978 In the Plains states 202 admisshysions per 10000 population contrasted with the Far Wests 157 admissions

Expense per admission averaged $1482 In the US New England and the Midwest led au other regions In expense per admission with $1800 The Southeast and Rocky Mountain Regions trailed aU other regions with expenses per admission less than $1200 Comshymunity hospitals in the District of Columbia and Massachusetts Incurred the highest expense per admiddot mission with $2324 and $2101 Wyoming and Arkansas registered the lowest expense per admisshysion at $870 and $896 tess than half that of the highmiddot est states

The Plains states outpaced the nation In commiddot munty hospital beds maintained with 58 beds per 1000 population Due to the low population density and their larger than average elderly population more beds need to be available in order to offer easy acmiddot cess to the scattered population The Far West mainshytained 35 beds per thousand residents the lowest ratio maintained by any region

Massachusetts per capita community hospital spending of $388 the highest In the nation can be evaluated in the context of these community hospital statistics Persons receiving community hospital sershyvices In that state paid $244 per day for those sermiddot vices That was the fifth highest dally expense In the nation exceeded only by Alaska Cslifomia District of Columbia and Nevada Of the $244 per day $131 was attributed to labor costs the fourth highest labor expense per day In the US The length of stay In Massachusetts community hospitals was the highest In the New England Region and the third highest In the nation The combination of these factors led to Massachusetts community hospitals expense per admiddot mission being the second highest In the nation

One explanation for Massachusetts high per capita hospital spending may be that Boston serves as the major medical center for northern New England proshyviding more specialized medical services than those

which would be available In most local community hospitals in the region Admissions per 10000 populamiddot tlon would be higher since nonresidents would be atmiddot tracted to the state for these specialized services Length of stay would also be higher than average since more specialized procedures could Indicate more complicated medical problems The combinashytion of high cost per day and long length of stay promiddot duces high expense per admission

Regionally New England leads the nation In hosshypital spending per capita Examining the community hospital statistics show that the Far West Regions cost per day of community hospital care exceeded that of New England by $45 per day Yet the expendishytures In the Far West were $31 less per capita than those In New England Labor costs per day of care and days of care per employee were nearly Identical in both regions What differs was the admission rate (157 persons per 10000 population In the Far West versus 172 persons per 10000 in New England) and the length of stay (64 days of care per admissions In the Far West versus 81 days of care In New England)

Differences in the age structure and health status of the two populations contribute to some of the disshyparity In admission rates and length of stay The following factors could produce additional differshyences variations In Input prices such as fuel wages and fringe benefits and historical regional patterns of medical treatment which prescribe defined lengths of stay In hospitals for particular medical procedures

PLACE OF RESIDENCE In this report state designations Indicate the locamiddot

tlon where the service was rendered In 1978 for exshyample the District of Columbia supplied $7473 milshylion worth of hospital seiVices These services were supp1ed to anyone who chose to purchase hospital services In that jurisdiction whether or not the Disshytrict of Columbia was their residence

Per capita estimates calculated using place of sermiddot vice expenditures and the total population of a state are presented in this report to assist the reader In demiddot termlning spending trends and levels However using per capita spending estimates for state comparisons may be misleading The per capita figures cannot be interpreted as spending per resident unless substanmiddot tlaily all of the services provided in a state are conmiddot sumed by residents of that state and unless resmiddot dents of that state purchase no additional services from other states

The only data available to Indicate the magnitude of difference when estimating on a provldermiddotof-servce versus a residence-of-recipient basis pertains to short-stay hospitals Estimates of per capita expendmiddot tures In community hospitals by place of residence of the recipient are presented in Table 6 The place-ofmiddot residence estimates are based on unpublished Medlmiddot care community hospital reimbursement data which

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numblr 2 9

TABLES

Community Hoapltbulll Pet Capita Health Expendltur 1976 1978

Place of Place of POS Place of SeJVIce Residence POR Service

Place of Residence

POS POR

jPOS jPOR jPOS jPOR us Total $21888 $21849 10009 $27694 $27675 10007 New England

Connecticut 25802 25376 10089 31827 22374 22465 9959 27482

31581 27802

10078 9865

Maine 19922 20860 9550 24789 25667 9658 Massachusetts 30799 29818 10329 38799 37518 10341 New Hampshire Rhode Island

16227 17237 9414 20537 23308 23829 9781 28199

21360 29147

9606 9875

Vermont 18172 18653 9742 21438 22839 9386 Mideast 25357 25358 10000 31080 31160 9974

Delaware 19984 20367 9812 24885 25325 9626 District of COlumbia 52123 35259 14783 67327 48366 14521 MarylandNew Jersey New York

19917 21496 9265 25559 20225 21636 9348 24062 29257 28996 10090 33943

27308 25666 33849

9360 9375

10028 Pennsylvania

Great Lakes 23241 23183 10025 31381 23915 24097 9924 30610

31353 30883

10009 9912

Illinois 26469 270S8 9779 34462 35251 9776 Indiana 19422 19387 10018 24910 248o7 10042 Michigan Ohio

25103 25374 9893 32492 23242 23011 10100 29477

32907 29272

9874 10070

Wisconsin 22070 22261 9914 26708 26978 9900 Plains 21722 21559 10076 28287 28075 10076

Iowa 19535 20198 9672 26214 27461 9548 Kansas 20498 22394 9153 26961 29463 9151 Minnesota 22924 21825 10504 28003 28686 10501 Missouri 23843 22822 10447 32071 30554 10496 Nebraska 20528 20636 9948 26544 26754 9922 North Dakota 22046 20892 10552 28550 26162 10913 South Dakota 15839 16831 9292 20158 21434 9405

Southeast 17961 18119 9913 23267 23418 9936 Alabama 18796 19056 9864 25243 25664 9836 Arkansas 15162 16565 9153 19885 21817 9114 Florida 21877 22304 9809 28117 28618 9825 GeorgiaKentucky Louisiana

17113 16661 10271 21910 18028 16784 9550 20089 19182 18965 10114 24842

21434 20953 24809

10222 9588

10095 Mlsstestppt North Carolina

15102 16542 9129 19992 15136 15118 10012 19765

21568 19649

9269 10059

South Carolina 13653 14446 9451 16989 17735 9579 Tennessee 20786 18761 11079 27284 24330 11214 Virginia West VIrginia

Southwest

18615 16938 9810 21606 20791 21851 9515 26448 18070 17828 10136 23291

22170 27623 22953

9748 9575

10147 Arizona 19641 18732 10485 24764 24028 10306 New Mexico 14579 15741 9262 18609 19936 9334 Oklahoma 17311 16419 9398 22746 24246 9381 Texas 18273 1l727 10308 23568 22754 10358

RockYc Mountain 18818 16754 10038 20759 20684 10036 Coorado 19630 18524 10597 23593 22405 10530 Idaho 13811 15785 8749 17144 19232 8914 Montana 15823 16831 9401 20599 21501 9580 Utah 14927 13952 10699 19014 17657 10769 Wyoming

Far West 12805 15936 7910 18021 22546 22247 10134 28742

20803 28342

77-01 10141

California 24385 24060 10135 31131 30683 10146 Nevada 23080 21956 10511 30583 28804 10618 OregonWashingtonAlaska

18590 18532 10031 23436 18823 16786 10022 20699 14080 13709 10271 22228

23225 20827 20550

10091 9939

10817 Hawatl 14967 14177 10557 19395 19048 10182 Adjusted by Medtcare ShortStay Hospital Reimbursements

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 10

Includes both the location of the service and resishydence of the recipient Ratios of the reimbursements on the place-of-residence and placemiddotofmiddotservice basis for the Medicare population are applied to community hospital expenditure estimates for the total populashytlon3 The per capita expenditure estimates by place of residence represent spending for all community hospital services purchased in any state or us posshysession by residents of that state

These estimates are valid to the extent that the Medicare population reflects the geographic conmiddot sumptlon patterns of the general population Table 6 shows that the ratio of community hospital services provided In a state to the services purchased by state residents cluster between 90 and 110 percent Within each region community hospital services purchased by residents equal991 to 1015 percent of community hospital services rendered In the region

At one extreme at least 45 percent of services promiddot vlded in the District of Columbia were purchased by residents of other states In 1978 District of Colummiddot bla per capita estimates by place of residence were $210 lower than the per capita estimate by place of service Wyoming Illustrates the opposite extreme residents purchased approximately 20 percent more services from other states than those which were proshyvided within the state The per capita spending for community hospital services by Wyoming residents is almost $48 higher per capita in 1978 than the per capmiddot ita estimates by place of service would indicate

Expend(tures for Physicians Services

Between 1966 and 1978 spending for physicians services the second largest component of personal health care expenditures garnered between 21 and 24 percent of every dollar spent on personal health care

Physicians influence on the level of health care spending Is much higher than physician expenditures indicate Physicians prescribe and direct many medlmiddot cal services including hospitalization and prescripshytion drugs

In the us in 1978 $161 per capita was spent for physicians services The Rocky Mountain Region spent the least at $143 per capita followed closely by the Southeast and New England Regions with $145 per capita Physician expenditures in the Far West at $219 per capita exceeded spending In all other reshygions

For 1966 through 1978 Californias physician exmiddot pendltures topped those of all other states In 1978 Its per capita expenditures were $238 For the first

Some research Indicates that travel patterns exhibited by Medicare recipients to obtain hospital services are similar to those exhibited by the general population In small rural areas There is no evidence to show that the same relationmiddot ship exists when examining state data However the asshysumption is made that the directional trends indicated by the place of residence estimates should provide a reasonable estimate of a net inflow or outflow of services in a state

half of the twelve year period Mississippis expendishytures for physician services were the lowest in the nashytion By 1976 Vermont had supplanted Mississippis position in 1978 Vermonts spending for physician services trailed those of sll other states at $90 per capita

In 1978 Massachusetts spent 158 percent of Its health care dollars on physicians services Contrastshying with that low was Hawaii where residents expendmiddot ed 295 percent of every health care dollar for physimiddot clans services

Researchers are examining levels of physician spending in an attempt to explain differences in costs of physician services As the concentration of physishycians increases do physicians induce demand by preshyscribing more laboratory tests and more frequent hosshypitalization and office visits Are the number of these ancillary services reflecting the physicians efforts to attain a target Income Or are these physicians ofmiddot ferlng a significant increase in quality of care Are physicians encouraged through reimbursement proceshydures to offer the most efficient and economical sermiddot vices available to their patients Do third party payshyments reduce the Incentive for consumers to choose physician services wisely

Each of these facets affects regions and states dlfmiddot ferently The mix of reimbursement systems (fee-formiddot service HMO prepaid group practice andor lnsurmiddot ance) standard of living historical medical practices and the concentration of physicians In each area inmiddot troduce different values into physician expenditure patterns in each geographic area

The number of physician services rendered is relatmiddot ed to the number of physicians An Increase In the number of physicians In a geographic area tends to increase the total amount of health care expenditures as more physician services become available for purshychase

Table 7 shows the wide range of physicians per 10000 population In states and regions The number of physicians per population grew from 91 physicians per 10000 population in 1969 to 107 physicians in 1978 For the same period the Far West and Califorshynia specifically maintained the lead over all other reshygions and states In concentration of physicians The lowest concentration of physicians occurred In the Southeast with physicians per 10000 population In Mississippi being the lowest In the nation for 1972 through 1978

Between 1969 and 1978 the Mideasts number of physicians Increased by 14 percent During the same time period the Southeast Southwest and Rocky Mountain states experienced the largest percentage gains In physicians In the nation from 45 to 47 permiddot cent Percent change In the number of physicians in states has been dramatic ranging from a low of 46 percent Increase in New Vorllt to a high of 1077 permiddot cent In Alaska Florida Arizona and Nevada exhibited the largest percent increases in the continental US with 867 801 and 722 percent Increase respectively

HEALTH CARE FINANCING REVIEWIDECEMampER 19821Volume 4 Number 2 11

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 9: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Nationwide an average of $10927 was paid to commiddot munlty hospital employees The Far West and Midmiddot east Regions paid the highest annual salaries and wages In the nation at $12200 The Southeast and Southwest Regions paid the least at $9300 Alaska paid the highest average wages and salaries to their community hospital emPloyees at $16362 This amount was over $3000 higher than the District of Columbia its closest rival

Days of care per full-time equivalent employee Is a rough Indicator of the Intensity of service rendered The fewer days of care for which an employee is reshysponsible permits each employee to devote more time to each patient In the Plains Region employees who were responsible for 121 days of care each year contrasted against the Far West where 95 days of care per employee were given

The admission rate per 10000 population was 177 nationwide In 1978 In the Plains states 202 admisshysions per 10000 population contrasted with the Far Wests 157 admissions

Expense per admission averaged $1482 In the US New England and the Midwest led au other regions In expense per admission with $1800 The Southeast and Rocky Mountain Regions trailed aU other regions with expenses per admission less than $1200 Comshymunity hospitals in the District of Columbia and Massachusetts Incurred the highest expense per admiddot mission with $2324 and $2101 Wyoming and Arkansas registered the lowest expense per admisshysion at $870 and $896 tess than half that of the highmiddot est states

The Plains states outpaced the nation In commiddot munty hospital beds maintained with 58 beds per 1000 population Due to the low population density and their larger than average elderly population more beds need to be available in order to offer easy acmiddot cess to the scattered population The Far West mainshytained 35 beds per thousand residents the lowest ratio maintained by any region

Massachusetts per capita community hospital spending of $388 the highest In the nation can be evaluated in the context of these community hospital statistics Persons receiving community hospital sershyvices In that state paid $244 per day for those sermiddot vices That was the fifth highest dally expense In the nation exceeded only by Alaska Cslifomia District of Columbia and Nevada Of the $244 per day $131 was attributed to labor costs the fourth highest labor expense per day In the US The length of stay In Massachusetts community hospitals was the highest In the New England Region and the third highest In the nation The combination of these factors led to Massachusetts community hospitals expense per admiddot mission being the second highest In the nation

One explanation for Massachusetts high per capita hospital spending may be that Boston serves as the major medical center for northern New England proshyviding more specialized medical services than those

which would be available In most local community hospitals in the region Admissions per 10000 populamiddot tlon would be higher since nonresidents would be atmiddot tracted to the state for these specialized services Length of stay would also be higher than average since more specialized procedures could Indicate more complicated medical problems The combinashytion of high cost per day and long length of stay promiddot duces high expense per admission

Regionally New England leads the nation In hosshypital spending per capita Examining the community hospital statistics show that the Far West Regions cost per day of community hospital care exceeded that of New England by $45 per day Yet the expendishytures In the Far West were $31 less per capita than those In New England Labor costs per day of care and days of care per employee were nearly Identical in both regions What differs was the admission rate (157 persons per 10000 population In the Far West versus 172 persons per 10000 in New England) and the length of stay (64 days of care per admissions In the Far West versus 81 days of care In New England)

Differences in the age structure and health status of the two populations contribute to some of the disshyparity In admission rates and length of stay The following factors could produce additional differshyences variations In Input prices such as fuel wages and fringe benefits and historical regional patterns of medical treatment which prescribe defined lengths of stay In hospitals for particular medical procedures

PLACE OF RESIDENCE In this report state designations Indicate the locamiddot

tlon where the service was rendered In 1978 for exshyample the District of Columbia supplied $7473 milshylion worth of hospital seiVices These services were supp1ed to anyone who chose to purchase hospital services In that jurisdiction whether or not the Disshytrict of Columbia was their residence

Per capita estimates calculated using place of sermiddot vice expenditures and the total population of a state are presented in this report to assist the reader In demiddot termlning spending trends and levels However using per capita spending estimates for state comparisons may be misleading The per capita figures cannot be interpreted as spending per resident unless substanmiddot tlaily all of the services provided in a state are conmiddot sumed by residents of that state and unless resmiddot dents of that state purchase no additional services from other states

The only data available to Indicate the magnitude of difference when estimating on a provldermiddotof-servce versus a residence-of-recipient basis pertains to short-stay hospitals Estimates of per capita expendmiddot tures In community hospitals by place of residence of the recipient are presented in Table 6 The place-ofmiddot residence estimates are based on unpublished Medlmiddot care community hospital reimbursement data which

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numblr 2 9

TABLES

Community Hoapltbulll Pet Capita Health Expendltur 1976 1978

Place of Place of POS Place of SeJVIce Residence POR Service

Place of Residence

POS POR

jPOS jPOR jPOS jPOR us Total $21888 $21849 10009 $27694 $27675 10007 New England

Connecticut 25802 25376 10089 31827 22374 22465 9959 27482

31581 27802

10078 9865

Maine 19922 20860 9550 24789 25667 9658 Massachusetts 30799 29818 10329 38799 37518 10341 New Hampshire Rhode Island

16227 17237 9414 20537 23308 23829 9781 28199

21360 29147

9606 9875

Vermont 18172 18653 9742 21438 22839 9386 Mideast 25357 25358 10000 31080 31160 9974

Delaware 19984 20367 9812 24885 25325 9626 District of COlumbia 52123 35259 14783 67327 48366 14521 MarylandNew Jersey New York

19917 21496 9265 25559 20225 21636 9348 24062 29257 28996 10090 33943

27308 25666 33849

9360 9375

10028 Pennsylvania

Great Lakes 23241 23183 10025 31381 23915 24097 9924 30610

31353 30883

10009 9912

Illinois 26469 270S8 9779 34462 35251 9776 Indiana 19422 19387 10018 24910 248o7 10042 Michigan Ohio

25103 25374 9893 32492 23242 23011 10100 29477

32907 29272

9874 10070

Wisconsin 22070 22261 9914 26708 26978 9900 Plains 21722 21559 10076 28287 28075 10076

Iowa 19535 20198 9672 26214 27461 9548 Kansas 20498 22394 9153 26961 29463 9151 Minnesota 22924 21825 10504 28003 28686 10501 Missouri 23843 22822 10447 32071 30554 10496 Nebraska 20528 20636 9948 26544 26754 9922 North Dakota 22046 20892 10552 28550 26162 10913 South Dakota 15839 16831 9292 20158 21434 9405

Southeast 17961 18119 9913 23267 23418 9936 Alabama 18796 19056 9864 25243 25664 9836 Arkansas 15162 16565 9153 19885 21817 9114 Florida 21877 22304 9809 28117 28618 9825 GeorgiaKentucky Louisiana

17113 16661 10271 21910 18028 16784 9550 20089 19182 18965 10114 24842

21434 20953 24809

10222 9588

10095 Mlsstestppt North Carolina

15102 16542 9129 19992 15136 15118 10012 19765

21568 19649

9269 10059

South Carolina 13653 14446 9451 16989 17735 9579 Tennessee 20786 18761 11079 27284 24330 11214 Virginia West VIrginia

Southwest

18615 16938 9810 21606 20791 21851 9515 26448 18070 17828 10136 23291

22170 27623 22953

9748 9575

10147 Arizona 19641 18732 10485 24764 24028 10306 New Mexico 14579 15741 9262 18609 19936 9334 Oklahoma 17311 16419 9398 22746 24246 9381 Texas 18273 1l727 10308 23568 22754 10358

RockYc Mountain 18818 16754 10038 20759 20684 10036 Coorado 19630 18524 10597 23593 22405 10530 Idaho 13811 15785 8749 17144 19232 8914 Montana 15823 16831 9401 20599 21501 9580 Utah 14927 13952 10699 19014 17657 10769 Wyoming

Far West 12805 15936 7910 18021 22546 22247 10134 28742

20803 28342

77-01 10141

California 24385 24060 10135 31131 30683 10146 Nevada 23080 21956 10511 30583 28804 10618 OregonWashingtonAlaska

18590 18532 10031 23436 18823 16786 10022 20699 14080 13709 10271 22228

23225 20827 20550

10091 9939

10817 Hawatl 14967 14177 10557 19395 19048 10182 Adjusted by Medtcare ShortStay Hospital Reimbursements

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 10

Includes both the location of the service and resishydence of the recipient Ratios of the reimbursements on the place-of-residence and placemiddotofmiddotservice basis for the Medicare population are applied to community hospital expenditure estimates for the total populashytlon3 The per capita expenditure estimates by place of residence represent spending for all community hospital services purchased in any state or us posshysession by residents of that state

These estimates are valid to the extent that the Medicare population reflects the geographic conmiddot sumptlon patterns of the general population Table 6 shows that the ratio of community hospital services provided In a state to the services purchased by state residents cluster between 90 and 110 percent Within each region community hospital services purchased by residents equal991 to 1015 percent of community hospital services rendered In the region

At one extreme at least 45 percent of services promiddot vlded in the District of Columbia were purchased by residents of other states In 1978 District of Colummiddot bla per capita estimates by place of residence were $210 lower than the per capita estimate by place of service Wyoming Illustrates the opposite extreme residents purchased approximately 20 percent more services from other states than those which were proshyvided within the state The per capita spending for community hospital services by Wyoming residents is almost $48 higher per capita in 1978 than the per capmiddot ita estimates by place of service would indicate

Expend(tures for Physicians Services

Between 1966 and 1978 spending for physicians services the second largest component of personal health care expenditures garnered between 21 and 24 percent of every dollar spent on personal health care

Physicians influence on the level of health care spending Is much higher than physician expenditures indicate Physicians prescribe and direct many medlmiddot cal services including hospitalization and prescripshytion drugs

In the us in 1978 $161 per capita was spent for physicians services The Rocky Mountain Region spent the least at $143 per capita followed closely by the Southeast and New England Regions with $145 per capita Physician expenditures in the Far West at $219 per capita exceeded spending In all other reshygions

For 1966 through 1978 Californias physician exmiddot pendltures topped those of all other states In 1978 Its per capita expenditures were $238 For the first

Some research Indicates that travel patterns exhibited by Medicare recipients to obtain hospital services are similar to those exhibited by the general population In small rural areas There is no evidence to show that the same relationmiddot ship exists when examining state data However the asshysumption is made that the directional trends indicated by the place of residence estimates should provide a reasonable estimate of a net inflow or outflow of services in a state

half of the twelve year period Mississippis expendishytures for physician services were the lowest in the nashytion By 1976 Vermont had supplanted Mississippis position in 1978 Vermonts spending for physician services trailed those of sll other states at $90 per capita

In 1978 Massachusetts spent 158 percent of Its health care dollars on physicians services Contrastshying with that low was Hawaii where residents expendmiddot ed 295 percent of every health care dollar for physimiddot clans services

Researchers are examining levels of physician spending in an attempt to explain differences in costs of physician services As the concentration of physishycians increases do physicians induce demand by preshyscribing more laboratory tests and more frequent hosshypitalization and office visits Are the number of these ancillary services reflecting the physicians efforts to attain a target Income Or are these physicians ofmiddot ferlng a significant increase in quality of care Are physicians encouraged through reimbursement proceshydures to offer the most efficient and economical sermiddot vices available to their patients Do third party payshyments reduce the Incentive for consumers to choose physician services wisely

Each of these facets affects regions and states dlfmiddot ferently The mix of reimbursement systems (fee-formiddot service HMO prepaid group practice andor lnsurmiddot ance) standard of living historical medical practices and the concentration of physicians In each area inmiddot troduce different values into physician expenditure patterns in each geographic area

The number of physician services rendered is relatmiddot ed to the number of physicians An Increase In the number of physicians In a geographic area tends to increase the total amount of health care expenditures as more physician services become available for purshychase

Table 7 shows the wide range of physicians per 10000 population In states and regions The number of physicians per population grew from 91 physicians per 10000 population in 1969 to 107 physicians in 1978 For the same period the Far West and Califorshynia specifically maintained the lead over all other reshygions and states In concentration of physicians The lowest concentration of physicians occurred In the Southeast with physicians per 10000 population In Mississippi being the lowest In the nation for 1972 through 1978

Between 1969 and 1978 the Mideasts number of physicians Increased by 14 percent During the same time period the Southeast Southwest and Rocky Mountain states experienced the largest percentage gains In physicians In the nation from 45 to 47 permiddot cent Percent change In the number of physicians in states has been dramatic ranging from a low of 46 percent Increase in New Vorllt to a high of 1077 permiddot cent In Alaska Florida Arizona and Nevada exhibited the largest percent increases in the continental US with 867 801 and 722 percent Increase respectively

HEALTH CARE FINANCING REVIEWIDECEMampER 19821Volume 4 Number 2 11

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 10: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLES

Community Hoapltbulll Pet Capita Health Expendltur 1976 1978

Place of Place of POS Place of SeJVIce Residence POR Service

Place of Residence

POS POR

jPOS jPOR jPOS jPOR us Total $21888 $21849 10009 $27694 $27675 10007 New England

Connecticut 25802 25376 10089 31827 22374 22465 9959 27482

31581 27802

10078 9865

Maine 19922 20860 9550 24789 25667 9658 Massachusetts 30799 29818 10329 38799 37518 10341 New Hampshire Rhode Island

16227 17237 9414 20537 23308 23829 9781 28199

21360 29147

9606 9875

Vermont 18172 18653 9742 21438 22839 9386 Mideast 25357 25358 10000 31080 31160 9974

Delaware 19984 20367 9812 24885 25325 9626 District of COlumbia 52123 35259 14783 67327 48366 14521 MarylandNew Jersey New York

19917 21496 9265 25559 20225 21636 9348 24062 29257 28996 10090 33943

27308 25666 33849

9360 9375

10028 Pennsylvania

Great Lakes 23241 23183 10025 31381 23915 24097 9924 30610

31353 30883

10009 9912

Illinois 26469 270S8 9779 34462 35251 9776 Indiana 19422 19387 10018 24910 248o7 10042 Michigan Ohio

25103 25374 9893 32492 23242 23011 10100 29477

32907 29272

9874 10070

Wisconsin 22070 22261 9914 26708 26978 9900 Plains 21722 21559 10076 28287 28075 10076

Iowa 19535 20198 9672 26214 27461 9548 Kansas 20498 22394 9153 26961 29463 9151 Minnesota 22924 21825 10504 28003 28686 10501 Missouri 23843 22822 10447 32071 30554 10496 Nebraska 20528 20636 9948 26544 26754 9922 North Dakota 22046 20892 10552 28550 26162 10913 South Dakota 15839 16831 9292 20158 21434 9405

Southeast 17961 18119 9913 23267 23418 9936 Alabama 18796 19056 9864 25243 25664 9836 Arkansas 15162 16565 9153 19885 21817 9114 Florida 21877 22304 9809 28117 28618 9825 GeorgiaKentucky Louisiana

17113 16661 10271 21910 18028 16784 9550 20089 19182 18965 10114 24842

21434 20953 24809

10222 9588

10095 Mlsstestppt North Carolina

15102 16542 9129 19992 15136 15118 10012 19765

21568 19649

9269 10059

South Carolina 13653 14446 9451 16989 17735 9579 Tennessee 20786 18761 11079 27284 24330 11214 Virginia West VIrginia

Southwest

18615 16938 9810 21606 20791 21851 9515 26448 18070 17828 10136 23291

22170 27623 22953

9748 9575

10147 Arizona 19641 18732 10485 24764 24028 10306 New Mexico 14579 15741 9262 18609 19936 9334 Oklahoma 17311 16419 9398 22746 24246 9381 Texas 18273 1l727 10308 23568 22754 10358

RockYc Mountain 18818 16754 10038 20759 20684 10036 Coorado 19630 18524 10597 23593 22405 10530 Idaho 13811 15785 8749 17144 19232 8914 Montana 15823 16831 9401 20599 21501 9580 Utah 14927 13952 10699 19014 17657 10769 Wyoming

Far West 12805 15936 7910 18021 22546 22247 10134 28742

20803 28342

77-01 10141

California 24385 24060 10135 31131 30683 10146 Nevada 23080 21956 10511 30583 28804 10618 OregonWashingtonAlaska

18590 18532 10031 23436 18823 16786 10022 20699 14080 13709 10271 22228

23225 20827 20550

10091 9939

10817 Hawatl 14967 14177 10557 19395 19048 10182 Adjusted by Medtcare ShortStay Hospital Reimbursements

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 10

Includes both the location of the service and resishydence of the recipient Ratios of the reimbursements on the place-of-residence and placemiddotofmiddotservice basis for the Medicare population are applied to community hospital expenditure estimates for the total populashytlon3 The per capita expenditure estimates by place of residence represent spending for all community hospital services purchased in any state or us posshysession by residents of that state

These estimates are valid to the extent that the Medicare population reflects the geographic conmiddot sumptlon patterns of the general population Table 6 shows that the ratio of community hospital services provided In a state to the services purchased by state residents cluster between 90 and 110 percent Within each region community hospital services purchased by residents equal991 to 1015 percent of community hospital services rendered In the region

At one extreme at least 45 percent of services promiddot vlded in the District of Columbia were purchased by residents of other states In 1978 District of Colummiddot bla per capita estimates by place of residence were $210 lower than the per capita estimate by place of service Wyoming Illustrates the opposite extreme residents purchased approximately 20 percent more services from other states than those which were proshyvided within the state The per capita spending for community hospital services by Wyoming residents is almost $48 higher per capita in 1978 than the per capmiddot ita estimates by place of service would indicate

Expend(tures for Physicians Services

Between 1966 and 1978 spending for physicians services the second largest component of personal health care expenditures garnered between 21 and 24 percent of every dollar spent on personal health care

Physicians influence on the level of health care spending Is much higher than physician expenditures indicate Physicians prescribe and direct many medlmiddot cal services including hospitalization and prescripshytion drugs

In the us in 1978 $161 per capita was spent for physicians services The Rocky Mountain Region spent the least at $143 per capita followed closely by the Southeast and New England Regions with $145 per capita Physician expenditures in the Far West at $219 per capita exceeded spending In all other reshygions

For 1966 through 1978 Californias physician exmiddot pendltures topped those of all other states In 1978 Its per capita expenditures were $238 For the first

Some research Indicates that travel patterns exhibited by Medicare recipients to obtain hospital services are similar to those exhibited by the general population In small rural areas There is no evidence to show that the same relationmiddot ship exists when examining state data However the asshysumption is made that the directional trends indicated by the place of residence estimates should provide a reasonable estimate of a net inflow or outflow of services in a state

half of the twelve year period Mississippis expendishytures for physician services were the lowest in the nashytion By 1976 Vermont had supplanted Mississippis position in 1978 Vermonts spending for physician services trailed those of sll other states at $90 per capita

In 1978 Massachusetts spent 158 percent of Its health care dollars on physicians services Contrastshying with that low was Hawaii where residents expendmiddot ed 295 percent of every health care dollar for physimiddot clans services

Researchers are examining levels of physician spending in an attempt to explain differences in costs of physician services As the concentration of physishycians increases do physicians induce demand by preshyscribing more laboratory tests and more frequent hosshypitalization and office visits Are the number of these ancillary services reflecting the physicians efforts to attain a target Income Or are these physicians ofmiddot ferlng a significant increase in quality of care Are physicians encouraged through reimbursement proceshydures to offer the most efficient and economical sermiddot vices available to their patients Do third party payshyments reduce the Incentive for consumers to choose physician services wisely

Each of these facets affects regions and states dlfmiddot ferently The mix of reimbursement systems (fee-formiddot service HMO prepaid group practice andor lnsurmiddot ance) standard of living historical medical practices and the concentration of physicians In each area inmiddot troduce different values into physician expenditure patterns in each geographic area

The number of physician services rendered is relatmiddot ed to the number of physicians An Increase In the number of physicians In a geographic area tends to increase the total amount of health care expenditures as more physician services become available for purshychase

Table 7 shows the wide range of physicians per 10000 population In states and regions The number of physicians per population grew from 91 physicians per 10000 population in 1969 to 107 physicians in 1978 For the same period the Far West and Califorshynia specifically maintained the lead over all other reshygions and states In concentration of physicians The lowest concentration of physicians occurred In the Southeast with physicians per 10000 population In Mississippi being the lowest In the nation for 1972 through 1978

Between 1969 and 1978 the Mideasts number of physicians Increased by 14 percent During the same time period the Southeast Southwest and Rocky Mountain states experienced the largest percentage gains In physicians In the nation from 45 to 47 permiddot cent Percent change In the number of physicians in states has been dramatic ranging from a low of 46 percent Increase in New Vorllt to a high of 1077 permiddot cent In Alaska Florida Arizona and Nevada exhibited the largest percent increases in the continental US with 867 801 and 722 percent Increase respectively

HEALTH CARE FINANCING REVIEWIDECEMampER 19821Volume 4 Number 2 11

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 11: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Includes both the location of the service and resishydence of the recipient Ratios of the reimbursements on the place-of-residence and placemiddotofmiddotservice basis for the Medicare population are applied to community hospital expenditure estimates for the total populashytlon3 The per capita expenditure estimates by place of residence represent spending for all community hospital services purchased in any state or us posshysession by residents of that state

These estimates are valid to the extent that the Medicare population reflects the geographic conmiddot sumptlon patterns of the general population Table 6 shows that the ratio of community hospital services provided In a state to the services purchased by state residents cluster between 90 and 110 percent Within each region community hospital services purchased by residents equal991 to 1015 percent of community hospital services rendered In the region

At one extreme at least 45 percent of services promiddot vlded in the District of Columbia were purchased by residents of other states In 1978 District of Colummiddot bla per capita estimates by place of residence were $210 lower than the per capita estimate by place of service Wyoming Illustrates the opposite extreme residents purchased approximately 20 percent more services from other states than those which were proshyvided within the state The per capita spending for community hospital services by Wyoming residents is almost $48 higher per capita in 1978 than the per capmiddot ita estimates by place of service would indicate

Expend(tures for Physicians Services

Between 1966 and 1978 spending for physicians services the second largest component of personal health care expenditures garnered between 21 and 24 percent of every dollar spent on personal health care

Physicians influence on the level of health care spending Is much higher than physician expenditures indicate Physicians prescribe and direct many medlmiddot cal services including hospitalization and prescripshytion drugs

In the us in 1978 $161 per capita was spent for physicians services The Rocky Mountain Region spent the least at $143 per capita followed closely by the Southeast and New England Regions with $145 per capita Physician expenditures in the Far West at $219 per capita exceeded spending In all other reshygions

For 1966 through 1978 Californias physician exmiddot pendltures topped those of all other states In 1978 Its per capita expenditures were $238 For the first

Some research Indicates that travel patterns exhibited by Medicare recipients to obtain hospital services are similar to those exhibited by the general population In small rural areas There is no evidence to show that the same relationmiddot ship exists when examining state data However the asshysumption is made that the directional trends indicated by the place of residence estimates should provide a reasonable estimate of a net inflow or outflow of services in a state

half of the twelve year period Mississippis expendishytures for physician services were the lowest in the nashytion By 1976 Vermont had supplanted Mississippis position in 1978 Vermonts spending for physician services trailed those of sll other states at $90 per capita

In 1978 Massachusetts spent 158 percent of Its health care dollars on physicians services Contrastshying with that low was Hawaii where residents expendmiddot ed 295 percent of every health care dollar for physimiddot clans services

Researchers are examining levels of physician spending in an attempt to explain differences in costs of physician services As the concentration of physishycians increases do physicians induce demand by preshyscribing more laboratory tests and more frequent hosshypitalization and office visits Are the number of these ancillary services reflecting the physicians efforts to attain a target Income Or are these physicians ofmiddot ferlng a significant increase in quality of care Are physicians encouraged through reimbursement proceshydures to offer the most efficient and economical sermiddot vices available to their patients Do third party payshyments reduce the Incentive for consumers to choose physician services wisely

Each of these facets affects regions and states dlfmiddot ferently The mix of reimbursement systems (fee-formiddot service HMO prepaid group practice andor lnsurmiddot ance) standard of living historical medical practices and the concentration of physicians In each area inmiddot troduce different values into physician expenditure patterns in each geographic area

The number of physician services rendered is relatmiddot ed to the number of physicians An Increase In the number of physicians In a geographic area tends to increase the total amount of health care expenditures as more physician services become available for purshychase

Table 7 shows the wide range of physicians per 10000 population In states and regions The number of physicians per population grew from 91 physicians per 10000 population in 1969 to 107 physicians in 1978 For the same period the Far West and Califorshynia specifically maintained the lead over all other reshygions and states In concentration of physicians The lowest concentration of physicians occurred In the Southeast with physicians per 10000 population In Mississippi being the lowest In the nation for 1972 through 1978

Between 1969 and 1978 the Mideasts number of physicians Increased by 14 percent During the same time period the Southeast Southwest and Rocky Mountain states experienced the largest percentage gains In physicians In the nation from 45 to 47 permiddot cent Percent change In the number of physicians in states has been dramatic ranging from a low of 46 percent Increase in New Vorllt to a high of 1077 permiddot cent In Alaska Florida Arizona and Nevada exhibited the largest percent increases in the continental US with 867 801 and 722 percent Increase respectively

HEALTH CARE FINANCING REVIEWIDECEMampER 19821Volume 4 Number 2 11

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 12: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLE7

Number of Physicians and Phyalclana P~r10000 Population 1969 1978

Number of Physicians Per Number of Physicians Per Percent Change In Physicians 10000 Population Physicians 10000 Population Number of Physicians

us Total 183119 91 237071 107 295 New England 12122 103 15608 127 288

Connecticut 3343 111 4098 132 226 Maine 757 76 1111 100 468 Massachusetts 5986 106 7703 134 285 New Hampshire 694 96 962 108 386 Rhode Island 876 94 1120 117 279 Vermont 456 104 614 123 348

Mideast 44717 106 51038 120 141 Delaware 472 87 601 101 273 District of Columbia 1461 192 1626 243 113 Maryland 3392 88 5207 124 New Jersey 6627 93 7987 109

535 205

New York 22253 123 23282 131 48 Pennsylvania 10512 90 12335 104 173

Great Lakes 32013 80 39446 95 Illinois 9324 84 11856 104

232 272

Indiana 3838 75 4614 85 202 Michigan 6512 74 8164 89 254 Ohio 8754 83 10220 95 167 Wisconsin 3585 82 4592 99 281

Plains 12620 78 15797 93 252 Iowa 2026 72 2355 81 162 Kansas 1657 74 2197 94 326 Minnesota 3391 90 4371 109 289 Missouri 3456 74 4315 69 249 Nebraska 1180 80 1442 92 222 North Dakota 473 78 608 93 285 SOuth Dakota 437 65 509 74 165

Southeast 32069 74 46984 92 465 Alabama 2172 63 2981 78 372 Arkansas 1249 85 1749 78 400 Florida 5885 89 10990 120 867 Georgia 3227 71 4691 89 454 Kentucky 2303 72 2946 82 279 Louisiana 2825 78 3615 89 280 Mississippi 1383 62 1781 72 288 North Csrolina 3530 70 5067 88 435 South Carolina 1827 63 2342 77 Tennessee 3002 77 4073 91

439 357

Virginia 3606 78 5193 98 440 West Virginia 1260 72 1556 81

Southwest 13139 80 19006 94 235 447

Arizona 1581 91 2847 113 New Mexico 725 72 1116 89

601 539

Oklahoma 1827 72 2424 83 327 Texas 9006 82 12619 93 401

Rocky Mountain 4839 94 6793 109 464 Colorado 2284 105 3454 125 512 Idaho 554 78 760 88 408 Montana 599 86 818 104 386 Utah 941 90 1388 102 475 Wyoming 261 79 353 82 352

Far West 31800 119 42399 136 333 Callfomla 25045 127 32754 143 308 Nevada 407 85 701 97 722 Oregon 2052 100 2965 118 445 Washington 3355 100 4476 115 334 Alaska 168 57 349 87 1077 Hawaii 773 103 1154 124 493 American Medical Association Nonfederal Office-Based Physicians Involved in Patient care

HEALTH CARE FINANCING REYIEWIOECEMBEA 1tampWVoluMe 4 Number 2 12

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 13: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

The states and regions In which large percentage increases in number of physicians existed were also areas of large population growth (Table 11) The net result was little change in the rankings of physician concentration in regions and states between 1969 and 1978 The exceptions included Maine Maryland and Alaska which had jumped in physician concentration rank by at least ten states and Wyoming and Idaho which had dropped In physician concentration rank by at least ten states

Several precautions should be observed when usshying Table 7 The physicians In a state render services to nonresidents and residents seek physician sermiddot vices In other states States with major cities situated on their borders are particularly vulnerable to inflated physicianpopulation ratios since patients are likely to come from other states Conversely states adjoinshying outmiddotofmiddotstate metropolitan areas may register lower physicianpopulation ratios than what actually exists as residents receive physician care in other states

Low physicianpopulation ratios by themselves should not be interpreted as an indication of undershyserved areas For example high physician to populamiddot lion ratios could exist in a geographic area yet defimiddot nlte needs of the population might not be met Examshyples exist where physician concentrations are high in wealthy areas of a state or city and low in poor areas High physician concentration could exist due to high concentrations of specialty care physicians masking the need for general practitioners On the other hand the needs of an area with low physician concentramiddot lion could be met through the use of paraprofessionshyals such as physician assistants and nurse practitionshyers

Another concern involves the age structure of an area and the health status associated with each age group A younger population tends to require fewer health services than an older population Since physimiddot clans direct a large proportion of health services one would expect areas with older populations to require greater concentrations of physicians Floridas high concentration of elderly supports a high concentrashytion of physicians Conversely states where the eldershyly population is a small proportion of the total populashytion such as Alaska Nevada and Wyoming could have low physician concentration ratios

Expenditures for Nursing Home Care

In 1978 nursing home expenditures accounted for 92 percent of personal health care expenditures or $68 per capita nationwide Distinct regional patterns exist In spending from a high of $110 per person In New England to a low of $46 in the Southeast Minneshysotas expenditures were the highest in the nation at $126 per capita Alaska consumed the smallest amounts of care spending only $12 per capita for nursing home care

The supply of nursing home beds provides an indishycation of the historical demand for this service Table 8 presents information on the number of nursing

home beds and the beds per 1000 population aged 65 and over for 1978 The greatest concentration of nursshyIng home beds occurs in the Plains Region where 79 beds per 1000 population 65 and over existed This Is equivalent to one bed for every 13 individuals 65 and over Contrasting with that region is the Southeast where 39 beds per 1000 aged population were mainmiddot tained or one bed for every 26 aged persons

In 1978 Alaska ranked highest In the nation in conmiddot centratlon of nursing home beds for the elderly with 111 beds per 1000 elderly persons The correspondmiddot ingly low per capita spending for nursing home care reflects the extremely low percentage of 65 and over population which exists in Alaska

On the other hand South Dakota and Minnesota with 97 and 96 beds per thousand 65 and over populashytion spent $97 and $126 per capita respectively for nursing home care well above the $68 nationwide per capita

Minnesotas high per capita spending may be due to a variety of factors The reimbursement system used to determine payments may encourage nursing home providers to increase costs because the prices charged during one period affect the reimbursement level during the next period The large amount of money filtering into the nursing home system Inmiddot creases the quality of care and quality of the facilities themselves It helps to give nursing homes a more positive image than that which they might have In other states A strong hospital utilization review sysshytem In Minnesota insures that expensive hospital beds are not used when nursing home beds could be an effective substitute In addition Minnesotas popumiddot latlon structure makes the state a good candidate for nursing home use Its elderly population has a higher than average proportion of older elderly 4

Expenditures for Drug and Medical Sundries

In 1978 expenditures for drugs and medical sunmiddot dries comprised 93 percent of total personal health care spending compared to 140 percent in 1966 The drop In percentage in later years is due to the fact that growth in drug prices has consistently been lowshyer than that of other medical care prices throughout the period

Drug expenditures constitute the third largest component in personal health care expenditures In 1978 spending for drugs amounted to $69 per capita nationwide

Throughout the 12 year period the Far West Reshygion and the state of Nevada maintained the highest er capita spending patterns for regions and states

bullMedicare enrollment data demonstrates that the elderly live longer in Minnesota than in the US overall (SSA 1975) n unpublished Medicare enrollment data for 1978 for exmiddot mple 602 percent of the 65 and over Medicare enrollees in he US were 70 or more years old and 365 percent were 75

p

Iator older In Minnesota 643 percent were 70 or older and 409 percent were 75 or older

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 13

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 14: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLES

Number of Nursing Home Beda and Nursing Home Beds Per Popu(atlon Aged 86 and Over 1978

Beds Per Number of 1000

Beds 65 and Over US Total 1348794 560 New England 101642 700

Connecticut 20189 580 Maine 10733 807 Massachusetts 51175 731 New Hampshire 6583 886 Rhode Island 7981 660 Vermont 4981 906

Mideast 246618 506 Delaware 2484 452 District of Columbia 2873 399 Maryland 19322 522 New Jersey 37528 455 New York 104523 499 Pennsylvania 79888 547

Great Lakes 265880 618 Illinois 61487 511 Indiana 41010 731 Michigan 60238 694 Ohio 52007 463 Wisconsin 51138 938

Plains 169003 793 Iowa 33910 699 Kansas 19842 668 Minnesota 44350 960 Missouri 40588 647 Nebraska 16586 821 North Dakota 5060 651 South Dakota 8647 972

Southeast 221194 388 Alabama 19246 471 Arkansas 16561 567 Florida 34422 226 Georgia 29788 629 Kentucky 17551 454 Louisiana 13885 375 Mississippi 10162 376 North Carolina 24614 447 South Carolina 9427 365 Tennessee 18461 386 Virginia 21008 449 West Virginia 6089 274

Southwest 119260 597 Arizona 6823 252 New Mexico 2640 254 Oklahoma 17223 464 Texas 92574 732

Rocky Mountain 34297 637 Colorado 19228 829 Idaho 4381 504 Montana 4320 533 Utah 4388 430 Wyoming 1982 551

Far West 190900 622 California 138219 615 Nevada 1686 301 Oregon 11663 409 Washington 34909 871 Alaska 1108 1108 Hawaii 3315 495 National Center for Health Statistics (NCHS 1981)

with spending levels of $76 and $93 respectively The Rocky Mountain and Plains Regions registered the lowest per capita expenditures with S62 each In 1978 For the same year North Dakotas expenditures of $56 per capita were the loweSt In the nation

Since drug and medical sundries represent purmiddot chases of these goods In noninstltutlonalized setshytings spending patterns by region could result which negatively correlate to hospital and nursing home spending The Southeast and Southwest Regions spend the least amounts per capita for nursing home care They are among the three lowest spending reshygions for hospital care In drug expenditures howshyever these two regions are second and third In per capita spending

Expenditures for Dental Services

In 1978 $53 per person was spent on dental care This amount represents 71 percent of personal health care expenditures Spending ranged from a low of $28 per person In Kentucky and Mississippi to a high of $81 per person In Washington Regionally the Southmiddot east and Southwest spent the least per person on dental care Their expenditures In 1978 were $41 and $44 per person At the other extreme the Far West purchased $79 worth of dental services per person

Expenditures for Other Personal Health Care

The remaining portions of personal health care expenditures Including other professional services eyeglasses and appliances and other health services comprised only 76 percent of personal health care expenditures In 1978 Their Impact on regional and state spending patterns was minimal Over the 12 year period these categories have declined In Imshyportance dropping from 96 percent of personal health care expenditures In 1966 to Its present level

Economic and Demographic Factors Affecting Personal Health

Care Expenditures

Interpretation of personal health care expenditures estimates should be made within the context of other economic and demographic factors Two factorsshypersonal Income and population-will be dlscussed in this section

Personal Income

Personal income Includes the income from all sources less personal contributions to social inshysurance programs such as Social Security Medicare and government retirement programs but before the removal of Federal state and local taxes It includes for example wages and salaries employer contribumiddot tlons to health and welfare funds and employers pay-

HEALTH CARE FINANCING REVIEWfDECEMBER 1982V~ume 4 Number 2 14

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 15: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

ments in-kind income from self-employment includshying farm dividends interest rents and royalties and transfer payments Table 9 lists personal income per capita by state (BEA 1966 1981)

In 1978 personal income per capita amounted to $7735 Between 1966 and 1978 personal income rose at an average annual rate of 83 percent Leading the US in per capita income was the Far West Region with $8620 per person The Southeast with per capimiddot ta personal income of $6615 was lower than any other region in personal income by at least $700 per person

Alaska had the highest income of any state at $10875 per person This was partially caused by the boom created in the building of the Alaskan pipeline The District of Columbia with per capita personal inshycome of $9415 and Connecticut with $9107 per capishyta ranked second and third The lowest per capita inshycomes In the US were recorded in Mississippishy$5463 South Carolina-$5997 and Arkansas-$6020

Personal income per capita provides a reasonable indication of the standard of living and the relative wage levels commanded in an area Personal income also indicates the ability of individuals to purchase services and the relative price which residents could pay If an individual had budgeted five percent of his income to personal health care in 1978 the amounts would have varied in magnitude from $544 per person In Alaska to $273 per person in Mississippi To the exmiddot tent that prices of health services vary with available income expenditure levels In geographic regions and states will be affected

It is inappropriate however to calculate state permiddot sonal health expenditures as a percentage of state personal income because the two concepts are not comparable In the first place personal income per capita estimates are produced on a locationmiddotof-resimiddot dence basis while personal health expenditures are calculated to reflect location of service Some idea of the magnitude of difference In the location-of-service versus location-of-residence concept for personal health care expenditures can be derived from the processing section titled Place of Residence

Secondly personal income excludes from Its conmiddot cept many of the public program payments for pershysonal health care Medicaid and state public assisshytance vendor payment programs Veterans Admiddot ministration payments Department of Defense payshyments and ali other federal state and local programs except Medicare and workers compensation are exmiddot eluded from the personal income accounts This amounts to 17 percent of personal health care not beshying counted in personal income in 1978

Last of ail the nature of Federal program expendishytures implies a redistribution of income Income in the form of taxes to the Treasury does not necessarishyly return in the same proportion to the states from which It came In some cases distribution of funds is

based on age or disability as in the case of Medicare and workers compensation In other cases the dlstrimiddot bution uses formulas which include the inverse of personal income with the lowest income states (which generate the least tax revenue) receiving the greatest proportion of the funds Examples would inmiddot ciude grant programs such as Medicaid and Maternal and Child Health

The ideal comparison if the data were available would be to compare consumer personal health care expenditures per capita by state of residency to per capita personal income less Medicare and workers compensation medical benefits In 1978 almost 60 percent of spending nationally for health care came from consumers either directly as a payment or coshypayment for service or indirectly through private Inshysurance premiums This represents a drop from 1966 when consumers financed over 72 percent of pershysonal health care Almost all of this decline was offmiddot set by payments from public programs

Despite the decline in the proportion of personal health care paid for by the consumer consumer pershysonal health care as a proportion of personal income less Medicare and workers compensation medical benefits was growing from 49 percent in 1966 to 59 percent in 1978 Since the cost of health care to the consumer has been growing at a faster rate than pershysonal income increasingly more difficult consumpshytion choices must be made as individuals decide on which services and goods to spend their limited reshysources

Population

From 1966 through 1978 personal health expendmiddot tures In the US grew at an annual rate of 128 pershycent Factors contributing to this growth rate Include changes in the price of health goods and services changes in the quantity and intensity of services rendered and changes In population levels and structure

Between 1966 and 1978 resident population In the US grew from 1955 million to 2221 million persons (Census 1971 1981 a) As population increases exshypenditures tor health care will grow as the demand for services by more people Is met The changing population structure in this case aging is another source of increased utilization Health expenditures will grow due to the larger number of older individmiddot uals who require more frequent and expensive medimiddot cal services The most recent estimates of personal health care spending Qy age Indicate that in 1978 the aged purchased 71 times the amount of personal health care as did the 18 and under population For the 19middot64 year old cohort purchases tor personal health care goods and services amounted to 27 times the amount purchased by the under 19 year old popushylation (Fisher 1980)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volumbull 4 Numbbullr 2 15

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 16: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLE 9

Personal Income Per Capita by State 1966-1978

1966 1969 1972 1976 1977 1978 us Total $2962 $3713 $4515 $6374 $6979 $7735 New England 3219 4048 4647 6619

Connecticut 3741 4664 5464 7446 7211 8182

7964 9107

Maine 2421 3040 3706 5349 Massachusetts 3207 4073 4947 6697

5757 7283

6327 7999

New Hampshire 2680 3590 4256 5942 Rhode Island 3009 3690 4430 6159

6516 6710

7264 7437

Vermont 2651 3302 3948 5367 5736 6388 Mideast 3329 4169 5040 6903

Delaware 3523 4289 5141 6992 7476 7492

8215 8229

District of Columbia 3588 4434 5668 7932 Maryland 3153 4020 4953 6990 New Jersey 3542 4412 5389 7358 New York 3520 4405 5256 6997

8673 7539 8001 7537

9415 8429 8700 8256

Pennsylvania 2942 3684 4478 6384 Great Lakes 3205 3930 4699 6679

6967 7389

7639 8159

Illinois 3498 4287 5135 7300 7982 8763 Indiana 2979 3647 4329 6251 6859 7558 Michigan 3257 3970 4796 6727 Ohio 3086 3815 4505 6406

7561 7087

M29 7820

Wisconsin 2909 3584 4314 6182 6908 7633 Plains 2814 3507 4369 6168 6831 7692

Iowa 2939 3586 4415 6308 6965 8040 Kansas 2855 3523 4548 6567 7134 8040 Minnesota 2853 3636 4434 6322 7168 7932 Missouri 2821 3462 4241 5940 6571 7273 Nebraska 2775 3580 4470 6214 6802 7650 North Dakota 2400 3137 4350 5932 6123 7700 South Dakota 2408 2930 3895 5083 5868 6700

Southeast 2317 2998 3807 5444 5958 6615 Alabama 2112 2699 3423 5080 5555 6191 Arkansas 2048 2558 3269 4889 5381 6020 Florida 2595 3474 4434 5964 6538 7239 Georgia 2386 3107 3932 5457 5931 6827 Kentucky 2238 2878 3587 5264 5770 6341 Louisiana 2309 2854 3489 5370 5929 6655 Mississippi 1796 2339 3072 4456 4959 5463 North Carolina 2318 2999 3789 5354 5782 6438 South carolina 2118 2756 3491 4999 5471 5997 Tennessee 2283 2896 3665 5238 5702 6388 Virginia 2653 3441 4373 6254 6881 7605 West Virginia 2213 2735 3577 5354 5846 6384

SOuthwest 2523 3239 3967 5925 6537 7315 Arizona 2510 3367 4285 5723 6241 6968 New Mexico 2306 2639 3593 5282 5749 6457 Oklahoma 2462 3085 3773 5888 6336 7149 Texas 2559 3292 3991 6074 6709 7496

Rocky Mountain 2670 3303 4224 6049 6580 7399 Colorado 2857 3569 4573 6500 7085 7950 Idaho 2428 3078 3907 5672 8161 6839 Montana 2803 3144 4093 5765 6110 7195 Utah 2479 2960 3729 5307 5812 6406 Wyoming 2777 3482 4392 6792 7512 8559

Far West 3369 4181 4943 7110 7770 8620 california 3442 4282 5062 7177 7858 8704 Nevada 3345 4335 5146 7026 Oregon 2907 3520 4347 6388

7795 6990

8807 7826

Washington 3266 3969 4525 6841 7440 8448 Alaska 3417 4253 5294 10758 10960 10875 Hawaii 3151 4152 5046 6945 7667 8318

ADDENDA CENSUS REGIONS New England 3219 4048 4847 6819 7221 7964 Middle Atlantic 3339 4177 5038 6873 7446 8169 East North Central 3205 3930 4899 6679 7389 6159 West North Central 2814 3507 4389 6168 6831 7692 South Atlantic 2576 3340 4224 5900 6426 7121 East South Central 2139 2742 3477 5067 West South Central 2445 3108 3796 5779

5552 6389

6164 7155

Mountain 2629 3320 4218 5945 6483 7282 Pacific 3370 4178 4939 7112 7770 8616

Source Bureau of Economic Analysis Regional Economic Measurement Division

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 16

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 17: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Despite the overall growth In population an absomiddot lute decline In the population under the age of 18 years occurred (Table 10) In 1966 361 percent of the total population consisted of Individuals under 18 by 1978 the percentage had dropped to 291 a decline of 114 percent The 18 to 65 year old cohort regis-tered the largest absolute gains during the period growing from 545 to 599 percent of total population The 65 and over cohort exhibited the largest growth with a 303 percent Increase from 94 percent of total population in 1966 to 110 percent in 1978 (Census 1969 1970 1960)

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 17

TABLE 10

Percent of Population by Age Cohort and Percbullntage Growth by Age Cohort for 1966 1978 Percentage of Population Growth

Age 1966 1978 1968-78

Under18 361 291 -114 18-84 545 599 43 65+ 94 110 303 Total 1000 1000 114

Table 11 demonstrates the effects which populamiddot tlon growth and aging have on personal health care expenditure growth Of the 128 percent growth of personal health care expenditures 11 percent can be attributed to population Increases and 06 percent to the changing structure of the populationbull

Although these two factors amount to a small permiddot centage (less than 15 percent) of the growth rate their impact on the variation In expenditure growth among regions and states Is more dramatic In removmiddot lng the effects of population growth and aging from the growth In personal health expenditures (the second column Table 11) the range in growth rates narrows considerably clustering more closely around the US average Population gains and losses and the age composition of a state or region seems to exmiddot plain a large proportion of the variations which occur In personal health care expenditure growth rates

As shown In Table 11 slower population growth in New England the Mideast Great Lakes and Plains Regions contrast with the above average growth in the Southeast Southwest Rocky Mountain and Far West Regions Growth in personal health spending follows similar patterns When the population and

5To calculate the percentage growth attributable to age structure weights are assigned to the population age groups nationwide based upon the 1978 levels of spending by age (Fisher 1980) For each geographic area these weights are multiplied by the population in each age group The average annual growth rate of the ratio of personal health expendmiddot lures to the expenditure-weighted population is calculated for each area

bullThe variance In average annual growth of personal health care expenditures among statesls174 For personal health expenditures with the effect of population growth and agshylng removed the variance in average annual growth Is 065

bullbull

bullbull

bullbull

Effects of Population Growth and ~ng onAverage Annual Growth In Personal ealth

ExpenditureAverage

Annual Growth Between 1966and 1978

PHE Exclud-

ingPersonal Effects Health of Age

Expendmiddot and Pop- Popumiddot Agshytures ulatlon ration lng

US Total 128 109 11 6New England 119 108 6

Connecticut 116 102 5 7 Maine 130 115 9 4 Massachusetts 118 109 3 5 New Hampshire 127 99 23 3Rhode Island 118 105 5 6 Vermont 121 100 16 3

Mideast 114 105 2 6 Delaware 122 101 12 7 District of Columbia 105 112 -12 7 Maryland 133 112 11 7New Jersey 120 107 6 6NewYorllt 106 102 -1 5 Pennsylvania 119 110 1 6

Great Lakes 122 110 5 Illinois 118 108 4 5Indiana 124 110 7 5 Michigan 124 111 7 6 Ohio 122 111 4 6Wisconsin 125 111 7 bullbullPlains 124 111 6 Iowa 120 110 0bullbull Kansas 12~ 116 5 6 Minnesota 117 101 9 5Missouri 129 117 6 bullbullNebraska 124 112 6 5 North Dakota 125 116 1 ~ South Dakota 117 109 1 6

Southeast 144 117 16 6Alabama 140 122 6 ~ Arkansas 142 119 14 7 Florida 163 113 34 11 Georgia 146 121 16 7Kentucky 123 104 12 5 Louisiana 138 117 12 7 Mississippi 150 132 9 7 North carouna 137 113 13 6South Carolina 146 119 16 6Tennessee 139 117 13 6 VIrginia 143 119 14 7 West Virginia 125 112 7 6

Southwest 142 110 22 7Arizona 156 102 36 10 New Mexico 134 102 16 10 Oklahoma 129 10~ 14 bullbullTexas 142 112 21 6

Rocky Mountain 130 99 23 4 Colorado 128 94 27 4 Idaho 140 108 24Montana 125 109 9 middot6Utah 137 104 2~ 5Wyoming 116 66 24 4

Far West 135 108 16 6 California 134 110 16 6 Nevada 173 118 41 9 Oregon 138 110 20 5 Washington 126 96 20 Alaska 140 96 33 7bullbull Hawaii 136 101 23 9 Age-adjusted population derived using 1978 expenditure

weights

TABLE11

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 18: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

aging factors are excluded however differences In growth patterns become less distinct Only the Southmiddot east and Rocky Mountain Regions growths show much deviation from the US average level of growth

The states of Nevada Arizona and Florida ranked highest in the nation In growth of personal health care spending for 1966middot78 Similarly their populations exhibited the greatest annual growth and the largest percentage increase in the elderly population In the nation (see Table 12) However once the growth of population and the changing age structure are taken Into account these three states annual growth devimiddot ate from the US annual growth by less than one permiddot centage point

Definitions and Meihodoiogy

In the following descriptions of the methods used to estimate personal health expenditures by state distributors or allocators for a service are developed and then adjusted to equal the NHE service totals The reliability of this method of estimating Is premiddot dlcated on the assumption that the national health exmiddot pendlture estimates provide a more accurate level of spending than does the summation of any available state data used to produce state estimates Available state allocators may be sample data proxies for exmiddot pendltures or conceptually differentr

The sum of the state estimates differ in some cases from the NHE service totals The difference measures services provided in US Territories or posmiddot sessions as in the case of hospital expenditures and other health services services rendered by US taxmiddot payers while living abroad as in the case of physimiddot cian dental and other professional expenditures and services furnished to US military and civilian personmiddot nel living abroad or stationed on military vessels as in the case of other health services

State personal health care expenditures presented here incorporate 1966 and 1969 estimates previously published In Personal Health care Expenditures By State Vol II (Cooper et al) Since that time concepts and definitions of some NHE types of service have been revised and a few additional data sources have become available Both of these changes have led to the introduction of different methodologies Further changes in the earlier estimates result from the preparation of these series on a calendar rather than fiscal year basis

Expenditures for Hospital Care

Expenditures for hospital care Include spending tor all services billed through hospitals room and board drugs and other medical durables hospital outpatient

For example the physician sector state estimates are based upon tabulations of total receipt data reported by physicians while the national estimates rely upon business receipts The level of receipts differ in the two series but the distribution among states is similar

and emergency room services services provided by hospital personnel (Including salaried physicians) and hospital-based home health services The fees of selfmiddot employed physicians treating patients in a hospital setting are usually billed through the physicians ofmiddot flees and are included as part Of expendllures for physician services

Hospital care as measured by the National Health Expenditure series is based on the total net revenues of community hospitals and the expenses of all nonmiddot community hospitals The revenue concept has been adopted for community hospitals because it reflects the actual Income with which a hospital must opmiddot erate The revenue data includes income from sources such as endowment funds government grants and contributions while excluding the costs of such items as charity cases and bad debts Expense data is assumed to be equivalent to revenues in nonmiddot community hospitals

Over 85 percent of the 1966 and 1969 hospital estimiddot mates by state are based on hospital expense data compiled by the American Hospital Association (AHA 1967 1970) Another 12 percent-those estimates repmiddot resenting Federal hospital expenditures-are dismiddot trlbuted to States using unpublished Federal agency data These estimates cover the costs of operating Veterans Administration hospitals Defense Departmiddot ment hospitals Indian Health Service hospitals and Public Health Service hospitals The remaining three percent of the 1966 and 1969 hospital expenditures represent expenditures for services In osteopathic hospitals A proxy for expense data by state for these hospitals was developed using expenses per patient day in community hospitals (AHA 1967 1970) multimiddot plied by data on the days of care in osteopathic hosmiddot pltals as supplied by the American Osteopathic Hosmiddot pita Association

Data compiled by the American Hospital Associamiddot tlon (AHA 1971middot73 1975middot79) includes expenses for each hospital in the US and comprises the major data source for state estimates of hospital expendmiddot tures since 1969 In order to correspond in concept to the national methodology each community hospitals expenses were adjusted to reflect revenues by applymiddot ing a statemiddotwide revenue to expense ratio (AHA 1973 1977-80 c) To compensate for different reporting peshyriods Individual hospitals revenue or expense0 estimiddot mates were linked with adjoining years estimates These estimates were adjusted to a calendar year based upon the proportion of the reported financial year falling within a given calendar year

The AHA data has several limitations AHA solicits data by mall questionnaires from hospitals in the US and US associated areas In 1978 896 percent of all

Ratio calculated from revenues and expenses for (1) nonmiddot government nonprofit hospital and (2) formiddotproflt and state and local government hospitals

Expenses were used for noncommunity hospitals

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 18

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 19: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLE12

Resklent Population Percentage Change In Resident Population and Percentage of Population Under 18 and 65 and Over for 1966 and 1978

Avg Avg Avg Annual Under18 Annual 65and Over Annual

Total Population Growth Population Growth Population Growth

1966 1978 1966-78 1966 1978 1986-78 1966 1978 1986-78 US Total 195499 222093 11 361 291 New England 11430 12302 6 345 276

Connecticut 2903 3095 5 346 272 Maine 999 1115 9 362 297

-8 -10 -12 -7

940o 110 107 118 93 112 116 122

22 15 22 13

Massachusetts 5535 5743 3 342 271 -12 113 121 12 New Hampshire 661 894 23 354 292 Rhode Island 899 957 5 331 273

5 -11

112 110 107 130

20 19

Vermont 413 498 16 363 300 -2 115 113 13 Mideast 41360 42421 2 338 276 -13 99 115 15

Delaware 516 598 12 375 291 -9 78 94 27 District of Columbia 791 670 -12 342 262 -26 86 107 4 Maryland 3695 4212 11 371 286 New Jersey 6851 7358 6 339 280 New York 17843 17720 -1 331 276

-9 -10 -14

72 89 93 113 104 118

30 21

9 Pennsylvania 11664 11865 1 337 272

Great Lakes 36951 41508 5 367 297 -14 -11

104 124 93 104

16 14

Illinois 10836 11434 4 355 294 -11 97 107 12 Indiana 4999 5446 7 369 301 -9 95 104 15 Michigan 8512 9202 7 380 304 Ohio 10330 10795 4 367 294

-11 -13

84 95 91 105

17 14

Wisconsin 4274 4631 7 373 294 -9 107 116 17 Plains 15888 17029 6 362 289 -12 115 125 12

Iowa 2762 2919 5 359 290 Kansas 2200 2333 5 356 278

-12 -15

124 130 112 127

8 13

Minnesota 3617 4005 9 360 296 -10 109 115 14 Missouri 4523 4871 6 345 282 -10 116 129 14 Nebraska 1456 1561 6 364 292 -10 121 129 12 North Dakota 647 651 1 386 303 -15 98 119 18 South Dakota 683 689 1 387 303 -16 115 129 11

Southeast 42257 51111 16 372 296 -7 89 116 35 Alabama 3464 3834 8 379 305 Arkansas 1899 2241 14 384 298

-12 -8

84 110 110 135

28 25

Florida 6104 9132 34 344 258 8 125 176 62 Georgia 4379 5286 16 381 311 Kentucky 3147 3611 12 366 301 Louisiana 3550 4073 12 402 328

-6 -8 -8

74 93 100 111 76 93

31 16 25

Mississippi 2245 2488 9 402 336 North Carolina 4896 5739 13 372 294

-11 -9

88 112 74 99

22 34

South Carolina 2520 3041 16 394 315 -9 86 89 34 Tennessee 3822 4462 13 357 291 -7 91 110 26 Virginia 4458 5284 14 366 285 West Virginia 1775 1920 7 353 290

Southwest 15567 20181 22 380 309

-8 -12

0

73 90 104 119 84 102

30 14 34

Arizona 1614 2518 38 399 314 12 77 114 67 New Mexico 1007 1252 18 438 334 -7 61 86 44 Oklahoma 2454 2913 14 342 286 -3 110 125 22 Texas 10492 13498 21 380 311 0 82 97 31

Rocky Mountain 4735 6257 23 389 318 Colorado 2007 2767 27 373 295

5

7 85 88 88 86

25 24

Idaho 689 911 24 387 325 5 90 99 27 Montana 707 784 9 385 306 -9 94 104 17 Utah 1009 1364 25 424 370 11 68 77 33 Wyoming 323 431 24 384 311

Far West 25311 31284 18 357 283 6

-3 91 85 87 100

18 29

California 18858 22839 16 355 280 -5 86 101 28 Nevada 446 719 41 377 302 17 55 84 73 Oregon 1969 2510 20 346 282 Washington 3057 3686 20 356 286 Alaska 271 401 33 438 360

1 -1 21

104 116 97 106 19 24

28 25 59

Hawaii 710 929 23 396 306 -4 49 74 53 Source Bureau of the Census US Department of Commerce

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 19

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 20: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

registered hospitals responded The response rate varies with the hospital size regional location and type of control 0

In cases where responses were not received AHA estimated missing cells Until 1978 the estimation procedure involved grouping all hospitals by similar geographic and demographic characteristics and estimiddot mating missing data using mean values for those hosmiddot pitais which did report This procedure resulted in inshyconsistent expense data for individual hospitals since the estimated expenses were not linked to actual expenses reported in prior years Beginning in 1978 a revised procedure was used in estimating missing data cells which Involved linking estimated cells to prior years data whenever possible

IRS Data

The major segments of spending for physician dental and other health professional services were esshytimated using IRS business tax return information This data source and its limitations will be discussed here with the specific estimating method for each service presented separately under the service deshyscription

middotThe Internal Revenue Service publishes data on business receipts by business type in its Statistics of Income (SOl) publications The SOl data is generated from stratified samples drawn from the universe of proprietorship partnership and corporate returns Among the published data are tables on business reshyceipts for the medical sector in selected states for selected types of businesses It is this source which forms the basis for national estimates of physician dental and other professional health expenditures

Over the past few years samples extracted to proshyduce the SOl have diminished In size with less and less emphasis placed on stratifying the samples to yield state-reliable data The result is an increasing proportion of suppressed information in the state tamiddot bles and less reliability in the state data which is published

In order to create the most reliable estimates possimiddot ble HCFA contracted with IRS to prepare state-byshystate tabulations of tax information for the medical sector Using the business master file (BMF) data base total receipts for physicians dentists and other medical professions for 1976 and 1977 were compiled by state

bullbulltn 1978 the lowest response rate for registered hospitals (76-80) came from Alaska Mississippi Utah and Wyoming Hawaii Maine Montana Nevada Rhode Island Vermont and Wisconsin had the highest response rate (96-100) Thereshysponse rate by bed size increases steadily from a low of 729 for hospitals with 6middot24 beds to a high of 981 percent for hospals wh 300-399 with the response rate decliningslightly for larger hospitals By type of control federallyshyoperated hospitals were most likely to respond (971 percent) while non-government for-profit hospitals responded least (794 percent) (AHA 1979 c pp xiv-xv)

The B~F Information provides a complete reliable source for estimating medical expenditures by state It differs from the SOl sample data used to estimate the National Health Expenditures in the following ways

First the National Health Expenditure estimates for physicians dentists and other health professionals are based predominantly upon IRS business receipts from SOl sample Total receipts from the BMF which are used to distribute spending by state include busishyness receipts plus investment income such as intershyest rents royalties nonqualifying dividends net gain from sale of noncapltal assets Income from farms and other partnerships and other income (IRS 1979)

Second industrial classification accounts for addimiddot tlonal differences between business receipts data from the SOl used in the National Health Expendimiddot tures and the total receipts used to produce the state expenditures In the SOl samples are drawn and inshydustrial classification verified As many as one-third of the sample of corporate returns are reclassified to different categories (Powell and Stubbs) although the percentage of reclassification in the medical Industry specifically and for sole proprietors and partnership business should be considerably lower

The industrial classification of total receipt data however Is not verified For partnerships and corporamiddot lions the industry code is chosen by the filer to repshyresent the business activity which generated the iargmiddot est proportion of total receipts For sole proprietors a written explanation of the business activity provided by the filer is assigned an industry code by an IRS clerk as the data is encoded for computer processing

Expenditures for Physicians Services

Spending for physician care covers all services supplied and billed through medical physicians and osteopathic physicians offices including medical laboratory tests requested by the physician and direct billing by independent labs Excluded is the cost of life insurance examinations performed to qualify an individual for life insurance coverage

Distributions of physician estimates by state for 1966 were developed using counts of physicians in private practice (AMA 1966) and non-federal osteoshypaths (NCHS 1971 a) and special unpublished tabumiddot lations of average net incomes of physicians supplied by the Internal Revenue Service For 1969 the avershyage net Incomes of physicians by state were extraposhylated using regional increases in average net Income (AMA 1973) The result was multiplied by the number of physicians (AMA 1968) and number of non-federal osteopaths In private practice (NCHS 1971 a) For each year the distributions were adjusted to equal the NHE total

For 1966 and 1969 medical laboratory expenses are generated using a state distribution of Medicare certishyfied independent labs (SSA 1970) Physician group

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 20

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 21: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

practice estimates are based on enrollment data for those organizations Receipts for life Insurance exammiddot inations were allocated based on population under age 65 (Census 1969 1970)

For 1976 and 1977 state estimates of spending for physician care relied upon physician and osteopathic physician total receipt da~a tabulated by IRS (see secshytion titled IRS data) Total receipts include all payshyments for physician services paid through physician offices (Including laboratory tests) To generate estmiddot mates for 1972 the AMA number of non-federal office-based physicians involved with patient care (AMA 1969 1972 1976) was used to interpolate beshytween 1969 and 1976 estimates Counts of non-federal office-based physicians (AMA 1977 1978) were used to extrapolate from 1977 to 1978

Receipts from life Insurance examinations are dismiddot tributed based upon the 18-65 year old population (Census 1980) These estimates are subtracted from estimates of expenditures for physician care

Expenditures for Dental Services

Expenditures for dental care include spending for all services billed through dental offices including services provided by dental laboratories The 1966 and 1969 dental service expenditures are distributed to states based upon mean gross Income of dentists (ADA 1964 1968 1971) and the number of active nonmiddot federal dentists (NCHS 1966 1968 1970) in each state

For 1976 and 1977 IRS tabulations of total receipts of dentists were adjusted to the NHE totals lnterpolamiddot tion of the 1969 and 1976 dental estimates using permiddot sonal income (BEA 1981) resulted in a distribution for 1972 of dental expenditures Estimates for 1977 were extrapolated to 1978 using personal income (BEA 1981)

Expenditures for Other Professional Services

Other professional services include the remainder of health professionals in private practice Among these professionals are private duty nurses chiroshypractors optometrists dieticians podiatrists psychologists and physiotherapists Excluded is that portion of optometrists receipts which account for the purchase of eyeglasses In addition home health services provided through nonhospltal related agenmiddot cies are Included in other professional services acshycounting for twenty percent of other professional sershyvices in 1978 In earlier years Visiting Nurses Assoshyciation fulfilled much of the home health function

For 1966 and 1969 distribution of health professhysionals in private practice are based upon counts of these professionals multiplied by their average salary (or salary proxy) For private duty registered licensed practical and public health nurses the number of

nurses times (ANA 1966 1967 1969) the average salary (ANA 1966 1968 1970middot71) was used to allocate the national control to states For chiropractors and other professionals the number of professionals (NCHS 1968 1971 a) times the state per capta permiddot sonal income (BEA 1966 1981) was used

For 1976 and 1977 the distribution by state of health professionals in private practice Is based upon IRS business receipt data The deduction from opshytometrist receipts for the cost of eyeglasses is almiddot located to states using IRS optometrist total receipts

The state distribution for 1972 results from the inmiddot terpolation between the 1969 and 1976 estimates using population (Census 1971 1981 a) For 1978 the 1977 estimates of other professionals were exshytrapolated using population (Census 1981 a)

For 1972 forward home health expenditures by state were estimated In three parts Medicare Medishycaid and other State estimates for Medicare home health which financed over fifty percent of home health in 1978 were derived from an unpublished forshyty percent sample of Medicare billing forms represhysenting interim payments to providers Medicaid home health allocators come from statistical reports (HCFA 1976-79) provided by states The remainder less than twenty percent of home health expend Imiddot lures were based upon the distribution of over 65 population (Census 1980)

Expenditures for Drugs and Medical Sundries Expenditures for Eyeglasses and Orthopedic Apmiddot pllances

Drug and medical sundries and eyeglasses and orthopedic appliances include expenditures for prodshyucts purchased in retail stores Specifically excluded are products furnished in hospitals nursing homes or through other medical professionals offices since expenditures for these items are included In the lnstimiddot tutions or professionals charges

State distributions for drug and drug sundries were developed from merchandise sales of drugs and health aids (Census 1967 1972 1977) Data for 1967 1972 and 1977 were extrapolated and interpolated using population (Census 1971 1981 a) to produce a locators for 1966 1969 1976 and 1978 All series were adjusted to the NHE control totals

The distribution of expenditures for eyeglasses and appliances are based upon unpublished data from the Health Resources Administration on the number of optometrists and their average receipts1 1976 and 1977 average optometrist receipts were extrapolated back to 1966 and forward to 1978 using personal inmiddot come (SEA 1966 1981) The resulting distributions were used to allocate the NHE control

Calculated using unpublished IRS tabulations of total opshytometrist receipts See IRS Data section

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 21

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 22: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Expenditures for Nursing Home care

Nursing home expenditures cover care rendered In skilled nursing and Intermediate care facilities Inmiddot eluding those for the mentally retarded Excluded are the costs of long-term care provided by hospitals

Nursing home care underwent a definitional revishysion since the original publication of the 1966 and 1969 state series In 1972 legislation was enacted to expand Medicaid coverage to services rendered In Inmiddot termedlate facilities Including facilities for the menmiddot tally retarded (ICFMR) 1 At that time the definition of nursing home care was expanded to Include sershyvices rendered In Intermediate care facilities Before that time ICF services were not classified as a health expenditure

The nursing home estimates for 1968 and 1969 are based on modal monthly charges (NCHS 1972b) and number of residents (NCHS1972 1974c) In facUlties offering nursing care personal care with nursing care and personal care

For 1972 the 1969 nursing home expenditure estimiddot mates were extrapolated using the number of nursing home residents (NCHS1972 19741976c)11

Nursing home receipts (Census1981d) from 1977 Census of Health Services form the basts of the latest state estimates Cells suppressed to avoid dismiddot closure of confidential Information were estimated using unpublished private wages 8nd salaries remiddot ported for nursing homes from BEAs Employment Security (ES202) state data Illes Estimates for 1976 and 1978 were developed by extrapolating the 1977 nursing home expenditures using private nursing homes wages and salaries For 1976 through 1978 ICFMR expenditures are estimated as an lndemiddot pendent segment of nursing home care using data reported by the Medicaid State Agencies (HCFA 19713-79)

uiCFIMR Is the most rapidly growing segment of nursinghome expenditures Approximately 95 of the Individuals covered by Medicaid ICFMR services receive care In largeusually public facilities such as state Institutions The reshymainder occupy small (under 15 beds) facilities which are usually privately operated

An average of the 1971 and 1973 data was used to repremiddot sent 1972 number of residents

Expenditures tor Other Health Services

Other health 8ervlees Include all personal health services which cannot be encompassed in any of the previously defined categories~ Included are expendmiddot tures for services such as Industrial lnplant health services medical services rendered to shipboard millmiddot tary personnel school health services spending for transportation to medical facilities by ambulance or other methods and multlmiddotfaceted health services renmiddot dared through federal grant programs

From 1966 to 1978 a minimum of 25 percent of other health services spending was for lnplant health services Allocators for this series are the product of the number of occupational health nurses (ANA 1966 1972 1977middot78a) and their average weekly wages (ANA 1968 197()77b BLS 19713-78)

The Department of Defense accounts for the secshyond largest proportion of other health spending It Inmiddot eludes the cost of health care rendered to active duty military personnel stationed In areas without access to military hospitals (shipboard medical facilities field medical stations) and other miscellaneous care The distribution by state is based on special tabulamiddot tiona supplied by the Department of Defense

Federal grant programs such as Maternal and Child Health Aicot~ol Drug Abuse and Mental Health Admiddot ministration (ADAMHA) community health centers and community block grants fund other personal health services Estimates of these grant programs expenditures are distributed to states based upon grant appropriations by state supplied by the funding agencies

A state distribution of expenditures for school health comes from health services expenditures In public schools (NCES 1971middot72 1975-78) Distribution of other personal health services provided by the Vetmiddot erans Administration Is estimated using data on the expenditures for services In VA hospitals and nursing homes

Expenditures for Medicare other personal health services are distributed to states using unpublished Medicare-Supplemental Medical Insurance reimburseshyment data for ambulance services Medicaid and other public assistance medical payments for permiddot sonal health services are allocated to states using state-reported spending data (HCFA 1976-79) Indian Health Service spending for other personal health sermiddot wlces are distributed to states using unpublished tabulations of ambulatory and contract care approshypriations

HEALTH CARE FINANCING REVIEWDECEMBER 1982Nolume 4 Number 2 22

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 23: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Acknowledgments This report was produced within the Division of National

Cost Estimates of the Bureau of Data Management and Stratshyegy under the (successive) direction of Barbara S Cooper Mary Reider and Charles A Fisher Laurie S Feinberg Charles A Fisher MarkS Freeland Robert M Gibson and Carol Ellen Schendler provided assistance in defining nashytlonal methodologies and potential sources of state data Daniel A Waldo devised innumerable packaged programs to facilitate the processing of the data base and prepared commiddot munlty hospital estimates by location of residence The promiddot gramming efforts of William Everhart and Mae Robinson under the direction of Marilyn Newton tremendously eased

the effort of preparing input data bases Assistance from Wayne Callahan and David Wood who helped in verifying the lAS data base was invaluable Secretarial support was proshyvided by Joanie L Henderson and Roszetta C Holmes

Charles Helbing of the Officemiddot of Research and Demonstramiddot lions prepared special tabulations of Medicare reimbursemiddot ments for community hospital services by location of proshyvider and by location of residence

The estimates published in Personal Health care Expendmiddot tures By State Vol II by Barbara S Cooper Nancy L Worthmiddot ington and Paula A Piro form the basis for the 1966 and 1969 estimates presented in this report

References American Dental Association Survey of Dental Practice for 1964 1968 and 1971 Chicago Illinois

American Hospital Association Guide to the Health care Field for 1967 1970 1973 and 1977middot80 Chicago Illinois

American Hospital Association Computer tape of annual Guide data with missing cells of information estimated by AHA for 1971middot1973 and 1975middot1979

American Hospital Association Hospital Statistics tor 1967 1970 1973 and 1977middot80 Chicago Illinois

American Medical Association Physician Distribution and Medical Licensure In the US for 1976middot1978 Distribution of Physicians Hospitals and Hospital Beds in the US for 1966 1968 1969 and 1972 Chicago Illinois

American Medical Association 7973 Profile of Medical Pracshytice Chicago Illinois

American Nurses Association Inventory of Registered Nurses for 1966 1972 and 1977-78 Kansas City Missouri

American Nurses Association Facts About Nursing for 1966 196719681970-71 1972-73 1974-75 1976middot77 Kansas City Missouri

Bureau of Economic Analysis US Department of Commerce Revised State Personal Income 1969-80 Surmiddot vey of Current Business July 1981 Washington DC Comshyputer printout from same source for 1966 data

Bureau of the Census US Department of Commerce Preshyliminary lntercensal Estimates of State Population and the components of Population Change 1960-1970 P-25 no 460 (June 1971) Preliminary lntercensal Estimates of the Popushylation of States 1970 to 1980 Washington DC 1981

Bureau of the Census US Department of Commerce Estimiddot mates of the Population of States by Age Series P-25 no 420 (April 1969) no 437 (January 1970) and no 875 (January 1980) Washington DC

Bureau of the Census US Department of Commerce Mermiddot chandise Sales Lines Census of Retail Trade for 1967 1972 1977 Washington DC

Bureau of the Census US Department of Commerce 1977 Census of Service Industries Health Services Subject Series Washington DC May 1981

Bureau of Labor Statistics US Department of Labor Area Wage Surveys Selected Metropolitan Areas for 1976 (Bulletin 1900-81) 1977 (Bulletin 1950-76) and 1978 (September 1978) Washington DC

Cooper Barbara S Nancy L Worthington and Paula A Piro Personal Health Care Expenditures by State Vol II Public and Private Funds 1966 amp 1969 Washington DC 1975

Fisher Charles R Differences in Age Groups in Health Care Spending Health Care Financing Review Health Care Financing Administration US Department of Health and Humiddot man Services Spring 1980

Gibson Robert M and Daniel A Waldo National Health Expenditures 1980 Health Care Financing Review Health Care Financing Administration US Department of Health and Human Services September 1980

Health Care Financing Administration US Department of Health Education and Welfare Medicaid State Tables FY 1976 Washington DC National Annual Medicaid Statistics 1977-1979 Unpublished data from the Office of Research HCFA

Internal Revenue Service US Department of the Treasury 1976 Statistics of Income Business Income Tax Returns Sole Proprietorships Partnerships Washington DC 1979

National Center for Education Statistics US Department of Education Revenues and Expenditures for Public Elementary and Secondary Education for 1971middot72 1975-76 1976-77 and 1977-78 Washington DC

National Center for Health Statistics Inpatient Health Fashycilities as Reported from the Master Facility Inventory Vital and Health Statistics Series 14-Nos 4 6 12 16 23 24 DHEW Pub Nos (HSM) 72middot1065 (HSM)73middot1801 (HAA)74-1807 (HAA)76-1811 and DHHS Pub Nos (PHS)80-1818 and (PHS)81-1819 Washington US Government Printing Office June 1972 December 1972 March 1974 May 1976 January 1980 and March 1981

National Center for Health Statistics Health Resource Statlsmiddot tics 1966 1968 1970 and 1971 DHEW Pub Nos (PHS) 1509 and (HSM)72-1509 Washington US Government Printing Ofmiddot fica 1967 1969 1971 and 1972

National Center for Health Statistics Charges for Care in Nursing Homes April-September 1968 Vital and Health Stamiddot tistics Series 12-No 14 DHEW Pub No (HSM)72middot1037 Washington US Government Printing Office 1972

Powell William T and Joel A Stubbs Using Business Masshyter File Data for Statistics of Income Purposes bull Internal Revenue Service US Department of the Treasury Unpubmiddot lished paper

Social Security Administration Office of Research and Stamiddot tistics US Department of Healttt Education and Welfare Health Insurance for the Aged Participating Health Facilimiddot ties July 1969 Health Insurance Statistics 1970

Social Security Administration US Department of Health Education and Welfare Medicare Health Insurance for the Aged and Disabled 1973 Seeton 2 Persons Enrolled in the Health Insurance Program Washington DC 1975

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 23

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 24: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

APPENDIX A

All text references are to economic regions The acmiddot companying tables list totals for both economic and census regions Economic Regions New England

Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont

Mideast Delaware District of Columbia Maryland New Jersey New York Pennsylvania

Great Lakes Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rocky Mountain Colorado Idaho Montana Utah Wyoming

Far West California Nevada Oregon Washington Alaska Hawaii

Census Regions New England

Maine New Hampshire Vermont Massachusetts Rhode Island Connecticut

Middle Atlantic New York New Jersey Pennsylvania

East North Central Ohio Indiana Illinois Michigan Wisconsin

West North Central Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas

South Atlantic Delaware Maryland District of COlumbia Virginia West VIrginia North Carolina South carolina Georgia Florida

East South Central Kentucky Tennessee Alabama Mississippi

West South Central Arkansas Louisiana Oklahoma Texas

Mountain Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada

Pacific Washington Oregon California Alaska Hawaii

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 24

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 25: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAmiddot1

Personal Health Care Expenditures by Type of Good or Service Calendar Year 191B6I~n10UI011 In Millions)

Hospital Total Care

501 1243 42 106

2073 82 136 798 20 79

93354 1083

22214 222

7567 59

2847 40

4590 39

3444 946 261 94 48 7002 1479 476 236 341

13221 45308 23298 79093 23690

8977

19520 9453

31184 9674 3145

3371 10872

5323 18701

5356 2335

1154 3934 1683 5612 1680

594

448 1236 797

2719 893 333

880 2131 1372 5090 1369

599 I I

Wisconsin

18067 20000

8358

7570 7562 3233

4116 4969 1924

1323 1405 610

491 698 304

1079 1243 800

513 556 249

Plains Iowa

31712 5414

12476 1887

8957 1302

2267 397

1236 229

2839 615

722 102

Kansas 4196 1654 896 273 153 394 87 Minnesota 7852 3191 1561 807 300 801 223 Missouri 8953 3623 2049 619 327 537 206 Nebraska 2830 1082 645 219 122 244 64 North Dakota 1249 530 279 68 43 121 18 South Dakota 1218 809 225 85 62 126 22

Southeast Alabama

64704 5025

25395 2088

15243 1182

4374 328

1800 126

10448 758

2290 157

3194 272

1961 114

Arkansas 2658 1053 562 153 55 436 79 251 69 Florida Georgia Kentucky louisiana

11378 6627 4881 5532

4000 2454 1884 2197

2651 1718 1181 1381

913 456 285 362

486 162 108 135

1956 1047

787 908

448 244 191 156

885 337 284 284

259 210 162 102

Mississippi North Car91ina

2581 7056

1067 2775

597 1625

153 451

88 181

440 1202

94 236

87 318

57 268

South Carolina 3101 1278 613 161 90 535 101 147 155 Tennessee 6322 2558 1547 434 142 974 228 215 224 Virginia West Virginia

Southwest Arizona

6695 2847

27674 3102

2801 1240

10630 1240

1483 704

6292 785

495 163

1695 209

172 57

791 85

993 413

4463 463

252 103 911 108

274 60

1774 130

226 107

1117 83

New Mexico 1572 683 299 106 42 257 56 54 74 Oklahoma 4502 1526 1080 270 97 649 169 471 241 Texas

Rock~Mountain Co orado

18499 9279 4741

7181 3654 1985

4127 2021

947

1111 666 318

567 254 142

3094 1364

597

581 410 197

1119 567 295

719 342258

Idaho 1052 344 245 85 27 202 47 81 21 Montana 1226 471 263 79 32 209 65 84 24 Utah ~omlng

Far est California Nevada Oregon Washington Alaska

1624 636

58941 45459

873 3853 6653

613

583 272

21183 16456

301 1295 2179 393

404 162

14738 11487

205 914

1721 77

142 41

5505 4271

65 377 622 29

36 17

1860 1502

26 114 177

11

261 95

6388 6353

186 574

1021 63

82 20

1826 1323

27 169 239

14

86 21

3255 2361

29 331 489

4

32 a 2163 1706

34 79

205 23

Hawaii 1490 559 333 142 31 192 55 42 136 Addenda Census Divisions

NewEntand Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

26777 81825 79093 31712 49234 18810 31190 14826 58067

o totals as a res

11437 33774 31184 12476 19603

7597 11957

5879 20882

ult of roun

5588 19568 18701

6957 11441

4507 7151 3310

14532

ding Tabula

1954 6771 5612 2267 3455 1200 1896 1046 5440

ted by loca

901 2686 2045 922

1477 462 853 407

1834

tion of the

3015 9628

11464 4288 7712 2958 8087 2271 8202

provider of service

906 2478 2719 1236 1754 670 985 599

1801

2250 4162 5090 2839 2228 859

2124 781

3226

726 2760 2278

722 1563 558

1137 533

2149

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 25

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 26: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAmiddot2

Personal Health care Expenditures by Type of Good or Service calendarYear 1969 Amounts In Millions)

Other Pro- Drugs and tesslonal Medical

20440 9944 3648

I

1406 561 1876 1779 702 420 105 77 208 2930 1371 579 172 76 335 1182 544 216 74 43 135

133888 60617 29228 10575 3850 14314 Delaware 1562 700 320 92 48 225 District of Columbia 5120 2485 1334 320 115 500 Maryland 10486 4649 2273 752 252 1349 New Jersey 18808 7271 4507 1740 595 2465 New York 65222 30711 14044 5635 1805 5997 Pen~lvania 32689 14802 6751 2135 1034 3779

Great es 111006 46350 25167 7748 2437 14616 Illinois 33005 14474 7060 2282 736 4100 Indiana 12813 4835 3137 836 239 2007 Michigan 25344 10716 5688 1930 485 3403 Ohio 27784 11263 6631 1867 687 3833 Wisconsin 12059 5063 2853 833 291 1273

Plains 44107 18729 6634 3080 1128 5466 Iowa 7414 2855 1514 514 194 902 Kansas 5917 2571 1121 370 165 810 Minnesota 10867 4556 2079 881 270 1181 Missouri 12704 5665 2540 820 387 1662 Nebraska 3942 1674 763 297 69 521 North Dakota 1672 745 341 92 29 187 South Dakota 1590 663 277 106 34 203

Southeast 94799 39338 21307 6566 2380 14190 Alabama 7209 3129 1569 461 156 1030 Arkansas 3749 1457 n3 219 70 591 Florida 17637 6781 4072 1509 663 2657 Georgia 9954 3897 2411 712 210 1453 Kentucky 6966 2885 1520 404 136 1068 Louisiana 8106 3376 2025 503 172 1228 184 Mississippi 36U 1600 ne 212 108 562 115 North Carolina 10265 4215 2302 668 236 1658 315 South Carolina 4616 1999 852 290 142 736 135 Tennessee 8993 3956 2013 617 173 1289 278 Virginia 9747 4192 2168 764 226 1351 335 West Virginia 3947 1850 884 207 70 548 138

Southwest 40868 16571 9146 2473 1010 5992 1076 Arizona 4716 2030 1140 317 122 631 126 New Mexico 2149 954 415 152 57 326 67 Oklahoma 8678 2547 1530 375 116 903 199 Texas 27325 11040 6081 1630 715 4133 685

489 Rock~ Mountain 12995 5326 2799 891 323 1792 Coorado 6784 2919 1355 433 189 804 235 462Idaho 1477 529 325 111 34 272 56 119 Montana 1617 654 345 105 39 254 77 118 Utah 2250 845 561 191 42 338 97 126

24 41 W~oming 866 379 213 52 20 125 Far est 86764 32372 22552 7981 2409 11107 2242 5379

california 66910 25168 17459 6182 1932 8333 1624 4057 Nevada 1343 513 346 103 36 236 32 49 Oregon 5599 1969 1364 523 142 775 208 498 Washington 9642 3380 2675 921 231 1393 293 696 Alaska 837 487 130 47 27 88 18 6 Hawaii 2253 855 577 205 42 282 68 74

Addenda Census Divisions 1270 3339 994 NewEntand 38649 middot17580 7646 2660 1192 3968

Middle tlantic 116720 52783 25302 9410 3434 12241 3404 6627 3518 East North Central 111006 46350 25167 7748 2437 14616 3557 8172 2957 West North Central 44107 18729 8834 3080 1128 5466 1592 4519 959 South Atlantic 73334 30769 16615 5314 1961 10476 2338 3887 2176 East South Central 26779 11570 5620 1694 573 3969 814 1465 873 West South Central 45858 18420 10390 2727 1073 6855 1161 3678 1556 Mountain 21202 8823 4700 1462 538 2984 714 1232 749 Pacific 85441 31859 22205 7878 2374 10871 2210 5331 2713

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 26

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 27: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAmiddot3

Personal Health care Expenditures by Type of Good or Service Calendar Year 1972(Amountsln Millions)

Physlmiddot clans

I

$171580 52907 9723 13398 2790

3400 666 175 27959 14077 4856 1811

2551 1014 578 159 280 3983 1907 777 230 426 1618 741 256 107 185

181325 87269 36815 13044 18067 1 2179 994 460 133 294 7027 4122 1402 289 675

15765 7496 3281 1096 1795 26027 10578 6021 2323 3112 86234 43006 17078 8484 7566 44092 21074 8574 2739 4625

154926 67618 ~-2 10445 18257 45648 21771 8744 2935 4783 1n79 7020 3895 1068 2803 35554 15171 7677 2756 4468 38668 16406 8919 2512 4834 17277 7250 3727 1174 1568 60959 25868 11887 4196 6987 10046 3932 1948 896 1111

8486 3578 1616 501 1104 372 14914 6428 2738 1159 1393 416 17346 7685 3645 1146 2089 513

211 5629 2374 1097 401 698 2316 980 490 150 211 111 2213 891 356 144 262 136

142459 61315 31181 9451 19958 3902 10684 4751 220S 633 1490 255

5739 2278 1138 306 855 171 28243 11382 6922 2323 3688 588 15586 6488 3532 1048 2076 358

9563 4032 1878 515 1470 341 12085 5435 2729 663 1711 284

5626 2546 1084 314 822 155 14923 6371 3163 998 293 2383 459

8701 2854 1288 419 151 1068 230 13203 6066 2849 415 861 236 1754 14435 6387 3223 1093 248 1867 414

5674 2725 1166 280 87 775 232 59738 24432 13507 3550 1343 8160 1710

7538 3383 1813 547 165 910 146

416 261 357 413 201

1747 241

3028 1304 625 210 70 431 94 9308 3499 2046 502 168 1301 280

1189 39865 16247 9023 2292 940 5518 18436 7498 4045 1392 422 2412 588

9491 4126 1955 690 230 1091 232

136 284

10a6 800 387

2230 787 504 169 49 386 95 2327 874 504 168 54 319 121

47 55

3246 1286 805 293 65 448 81 1142 428 277 72 24 168 59

123511 47213 31460 10651 3143 14428 3858 95646 37267 24626 8122 2508 10736 2939

2135 834 572 173 46 301 52 7975 2768 1898 754 188 1062 331

13404 4585 3274 1216 325 1757 433 1091 538 223 72 24 123 28 3260 1222 868 314 51 449 75

76 36

3104 2370

50 170 326

54 134

i i 52907 24798 9723 3511 1258 5201 1352 5883

156353 74657 31673 11526 4084 15303 3578 10699 154926 67618 32962 10445 2879 18257 4943 13810 60959 25868 11887 4196 1381 6867 2202 7196

110532 48819 24438 7678 2384 14621 2774 6672 39075 17395 8019 2322 780 5537 1166 2577 66996 27459 14936 3762 1445 9384 1924 630S 31136 13018 7054 2321 702 4054 880 2080

121376 46379 30868 10478 3097 14128 3808 9546

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

1381 4833 4013 1361 3147 1279 1777 1027 3055

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number2 27

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 28: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAmiddot4

Personal Health Care Expenditures by Type of Good or Srvlce Calendar Year 1976 (Amounts in Millions) Eyemiddot

glasses OtherPhysimiddot Other Promiddot Drugs and Nursing Personal

Hospital d clans Dentists fessional Medical Applimiddot Home Health Total Care Services Services Services Sundries ances Care Ca

us Total $1307624 $591754 $275550 $94440 $32010 $130223 $34125 $114166 $35356 New England 83134 40093 14013 5575 1882 6905 1906 10518 2242

Connecticut 20714 8946 3891 1681 534 1936 387 2783 556 Maine 5874 2623 1081 320 152 546 190 761 200 Massachusetts 43400 22556 6563 2707 871 3195 960 5484 1064 New Hampshire 4250 1766 981 319 124 452 107 362 140 Rhode Island 6322 3049 1151 357 124 519 177 760 185 Vermont 2574 1154 346 192 77 257 84 368 97

Mideast 282461 139391 51564 18780 7931 23738 5665 26965 8427 Delaware 3511 1689 704 233 61 379 74 248 123 District of Columbia 9413 6254 1531 258 154 580 102 158 377 Maryland 25109 11754 5331 1932 434 2451 544 1929 734 New Jersey 42269 18294 9356 3589 1160 4294 879 3336 1362 New York 132658 66346 22109 8447 4479 9699 2230 15577 3770 Penns~lvanla 69501 35054 12533 4321 1643 6335 1836 5717 2061

Great La es 248657 115630 50604 17911 4381 24316 7249 22290 6276 Illinois 71282 35960 12970 4734 1419 6123 2210 5908 1958 Indiana 28785 12390 5545 1742 417 3765 1057 3095 775 Michigan 57402 26404 12162 4941 901 5866 1363 4454 1311 Ohio 63337 28800 13890 4367 1114 6252 1822 5493 1598 Wisconsin 27851 12075 6037 2127 530 2310 797 3341 635

Plains 100095 44963 19783 6952 2136 9145 3169 11806 2142 Iowa 16133 6749 2946 1170 387 1566 608 2365 343 13817 6001 2948 816 320 1306 602 1513 312 Minnesota 23975 10540 4327 1893 412 1955 610 3712 525 Missouri 29459 14305 6054 1972 742 2755 720 2300 610 Nebraska 9142 3945 1970 633 161 913 298 1055 166 North Dakota 4027 1808 970 265 54 308 158 386 78 South Dakota 3542 1614 568 203 59 340 174 475 108

Southeast 251649 111742 56585 16621 6150 30639 6227 16818 8867 Alabama 18815 8753 3840 1114 411 2229 385 1517 565 Arkansas 10270 4215 2087 541 167 1386 312 1215 348 Florida 54554 22878 14596 4126 2232 5790 1001 2884 1049 Georgia 26238 11476 6103 1855 382 3203 550 1899 769 Kentucky 15526 7027 2776 817 343 2129 506 1404 524 Louisiana 20064 9232 4366 1180 528 2431 453 1532 342 Mississippi 10402 4721 2140 560 389 1311 242 708 331 North Carolina 25643 11084 5443 1823 501 3746 688 1641 716 South Carolina 12385 5420 2449 753 221 1764 391 827 581 Tennessee 22986 10767 5065 1463 480 2627 692 1250 842 Virginia 25352 11322 5869 1925 358 2902 693 1570 713 West Virginia 9415 4849 1850 463 137 1122 314 371 308

Southwest 105040 44574 24229 6875 2848 12278 2880 8712 2843 Arizona 13658 5982 3630 1107 337 1414 226 513 449 New Mexico 5457 2659 1129 372 133 589 163 198 215 Oklahoma 15135 6238 3275 892 292 1853 469 1665 451 Texas 70790 29695 16195 4504 1886 8422 2022 6336 1728

Rocky Mountain 31089 12982 8862 2691 771 3235 9a2 2617 1000 Colorado 15837 7094 3239 1312 382 1447 377 1432 554 Idaho 3884 1364 919 330 107 509 145 397 93 Montana 3818 1444 902 331 97 420 191 309 125 Utah 5793 2351 1411 577 145 647 128 383 152 Wyoming 1777 729 390 141 41 211 92 96 77

Far West 205500 82381 51910 19035 6111 19968 6097 14439 5560 California 158506 64596 41168 14003 4639 14804 4567 10287 4242 Nevada 4250 1759 1136 394 88 510 94 188 81 Oregon 13864 5105 3143 1424 367 1611 538 1384 290 Washington 21215 7873 4499 2413 704 2237 708 2256 525 Alaska 2301 1073 458 215 32 246 66 73 138 Hawaii 5364 1975 1506 587 81 559 123 250 283

Addenda Census Divisions New England 83134 40093 14013 5575 1882 6905 190S 10518 2242 Middle Atlantic 244427 119694 43997 16358 7282 20328 4945 24629 7193 East North Central 248657 115630 50604 17911 4381 24316 7249 22290 6276 West North Central 100095 44963 19783 6952 2136 9145 3169 11806 2142 South Atlantic 191619 86726 43876 13368 4480 21936 4356 11529 5348 East South Central 67728 31267 13822 3955 1624 8296 1825 4879 2062 West South Central 116259 49380 25923 7117 2873 14093 3256 10748 2869 Mountain 54454 23381 12757 4563 1329 5748 1414 3515 1745 Pacific 201250 80622 50775 18641 6023 19457 6003 14251 5479

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 28

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 29: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAmiddot5

Personal Health Care Expenditures by Type of Good or Service Calendar Year 1977 (Amounts lnMillions)

Other Promiddot Drugs and fessional Medical

I

386 171 2852 915 1141 375 119 140 385 128 199 201 67 101

20785 8738 8433 279 68 114 275 187 389

2085 486 2130 774 4058 1391 3743 1446 9119 4810 16509 3486 4969 1796 7076 2224

19762 5238 25886 6481 5220 1805 6811 1800 1919 471 3546 880 5502 1164 5188 1399 4755 1122 6446 1721 2365 676 3894 881 7766 2192 14087 2304 1291 460 2831 375 918 299 1818 348

2070 395 4472 543 2263 802 2745 653

717 125 1200 183 285 51 483 77 223 60 558 126

18398 6764 19958 7660 1329 492 1682 604

613 159 1413 336 4416 2357 3239 1172 2090 516 2419 884

912 347 1619 551 1331 618 1792 391 633 491 891 397

1997 491 2013 865 861 242 1029 572

1647 497 1517 695 2058 400 1959 874

2167 510 154 385 319 27669 7712 2766 9919 3114

4003 1196 324 607 483 1296 418 120 242 245 3692 982 298 1908 498

18678 5116 2024 7162 1887 7925 3038 824 3106 1280 3698 1460 441 1675 741 1121 387 129 462 98 1034 383 97 386 148 1813 643 127 469 159 459 165 30 114 135

61272 21827 7087 17229 6336 48469 16107 5551 12319 4779

1402 438 97 253 95 3738 1627 416 1680 344 5327 2711 910 2618 835

520 285 28 65 154 1817 658 85 284 329

92740 45300 15595 6053 2030 7372 1991 11908 2491 267572 130215 50038 18146 7997 21650 5042 27329 7156 280276 130181 58946 19762 5238 25991 7793 25886 6481 113679 51657 22549 7766 2192 9762 3380 14087 2304 217884 99361 50624 14572 4901 24051 4715 13695 5964

77901 36325 16226 4521 1826 9112 1934 5710 2246 132684 57191 29995 8042 3099 15490 3479 12275 3112

62010 26778 14626 5090 1365 6237 1601 4208 2104 231902 92788 59870 21388 6991 20994 8654 16977 6240

Notes Detail may not add to totals as a result of rounding Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 29

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 30: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Personal Health Car

US Total New England

Connecticut Maine

TABLEA-8

e Expendlturea by Type of Good or Service Calendar Year 197

Phyalmiddot Other Pro- Drugs and Hospital clans Dentists fesslonal Medical

middotTotal care ServiCes Services Services Sundries

$1655178 $748487 $358006 Sttmo $41160 $154133 103070 49631 17813 6692 2365 8010 25599 10854 4060 2062 722 2235

7385 3305 1335 427 196 640

8(Amounteln Millions) Eyeshy

glasaea Other Nursing PersonalAppllmiddot Ho Health ancea care cart $41318 $152088 $42217

2183 13531 2846 479 3552 736 185 1078 219

Massachusetts New Hampshire Rhode Island Vermont

53675 28113 6461 3124 1064 3669 5405 2260 1185 427 140 566 7871 3729 1403 426 143 505 3135 1351 226 100 305

1107 6733 1384 104 530 173 196 1156 222 112 483 111

Mideast Delaware District of Columbia Maryland New Jersey New York Penn~lvanla

Great L es Illinois Indiana Michigan Ohio Wisconsin

Plains Iowa Kansas Minnesota Missouri Nebraska North Dakota South Dakota

Southeast Alabama Arkansas Florida Georgia Kentucky -Louisiana Mississippi North carolina South Carolina Tennessee Virginia West Virginia

Southwest Arizona New Mexico Oklahoma Texas

Rock~ Mountain Coorado Idaho Montana Utah Womlng

Far est California Nevada Oregon Washington Alaska

340253 165500 65953 22716 10019 27238 4318 2045 874 306 78 434

11359 7473 2064 292 205 567 31332 14934 6774 2335 554 2660 51396 21597 12005 4455 1621 5009

152110 73692 28012 9899 5497 10993 89738 45758 16204 5427 2065 7356

314830 146141 66246 21864 6000 26370 90538 46021 16420 5730 2071 7031 36555 15727 7304 2125 541 4483 73760 33826 16611 6148 1340 6794 79636 36017 18288 5245 1276 7289 34340 14550 7623 2616 771 2773

128295 58301 25492 8727 2541 10620 21124 6069 3864 1489 525 1837 17876 7940 3786 103pound 343 1479 29559 12959 5198 2299 455 2302 38493 19044 8035 2511 944 3193 11512 5055 2545 607 144 1052

5132 2302 1252 326 59 366 4599 2032 811 254 70 300

324911 145423 73897 20720 7903 37165 24277 11701 4818 1498 561 2862 13113 5379 2707 604 186 1706 69964 29788 18990 5010 2782 7056 34101 14949 7887 2362 607 3603 19587 8748 3767 1010 405 2539 26120 12175 5711 1512 609 2904 13838 6267 2742 704 555 1600 33065 14295 7062 2246 576 4584 15845 5665 3133 958 309 2179 30099 14295 6752 1865 562 3173 33164 14851 7897 2302 461 3531 11737 8109 2370 560 180 1338

135484 58961 31118 8816 3192 14945 17582 7976 4578 1381 373 1750

7098 3505 1442 479 139 606 19343 8245 4113 1123 346 2212 91461 39235 20983 5833 2335 10285 40112 16416 6958 3489 963 3863 20051 4259 1677 518 1716

504pound 1791 1233 442 150 606 5060 2004 1147 441 109 493 7579 3065 1820 732 150 794 2374 968 500 197 36 254

268223 108115 68530 24746 8177 23923 206565 84733 54322 18183 6368 17671

5052 2505 1551 524 116 567 18271 6736 4167 1870 469 1994 27580 10090 5661 3162 1052 2643

2947 1471 569 286 32 307

6398 33322 9106 96 357 127

122 180 416 560 2346 869

1004 4114 1591 2442 17854 3720 2073 8472 2383 6650 30537 7022 2575 8605 1886 1262 4140 973 1602 5872 1588 2179 7472 1870 1033 4248 726 3836 16206 2573

738 3261 422 764 2147 379 714 5032 509 640 3205 720 355 1341 212 207 534 84 219 667 156

7666 23522 8615 428 1927 563 405 1650 386

1424 3571 1342 669 2728 986 564 1934 601 534 2072 453 296 1214 481 820 2533 969 497 1270 634 873 1801 758 704 2346 962 322 476 381

3610 11306 3537 277 605 551 247 293 296 599 2143 562

2487 8175 2129 1216 3734 1474 515 1958 640 192 525 109 224 484 179 156 658 183 128 129 163

7759 19929 7043 5720 14290 5257 152 321 116 693 1939 382 954 3046 751 64 49 170

Hawaii 6008 2580 2041 722 10~0 640 176 265 388 Addenda Census Divisions

New Entend Middle tlantlc East North Central West North Central South Atlantic East South Central West South Central Mountain Pacific

Notes Detail may not add t

103070 49631 17813 6692 2365 8010 293244 141047 56220 19781 9182 23358 314830 146141 66246 21864 6000 28370 128295 58301 25492 8727 2541 10620 244885 111310 57072 16373 5752 26441 87803 41011 18080 5076 2103 9994

150037 65035 33574 9162 3566 17107 70744 30401 16529 5873 1590 6979

262271 105610 66979 24222 6061 23256 o totals as a result of rounding Tabulated by location of the provider of

2183 13531 2846 5520 30440 7695 6650 30537 7022 3836 16206 2573 5425 15806 6706 2180 6876 2482 4024 14040 3529 1892 5043 2437 7607 19609 6926

service

30 HEALTH CARE FINANCING REVIEWDECEMBER 10821Volume 4 Num~r 2

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 31: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAmiddot7

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1986

205 275 211 255 240 228 34 236 29 226 71 30 280 68 27 228 73 2~ 248 70 2~ 230 73 30 219 71 23 240 73 19 214 65 21 199 77 28 229 69 23 228 77 23 223 54 14 185 89 18 236 68 30

415 235 65 151 23 396 211 58 164 26 352 233 80 172 23 370 259 69 158 32 386 242 58 161 33 397 250 65 164 20 413 231 59 170 22 393 230 64 170 38 412 198 58 173 50 405 245 69 154 36 418 222 74 148 34 436 247 57 145 37 384 227 61 161 40 400 253 68 149 27 435 190 67 164 47339 240 60 144 54 388 223 60 167 39 394 218 72 147 37 419 200 67 126 54 327 233 81 192 20 384 214 65 170 20 359 249 88 161 427 255 65 150

19 13

359 250 93 142 37 362 253 94 140 38 345 235 74 213 336 237 98 149

31 44shy

33 86

39 21

328 259 94 153 36 74 31 641 126 47 102 24 6 37 375 224 95 129 37 28 91

1000 427 209 73 34 113 34 84 27 1000 413 239 83 33 118 30 51 34 1000 394 236 71 26 145 34 64 29 1000 393 219 71 29 135 39 90 23 1000 398 232 70 30 157 36 45 32 1000 404 240 64 25 157 36 48 30 1000 383 229 61 27 163 32 88 36 1000 396 223 71 27 153 40 53 36 1000 360 250 94 32 141 31 56 37

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 31

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 32: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAol

Percentage of Personal Health care Expenditures by Type of Good or Service calendar Year 1989 Eyoshy

glasses Other PhySimiddot Other Promiddot Drugs and and Nursing

Hospital clans Dentists fessionai Medical Appllmiddot Home Total care Services Services Services Sundries ances ea

Personal Health eae

us Total 1000 421 225 75 26 127 30 68 29 New England 1000 455 198 89 31 103 33 88

Connecticut 1000 399 232 78 37 113 29 87 28 27

Maine 1000 443 202 52 30 124 33 95 21 Massachusetts 1000 487 178 89 27 92 34 88 25 New Hampshire 1000 395 236 59 43 117 33 83 Rhode Island 1000 468 197 59 26 114 39 68

34 29

Vermont 1000 461 183 83 38 114 24 99 21 Mideast 1000 453 218 79 29 107 29 55 30

Delaware 1000 448 2o5 59 31 144 34 40 40 District of Columbia 1000 485 261 82 22 98 25 14 33 Maryland 1000 443 217 72 24 129 30 62 New Jersey 101)0 387 240 93 32 131 33 55 New York 1000 471 215 85 28 92 26 54

23 31 30

Penr21vanla 1000 453 207 65 32 116 33 64 Great es 1000 418 227 70 22 132 32 74

31 27

Illinois 1000 439 214 69 22 124 35 87 29 Indiana 1000 377 245 65 19 157 34 79 25 Michigan 1000 423 224 76 19 134 25 73 Ohio 1000 405 239 67 25 138 33 67

25 26

Wisconsin 10M 420 220 69 24 108 33 104 25 Plains 1000 425 196 70 26 124 38 102 22

Iowa 1000 385 204 89 28 122 40 135 19 Kansas 1000 435 189 62 28 137 33 97 18 Minnesota 1000 419 191 81 25 109 36 115 25 Missouri 1000 446 200 85 29 131 33 70 28 Nebraska 1000 425 194 75 17 132 40 102 16 North Dakota 1000 445 204 55 17 112 33 122 12 South Dakota 1000 417 174 67 21 128 50 126 18

southeast 1000 415 225 89 25 150 31 55 30 Alabama 1000 434 218 64 22 143 26 68 25 Afl(ansas 1000 389 2Q6 58 19 158 25 109 Florida 1000 384 231 86 38 151 34 55

38 22

Georgia 1000 382 242 71 21 146 33 61 Kentucky 1000 414 218 5pound 20 153 33 63 Louisiana 1000 416 250 62 21 151 23 58

34 41 18

Mississippi 1000 443 199 59 30 161 32 41 North Carolina 1000 411 224 65 23 162 31 56

35 29

South Carolina 1000 433 184 83 31 159 29 53 48 Tennessee 1000 440 224 89 19 143 31 43 31 Virginia 1000 430 222 78 23 139 34 43 West Virginia 1000 489 224 52 18 139 35 24

Southwest 1000 405 224 61 25 147 26 76

30 39 36

Arizona 1000 431 242 67 28 134 27 48 28 New Mexico 1000 444 193 71 27 151 31 42 41 Oklahoma 1000 381 229 58 17 135 30 118 33 Texas 1000 404 222 80 26 151 25 74 39

RockYc Mountain 1000 410 215 89 25 138 38 67 39 Co orado 1000 430 200 64 28 118 35 68 57 Idaho 1000 35B 220 75 23 184 38 80 21 Montana 1000 404 213 85 24 157 48 73 15 Uteh 1000 376 249 85 19 150 43 56 22 ~oming 1000 438 246 80 23 144 27 47

Far est 1000 373 260 92 26 128 26 62 15 32

California 1000 376 261 92 29 125 24 61 32 Nevada 1000 382 25pound 76 26 176 24 36 21 Oregon 1000 352 244 93 25 138 37 89 Washington 1000 343 272 94 23 142 30 71 Alaska 1000 582 155 56 32 105 21 7

22 26 41

Hawaii 1000 379 256 91 19 125 30 33 67 Addenda Census Divisions

NewEnRiand 1000 455 198 69 31 103 33 86 26 Middle tlantlc 1000 452 217 81 29 105 29 57 30 East North Central 1000 418 227 70 22 132 32 74 27 West North Central 1000 425 196 70 26 124 36 102 22 South Atlantic 1000 420 227 72 27 143 32 50 30 East South Central 1000 432 217 83 21 148 30 55 33 West South Central 1000 402 227 59 23 149 25 80 34 Mountain 1000 416 222 69 25 141 34 58 35 Pacific 1000 373 260 92 28 127 26 62 32

HEALTH CARE FINANCING RIEVtiEWIDECpoundM8poundR 19821Volumbull 4 NumbiM 2 32

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 33: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAmiddot9

Percentage of Pertonal Health ca Expenditures by Type of Good or Service Calendar Year 1972

Eyeshyglasses Other

Physlmiddot Other Pro- Drugs and aod Nursing Hospital cians Dentists fessional Medical Appllmiddot Home

Total c Services Services Services Sundries Core Personal Health Core

us Total 1000 436 216 71 23 118 28 81 28 New England 1000 469 184 66 24 98 26 107

Connecticut 1000 421 208 77 28 109 20 112 28 25

Maine 1000 417 196 52 25 118 38 120 33 Massachusetts 1000 503 167 65 21 88 25 107 25 New Hampshire 1000 397 227 63 33 110 30 108 Rhode Island 1000 479 195 58 21 107 33 80

32 27

Vermont 1000 458 158 66 28 115 32 111 32 Mideast 1000 481 203 72 25 100 22 68 31

Delaware 1000 458 211 61 22 135 24 53 39 District of Columbia 1000 587 199 41 16 96 10 17 34 Maryland 1000 475 208 70 18 114 23 62 New Jersey 1000 406 231 89 27 120 25 87 New York 1000 499 198 75 28 88 19 66

29 35 29

Penns~lvanla 1000 478 194 62 26 105 29 75 31 Great La es 1000 436 213 67 19 118 32 89 26

Illinois 10M 477 192 64 19 10~ 3h 81 28 Indiana 1000 395 219 80 16 146 38 98 27 Michigan 1000 427 216 78 16 126 26 88 Ohio 1000 424 231 65 20 125 31 76

24 27

Wisconsin 1000 420 216 68 20 91 31 135 20 Plains 1000 424 195 69 23 113 36 118 22

Iowa 1000 391 194 89 25 111 44 146 20 Kansas 1000 422 190 59 24 130 44 110 21 Minnesota 1000 431 183 78 20 93 2~ 143 24 Missouri 1000 443 210 66 26 120 30 81 25 Nebraska 1000 422 195 71 18 124 3pound 114 19 North Dakota 1000 423 211 65 18 91 4~ 128 18 SOuth Dakota 1000 401 160 65 19 118 61 149 27

Southeast 1000 430 219 66 21 140 27 67 28 Alabama 1000 445 207 59 19 139 24 74 33 Arkansas 1000 397 198 53 1~ 149 30 121 34 Florida 1000 403 24~ 82 32 131 21 66 21 Georgia 1000 416 227 67 18 133 23 86 Kentucky 1000 422 196 54 20 154 38 81 Louisiana 1000 450 226 55 19 142 23 68

32 37 18

Mississippi 1000 452 193 56 26 146 2~ 82 North Carolina 1000 427 212 87 20 160 31 56

38 28

South Carolina 1000 426 192 62 23 159 34 64 39 Tennessee 1000 459 216 65 18 133 31 50 27 VIrginia 1000 442 223 76 17 129 29 55 West VIrginia 1000 480 206 49 15 137 41 37

Southwest 1000 409 226 59 22 137 29 89

29 38 29

Arizona 1000 449 240 73 22 121 19 44 32 New Mexico 1000 431 206 69 23 142 31 52 45 Oklahoma 1000 376 220 54 18 140 30 132 30 Texas 1000 408 226 57 24 138 30 90 27

RockYc Mountain 1000 407 219 78 23 131 32 80 33 Co orado 1000 435 206 73 24 115 24 82 41 Idaho 1000 353 226 76 22 173 43 86 21 Montana 1000 376 216 72 23 137 52 100 24 Utsh 1000 396 248 90 20 138 25 59 23 WJiomlng 1000 373 243 63 21 147 51 71

Far est 1000 382 255 88 2~ 117 31 78 31 25

California 1000 390 257 85 28 112 31 74 25 Nevada 1000 391 268 81 22 141 24 50 23

101 Oreson 1000 347 238 95 24 133 42 Was lngton 1000 342 244 91 24 131 32 11 1 Alaska 1000 493 204 66 22 113 26 26

21 24 50

Hawaii 1000 37~ 266 96 16 138 23 45 41 Addenda Census Divisions

NewEnjand 1000 489 184 66 24 98 26 107 Middle tlantlc 1000 477 203 74 26 98 23 68

26 31

East North Central 1000 436 213 67 19 118 32 69 26 West North Central 1000 424 19~ 69 23 113 36 118 22 South Atlantic 1000 442 221 69 22 132 25 60 28 East South Central 1000 44~ 205 59 20 142 30 86 33 West South Central 1000 410 223 56 22 140 29 94 27 Mountain 1000 41~ 227 75 23 130 26 87 33 Pacific 1000 382 254 86 26 116 31 79 25

HEALTH CARE FINANCING REVIEWDECEMBER 18821VOiume 4 Number 2 33

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 34: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAmiddot10

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978

Eye glasses Other

Physlmiddot Other Pro- Drugs and and Nursing Personal Hospital clans Dentists fessional Medical Appllmiddot Home

Total ca Services Services Services Sundries ances Care Health Care

us Total 1000 453 211 72 24 100 26 87 27 New England 1000 482 169 67 23 63 23 127

Connecticut 1000 432 188 61 26 93 19 134 Maine 1000 447 184 54 26 93 32 130

27 27 34

Massachusetts 1000 520 151 62 20 74 22 126 25 New Hampshire 1000 415 231 75 29 106 25 65 Rhode Island 1000 482 182 56 20 62 26 120

33 29

Vermont 101JO 446 134 75 30 100 33 143 36 Mideast 1000 493 183 66 26 84 20 95 30

Delaware 1000 481 201 66 17 108 21 71 35 District of Columbia 1000 664 183 27 16 62 11 17 40 Maryland 1000 486 212 77 17 96 22 77 New Jersey 1000 433 221 65 27 102 21 79 New York 1000 500 167 64 34 73 17 117

29 32 26

Pennskvania 101JO 504 180 62 24 91 26 82 Great La es 1000 485 204 72 18 98 29 90

30 25

Illinois 1000 504 182 66 20 86 31 83 27 Indiana 1000 430 193 61 15 131 37 108 27 Michigan 1000 480 212 86 16 102 24 78 Ohio 1000 455 219 69 18 99 29 87

23 25

Wisconsin 1000 434 217 76 19 83 29 120 23 Plains 1000 449 198 69 21 91 32 118 21

Iowa 1000 418 1a3 73 24 97 36 147 21 Kansas 1000 434 213 59 23 95 44 109 23 Minnesota 1000 440 180 79 17 62 25 155 22 Missouri 1000 486 206 67 25 94 24 78 21 Nebraska 1000 432 215 69 16 100 33 115 18 North Dakota 1000 449 241 66 13 77 39 96 19 South Dakota 1000 456 160 57 17 96 49 134 31

Southeast 1000 444 225 66 24 122 25 67 27 Alabama 1000 485 204 59 22 116 20 81 30 Arkansas 1000 410 203 5~3 16 135 30 118 34 Florida 1000 419 268 76 41 106 16 53 19 Georgia 1000 437 233 71 15 122 21 72 Kentucky 1000 453 179 53 22 137 33 90 Louisiana 1000 480 216 59 26 121 23 78

29 34 17

Mississippi 1000 454 206 54 37 126 23 66 North carolina 1000 432 212 71 20 146 27 64

32 26

South carolina 1000 436 196 61 16 142 32 67 45 Tennessee 1000 488 220 64 21 114 30 54 26 Virginia 1000 447 232 76 14 114 27 62 West VIrginia 1000 515 196 49 15 119 33 39

Southwest 1000 424 231 65 25 117 27 83

26 33 27

Arizona 1000 438 266 61 25 104 17 38 33 New Mexico 1000 487 207 68 24 108 30 36 39 Oklahoma 1000 412 216 59 19 122 31 110 30 Texas 1000 419 229 64 27 119 29 90 24

Rock~ Mountain 1000 418 221 87 25 104 30 84 32 Coorado 1000 446 205 83 24 91 24 90 35 Idaho 1000 353 238 85 26 132 38 103 24 Montana 1000 378 236 87 25 110 50 81 33 Utah 1000 406 244 100 25 112 22 66 26 WJoming 1000 410 219 80 23 119 52 54

Far est 1000 401 253 93 30 97 30 70 43 27

California 1000 406 280 88 31 93 29 65 27 Nevada 1000 414 287 93 21 120 22 44 19

39 100 Or~n 1000 368 227 103 26 116 Was ington 1000 371 212 114 33 105 33 106 Alaska 1000 486 199 93 14 107 29 32

21 25 60

Hawaii 1000 368 281 109 15 104 23 47 53 Addenda Census Divisions

NewEnjland 1000 482 169 67 23 83 23 127 Middle tlantic 1000 490 180 67 30 83 20 101

27 29

East North Central 1000 465 204 72 16 96 29 90 25 West North Central 1000 449 198 69 21 91 32 118 21 South Atlantic 1000 453 229 70 23 114 23 60 28 East South Central 1000 462 204 56 24 122 27 72 30 West South Central 1000 425 223 61 25 121 26 92 25 Mountain 1000 429 234 84 24 106 26 65 32 Pacific 1000 401 252 93 30 97 30 71 27

HEALTH CARE FINANCING REVIEWDECEMBER 18821Volume 4 Number 2 34

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 35: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAmiddot11 Percentage of Personal Health Care Expenditures by Type of Good or Serftee Calendar Year 1877

Physimiddot Other Pro- Drugs and aod Nursing Hospital clans Dentists fessional Medical Appllmiddot Home

Total Care Services Services Services Sundries ances Cabullbull

Other Personal Health ea

US Total 1000 454 216 71 24 95 25 89 26 New England 1000 488 168 65 22 79 21 12pound

Connecticut 1000 428 190 80 26 89 1pound 137 27 31

Maine 1000 457 180 58 26 8pound 27 1M 30 Massachusetts 1000 531 151 59 19 70 21 126 24 New Hampshire 1000 429 225 79 25 107 21 85 Rhode Island 1000 483 177 55 18 7pound 28 134

30 28

Vermont 1000 444 141 71 31 99 33 145 36 Mideast 1000 491 189 67 28 81 19 97 27

Delaware 1000 47pound 201 72 17 102 22 79 29 District of Columbia 1000 660 174 26 1pound 53 11 21 37 Maryland 1000 47~ 213 75 17 95 21 77 New Jersey 1000 428 229 86 29 98 20 79 New York 1000 497 175 64 34 72 16 117

2pound 31 25

Penns~lvanla 1000 503 183 63 23 86 24 90 2pound Great La es 1000 464 210 71 19 93 28 92 23

Illinois 1000 511 183 M 23 81 3D 85 22 Indiana 1000 432 201 59 14 125 34 1M 27 Michigan 1000 455 224 84 18 96 22 79 Ohio 1000 453 229 67 16 93 27 91

21 24

Wisconsin 1000 425 219 76 22 81 29 125 22 Plains 1000 454 198 68 19 86 30 124 20

Iowa 1000 427 181 69 25 91 35 152 20 Kansas 1000 444 214 58 19 86 41 116 22 Minnesota 1000 448 170 77 15 79 24 167 20 Missouri 1000 487 212 67 24 87 23 81 19 Nebraska 1000 433 223 71 12 95 30 11pound 1pound North Dakota 1000 480 242 62 11 73 35 100 17 South Dakota 1000 444 181 55 15 89 47 138 31

Southeast 1000 44pound 229 64 23 117 23 69 27 Alabama 1000 477 202 62 23 113 18 78 28 Arkansas 1000 412 209 53 14 133 30 121 29 Florida 1000 429 271 71 38 102 19 52 19 Georgia 1000 436 232 69 17 117 20 80 Kentucky 1000 44pound 194 52 20 132 30 92 Louisiana 1000 480 225 58 27 115 20 78

29 31 17

Mississippi 1000 454 204 53 41 121 21 74 North Carolina 1000 436 212 69 17 143 25 69

33 30

South Carolina 1000 439 200 61 17 140 30 73 40 Tennessee 1000 476 225 62 19 108 29 57 26 Virginia 1000 446 239 70 14 110 24 87 West Virginia 1000 521 205 48 15 116 29 36

Southwest 1000 433 232 65 23 113 26 83

30 30 28

Arizona 1000 450 262 7pound 21 102 16 40 32 New Mexico 1000 490 210 62 19 102 33 39 40 Oklahoma 1000 423 215 57 17 117 30 111 29 Texas 1000 427 231 63 25 115 27 89 23

Rocky Mountain 1000 417 223 86 23 98 29 M Colorado 1000 438 20pound 82 25 87 24 94

36 42

Idaho 1000 357 248 86 28 120 37 102 22 Montana 1000 400 231 86 22 100 42 86 33 Utoh 1000 418 243 97 19 107 21 71 24 Wyoming 1000 405 221 80 14 108 53 55

Far West 1000 400 259 92 30 91 29 73 65 27

California 1000 407 266 8~ 30 88 27 68 26 Nevada 1000 408 277 87 19 115 25 50 19 Oregon 1000 369 231 101 26 111 38 104 Washington 1000 370 218 111 37 97 34 107 Alaska 1000 475 196 108 11 106 22 24

21 26 58

Hawaii 1000 36~ 293 106 14 94 25 48 53 Addenda Census Divisions

NewEntand 1000 488 168 65 22 79 21 128 27 Middle tlantic 1000 487 187 66 30 81 19 102 27 East North Central 1000 454 210 71 19 93 28 92 23 West North Central 1000 454 198 68 19 86 30 124 20 South Atlantic 1000 456 232 67 23 110 22 63 27 East South Central 1000 456 208 52 23 117 25 73 29 West South Central 1000 431 226 61 23 117 26 93 23 Mountain 1000 432 236 82 22 101 26 68 34 Pacific 1000 400 25pound 92 30 91 29 73 27

HEALTH CARE FINANCING REVIEWDECEMBER 19821Volume 4 Number 2 35

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 36: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAmiddot12

Percentage of Personal Health Care Expenditures by Type of Good or Service Calendar Year 1978 Eyeshy

glasses Physi- Other Pro- Drugs and aod Nursing

Hospital clans Dentists fessional Medical Appli- Home Total Calte Services Services Services Sundries aoces Care

Other Personal Health Calte

US Total 1000 452 216 71 25 93 25 92 26 New England 1000 482 173 65 23 78 21 131

Connecticut 1000 424 194 81 28 87 19 139 28 29

Maine 1000 447 181 58 27 87 25 146 30 Massachusetts 1000 524 158 58 20 68 21 125 26 New Hampshire 1000 422 219 79 26 105 19 98 Rhode Island 1000 474 178 54 18 76 25 147

32 28

Vermont 1000 431 143 72 32 97 36 154 36 Mideast 1000 486 194 67 29 80 19 98 27

Delaware 1000 474 202 71 18 101 22 83 29 District of Columbia 1000 658 183 26 18 52 11 16 37 Maryland 1000 477 216 75 18 91 21 75 New Jersey 1000 420 234 87 32 97 20 80 New York 1000 484 184 65 36 72 16 117

28 31 24

Penns~lvanla 1000 510 181 60 23 82 23 94 27 Great La es 1000 484 210 69 19 90 27 97 22

Illinois 1000 508 181 63 23 78 28 97 21 Indiana 1000 430 200 58 15 123 35 113 27 Michigan 1000 459 225 83 18 92 22 80 Ohio 1000 452 230 66 16 92 27 94

21 23

Wisconsin 1000 424 222 76 22 61 30 124 21 Plains 1000 454 199 68 20 83 30 126 20

Iowa 1000 425 183 70 25 87 35 155 20 Kansas 1000 444 212 52 19 83 43 120 21 Minnesota 1000 438 176 78 15 78 24 170 20 Missouri 1000 495 209 65 25 83 22 83 19 Nebraska 1000 439 221 70 13 91 31 116 18 North Dakota 1000 449 244 64 11 71 40 104 16 South Dakota 1000 442 176 55 15 85 48 145 34

Southeast 1000 448 227 64 24 114 24 72 27 Alabama 1000 482 198 62 23 110 18 79 27 Arkansas 1000 410 206 53 14 130 31 126 29 Florida 1000 426 271 72 40 101 20 51 19 Georgia 1000 438 231 69 18 114 20 80 Kentucky 1000 447 192 52 21 130 30 99 Louisiana 1000 466 221 58 27 111 20 79

29 31 17

Mississippi 1000 453 198 51 40 116 21 86 North carolina 1000 432 214 68 17 138 25 77

33 29

South Carolina 1000 433 198 60 20 138 31 80 40 Tennessee 1000 475 224 62 19 105 29 60 25 Virginia 1000 448 238 69 14 106 24 71 West Virginia 1000 520 202 48 15 114 27 41

Southwest 1000 435 230 65 24 110 27 83

30 33 26

Arizona 1000 454 260 79 21 100 18 40 31 New Mexico 1000 494 203 67 20 98 35 41 42 Oklahoma 1000 426 213 58 18 114 31 111 29 Texas 1000 429 229 64 28 112 27 89 23

Rockl Mountain 1000 409 223 87 24 96 30 93 37 Coorado 1000 427 212 84 26 86 28 98 42 Idaho 1000 355 244 88 30 120 38 104 22 Montana 1000 396 227 87 22 97 44 92 35 Utah 1000 407 240 97 20 105 21 87 24 wwoming 1000 408 210 83 15 107 54 54

Far est 1000 403 256 92 30 89 29 74 68 26

California 1000 410 283 88 31 86 28 69 25 Nevada 1000 421 261 82 19 112 26 54 20

38 106 Ore~n 1000 369 228 102 27 109 Was ington 1000 366 213 115 38 96 35 110 Alaska 1000 499 193 97 11 104 22 17

21 27 58

Hawaii 1000 373 295 104 14 93 25 41 53 Addenda Census Divisions

New England 1000 482 173 85 23 78 21 131 Middle Atlantic 1000 481 192 67 31 80 19 104

28 26

East North Central 1000 484 210 69 19 90 27 97 22 West North Central 1000 454 199 68 20 83 30 126 20 South Atlantic 1000 455 233 87 23 108 22 65 27 East South Central 1000 467 208 58 24 114 25 78 28 West South Central 1000 433 224 61 24 114 27 94 24 Mountain 1000 430 234 83 22 99 27 71 34 Pacific 1000 403 255 92 31 69 29 75 26

HEALTH CARE FINANCING REVIEWDECEMBER 1982Voluma 4 Number 2

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 37: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TABLEAmiddot13

Expenditures Per C8plta for Personal Health Care

1966 1969 1972 1976 1977 1978

US Total $20027 $27972 $37951 $60104 $67194 $74526 New England 23427 32935 43768 68100

Connecticut 23681 33121 43636 67121 75663 74916

83783 82712

Maine 17104 24009 32847 53889 60275 66233 Massachusetts 25362 36177 48524 75491 84171 93462 New Hampshire 18855 24575 32616 50175 Rhode Island 23063 31438 40813 66552

54449 73540

60455 82245

Vermont 19324 27041 34946 53076 57310 62960 Mideast 22571 31794 42175 66201 72782 80209

Delaware 20991 28933 37961 59212 65534 72207 District of Columbia Maryland 18949 27109 38630 60185 66256 74389 New Jersey 19298 26509 35474 57556 64367 69869 New York 25392 36025 46989 73801 79262 85841 Pennsylvania 19974 27842 37037 58468

Great Lakes 20306 27818 37950 60373 66333 67778

75633 75848

Illinois 21863 29699 40548 62748 70219 79184 Indiana 17958 24913 33571 53584 60693 67123 Michigan 21225 28863 39395 62961 71311 80157 Ohio 19361 26303 35980 58901 65859 73771 Wisconsin 19556 27546 38411 60743 67515 74153

Plains 19960 27223 36804 59351 67071 75339 Iowa 19601 26432 35112 55556 63882 72368 Kansas 19072 26462 37614 60102 67864 76625 Minnesota 21709 28918 38566 60588 67351 73806 Missouri 19795 27379 36495 61067 69600 79024 Nebraska 19435 26742 37078 59017 65298 73747 North Dakota 19305 26929 36701 62440 71131 78833 South Dakota 17836 23808 32842 51558 58671 66745

Southeast 15312 21823 30958 50826 57317 63570 Alabama 14507 20955 30180 50347 57047 63321 Arkansas 13995 19595 28437 47350 52852 58515 Florida 18641 26557 37557 62742 70149 76614 Georgia 15134 21873 32423 51186 58198 64511 Kentucky 15511 21783 28665 43983 49007 54244 Louisiana 15582 22400 32123 50770 57344 64129 Mississippi 11499 16266 24385 42806 North Carolina 14412 20403 28178 45848

48991 51394

55620 57615

South carolina 12306 17960 24655 42111 47385 52104 Tennessee 16542 23076 32296 53097 60765 67457 Virginia 15026 21124 29698 40089 West Virginia 16040 22608 31576 50157

56153 55451

62763 61130

Southwest 17778 25029 34130 54512 60615 67134 Arizona 19217 27149 37521 58170 63020 69825 New Mexico 15611 21254 28086 45664 50501 56694 Oklahoma 18346 26345 35031 53612 59909 66402 Texas 17631 24740 33902 54863 61265 67759

Rocky Mountain 19597 26289 34338 52559 56364 64107 Colorado 23620 31322 39465 60169 65946 72464 Idaho 15274 20895 29224 45083 51199 55409 Montana 17341 23306 32361 50305 57991 64546 Utah 16097 21493 28602 45543 50329 55565 Wyoming 19692 26308 32902 44992 50461 55070

Far West 23287 32574 44225 68640 77561 85738 california 24106 33946 46464 72262 81633 90444 Nevada 19581 27978 39022 65686 74556 82782 Ore~n 19568 27155 36333 58447 66332 72793 Was ington 21764 29442 38886 57479 64768 70972 Alaska 22605 28261 33477 58701 66944 73493 Hawaii 20980 30037 39367 59463 67618 74359

ADDENDA CENSUS REGIONS NewEngand 23427 32935 43768 68103 Middle tlantic 22505 31596 41590 65696

75663 72169

83783 79382

East North Central 20306 27818 37950 60373 67778 75848 West North Central 19960 27223 36804 59351 67071 75339 South Atlantic 16900 24184 34152 55022 61650 88247 East South Central 14837 20995 29444 48288 54783 60995 West South Central 16956 23995 33173 53215 59550 66023 Mountain 19000 25948 34584 53888 59579 65833 Pacific 23353 32656 44329 68705 77629 85808

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Numbet 2 37

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 38: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TobloAmiddot14 Expenditures Per CapJta for Hospital Care

8373 12019 18368 28173 31456 35457 7007 10248 14417 24910 27552 29359

10940 16963 23434 36910 39392 41587 8105 12607 17702 29490 33382 38566 8006 11615 16563 28074 31481 35208 8928 13112 19338 31655 35901 40249 middot~90 9400 13256 23064 26194 28877 8893 12203 16810 28961 32459 36759 7320 10663 15265 28783 29803 33365 7565 11564 16118 28336 28724 31419 7853 11559 15618 28680 30478 34236 6830 10179 13744 23241 27299 30726 7518 11498 15861 26102 30130 34034 6822 12124 16623 26637 30166 32357 8010 12209 16170 29654 33861 39097 7434 11355 15636 25469 28247 32382 8198 11994 15526 28037 32712 35361 7458 9918 13158 23491 26040 29492 6010 9056 13324 22569 25672 28452 6027 9095 13421 23422 27206 30520 5544 7616 11287 19431 21770 24004 6554 10211 15136 26311 30087 32620 5604 8564 13498 22388 25384 28281 5986 9022 12087 19906 21933 24226 6190 9328 14448 23360 26391 29892 4753 7208 11034 19427 22225 25189 5868 8379 12029 19818 22403 24908 5071 7780 10499 18428 20796 22576 6694 10152 14840 24871 28908 32037 8285 9065 13230 22058 25049 28105 6986 10599 15163 25635 28876 31817 6829 10149 13959 23133 26231 29216 7681 11689 16837 25477 28367 31675 6785 9434 12092 22249 24723 27992 6218 10047 13169 22098 25352 28305

Texas 6844 9996 13817 23014 26169 29068 flockfc Mountain n18 10775 13965 21947 24353 28235

Co orado 9892 13475 17154 26952 28881 30985 Idaho 4990 7480 10309 15919 18291 19663 Montana 6880 9420 12157 19022 23217 25555 Utah 5774 8072 11328 18484 21042 22614 wwomlno 8413 11532 12284 18457 20415 22461

Far est 8369 12151 16905 27516 31047 34559 Campllfornla 8726 12769 18104 29449 33219 37100 Nevada 6754 10692 15249 27186 30433 34841 Oregon 6579 9550 126o1 21524 24494 26837 Washington 7128 10112 13302 21330 23949 25965 Alaska 14488 16449 16513 27385 31615 38882 Hawaii 7874 11397 14762 21890 24855 27773

ADDENDA CENSUS REGIONS NewEnfand 10006 14981 20515 32844 36959 40344 Middle tlantlc 9289 14289 19859 32171 35121 38182 East North Central 8006 11615 16563 28074 31481 35208 West North Central 7853 11559 15618 26660 30478 34236 South Atlantic 6729 10147 15064 24903 28114 31021 East SOuth Central 5992 9071 13108 22292 25545 28490 West South Central 6500 9638 13596 22603 25668 28618 Mountain 7535 10798 14459 23138 25729 28291 Pacific 8398 12178 16938 27524 31061 34553

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number2 38

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 39: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Tab~A-15

ExpendltuNbull Per Cllplta for Physician Cre

1966 1969 1972 1976 19n 1978 us Total $4693 $62pound3 $8198 $12665 $14492 $16120 New England 4889 6516 8043 11479

Connecticut 5571 7673 9088 12609 12724 14252

14480 16027

Maine 3832 4855 6435 9921 10864 11977 Massachusetts 4906 6456 8080 11415 12679 14767 New Hampshire 4326 5606 7397 11580 Rhode Island 4952 6207 7956 12114

12224 13042

13254 14664

Vermont 3686 4944 5533 7135 8099 8995 Mideast 5371 6941 8563 12085 13759 15547

Delaware 4303 5925 8015 11873 13173 14618 District of Columbia Maryland 4004 5876 Bltl39 12779 New Jersey 4921 6352 8206 12739

14088 14759

16084 16320

New York 6093 7757 9306 12300 13895 15808 Pennstvanla 4564 5750 7202 10543 12116 13657

Great La es 4801 63o7 8074 12287 14255 15960 Illinois 4943 6395 n67 11417 12837 14361 Indiana 4670 6100 7354 10321 12215 13412 Michigan 4836 6476 8507 13341 15989 18051 Ohio 4811 6278 8299 12917 15067 16941 Wisconsin 4502 6061 8286 13167 14810 16461

Plains 4379 5329 7177 11730 13304 14970 Iowa 4714 5398 6807 10143 11535 13237 Kansas 4074 5011 7165 12823 14508 16228 Minnesota 4315 5533 7075 10936 11458 12980 Missouri 4529 5473 7670 12549 14775 16496 Nebraska 4432 5175 7226 12715 North Dakota 4311 5484 n59 15045

14537 17219

16302 19235

South Dakota 3298 4152 5254 8270 10594 11775 Southeast 3607 4905 6776 11429 13113 14458

Alabama 3414 4560 6237 10275 11512 12566 ArKansas 2960 4042 5640 9623 11048 12080 Florida 4343 6132 9205 16787 19001 20795 Georgia 3923 5298 7347 11907 13525 14920 Kentucky 3752 4752 5629 7865 9526 10432 Louisiana 3890 5595 7254 11048 12915 14168 Mississippi 2658 3240 4700 8806 9970 11023 North Carolina 3318 4576 5972 9732 10901 12305 South Carolina 2434 3313 4741 8327 9496 10303 Tennessee 4047 5165 6969 11701 13660 15133 VIrginia 3328 4698 6677 11434 13445 14946 West Virginia 3967 50S2 6491 9855 11368 12342

Southwest 4042 5602 7717 12574 14038 15418 Arizona 4865 6562 9022 15461 16495 18182 New Mexico 2966 4100 5797 9452 10580 11514 Oklahoma 4403 6037 7701 11600 12883 14120 Texas 3934 5488 7673 12551 14159 15545

Rocky Mountain 4268 5663 7534 11601 13038 14318 Colorado 4719 8254 8129 12307 13716 15393 Idaho 3557 4600 6606 10726 12693 13533 Montana 3713 4972 7005 11887 13410 14626 Utah 4003 5359 7092 11095 12253 13345 Wyoming 5022 6471 7981 9873 11152 11590

Far west 5823 8465 11265 17339 20056 21906 california 6091 8857 11963 18768 21686 23785 Nevada 4607 7218 10455 17555 20693 21574 Oregon 4643 6617 8645 13252 15327 16603 Washington 5630 8003 9499 12190 14122 15133 Alaska 2653 4394 6amp45 11690 13132 14182 Hawaii 4690 7690 10478 16698 19832 21966

ADDENDA CENSUS REGIONS NewEntand 4889 6516 8043 11479 12724 14480 Middle tlanUc 53~2 6849 8425 11825 13498 15219 East North Central 4801 6307 8074 12287 14255 15960 West North Central 4379 5329 7177 11730 13304 14970 South Atlantic 3927 5479 7551 12599 14324 15906 East South Central 3555 4563 60A3 9854 11411 12560 West South Central 3887 5436 7396 11866 13462 14774 Mountain 4243 5752 7835 12825 14053 15382 Pacific 5845 6488 11281 17334 20042 21914

Tabulated by location of the provider of service

HEALTH CARE FfNANCING REVIEWDECEMBER 1982Volume 4 Number 2 39

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 40: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

Tillie Amiddot18

Expenditures _ Capita for Dental Cere

1966 1969 1972 1976 1977 1978

us Total $1516 $2085 $2687 $4341 $4794 $5303 New England 1710 2287 2905 4587

Connecticut 1929 2596 3348 5447 4938 6001

5440 6862

Maine 954 1255 1692 2933 3495 3831 Massachusetts 1923 2488 3143 4708 4966 5439 New Hampshire 1126 1447 2039 3764 Rhode Island 1199 1842 2360 3757

4296 4032

4777 4457

Vermont 1214 1698 2321 3958 4077 4528 Mideast 1830 2511 3034 4402 4885 5355

Delaware 1145 1703 2318 3922 4697 5145 District of Columbia Maryland 12811 1945 2686 4632 New Jersey 1664 2453 3166 4887 New York 2205 30M 3522 4699

4971 5527 5108

5544 60~6 5587

Pennllvanla 1443 1818 2301 3838 4182 4574 Great L es 1441 1942 2558 4349 4779 5267

Illinois 1550 2067 26o7 4168 4577 5011 Indiana 1189 1625 2016 3242 3551 3901 Michigan 1555 2198 3054 5420 Ohio 1360 1767 2338 4061

6009 4415

6681 4859

Wisconsin 1427 1903 2610 4638 5127 5650 Plains 1427 1901 2534 4122 4582 5125

Iowa 1438 1834 2432 4030 4429 5100 Kansas 1241 1654 2220 3548 3959 4449 Minnesota 1677 2344 2998 4785 5202 5741 Missouri 1368 1768 2410 4089 4670 5156 Nebraska 1508 2013 2640 4086 4611 5172 North Dakota 1045 1485 2372 4104 -4393 5040 South Dakota 1238 1586 2130 29~ 3235 3684

Southeast 1035 1512 2054 3357 3657 4054 Alabama 946 1341 17811 2981 3514 3906 Arkansas 807 1143 1515 2495 2777 3099 Flortda 1496 2272 30811 4745 4968 5487 Georgia 1041 1564 2181 3619 Kentucky 906 1263 1543 2315 Louisiana 1020 1391 1762 2986

4010 2551 3315

4489 2796 3711

Mississippi M1 956 1360 2305 North Carolina 921 1329 1884 3260

2574 3524

2829 3913

South Carolina 719 1127 1540 2560 2880 3149 Tennessee 1135 1583 2106 3380 3741 4180 Virginia 1110 1655 2264 3750 West VIrginia 920 1186 1559 2468

Southwest 1089 1515 2028 3566

3953 2676 3913

4357 2915 4389

Arizona 1296 1823 2720 4716 492e 5484 New Mexico 1050 1499 1947 3110 3416 3826 Oklahoma 1099 1481 1888 3159 3427 3856 Texas 1058 1476 1949 3491 3878 4321

RockL Mountain 1407 1802 2593 4549 4998 5576 Co orado 1586 1997 2669 4986 5414 6059 Idaho 1241 1575 2209 3845Montana 1120 1507 2336 4387

4968 4857 5627

Uta 1409 1821 2586 4532 4882 5367 vwomlng 1277 1570 20BO 3579

Fa est 2175 2996 3814 6358 4015 7144

4562 7910

California 2265 3138 3948 6384 7207 7961 Nevada 1448 2138 3162 8082 6466 7286 Oregon 1914 2535 3438 6003 Washington 2038 2755 3526 6537

6671 7187

7449 8138

Alaska 1053 1596 2219 5485 7199 7125 Hawaii 1996 2738 3787 6503 7179 7768

ADDENDA CENSUS REGIONS NewEn_tand 1710 2287 2905 4567 4938 5440 Middle tlantlc 1862 2547 3066 4397 4894 5355 East North Central 1441 1942 2558 4349 4779 5267 West North Central 1427 1901 2534 4122 4582 5125 middotSouth Atlantic 1186 1752 2372 3839 4123 4563 East South Central 947 1328 1750 2819 3180 3526 West South Central 1031 1427 1863 3258 3609 4032 Mountain 1341 1789 2578 4516 4891 5465 Pacific 2188 3011 3827 6364 7160 7925

Tabulated by location of the provider of service

HEALTH CARE FINANCING IIEVIEWIDECEMBEA 1982VohriM 4 Number 2 40

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 41: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TableAmiddot17

Expenditurebull Pet Capita for Other Professional Care

1966 1969 1972 1976 19IT 1978 us Total $593 $731 $861 $1471 $1622 $1853 New England 789 1015 1041 1542

Connecticut 989 1214 1229 1730 1656 1972

1923 2332

Maine 525 711 823 1397 1552 1760 Massachusetts 746 994 1011 1516 1594 1852 New Hampshire 855 1057 1079 1463 Rhode Island 650 818 857 1307

1366 1341

1571 1496

Vermont 772 974 980 1578 1768 2005 Mideast 729 914 1054 1859 2054 2362

Delaware 752 887 817 1035 1138 1301 District of Colombia Maryland 532 652 708 1039 New Jersey 633 839 943 1580 New York 793 997 1235 2492

1158 1894 2695

1315 2203 3102

Pennslvanla 719 881 946 1382 Great La es 525 611 705 1064

1512 1267

1740 1446

Illinois 581 667 783 1249 1582 1812 Indiana 389 466 551 777 871 994 Michigan 477 552 648 988 Ohio 550 650 720 1036

1272 1042

1456 1182

Wisconsin 579 664 771 1156 1468 1665 Plains 584 696 834 1266 1293 1492

Iowa 591 690 873 1333 1578 1797 Kansas 638 739 919 1392 1290 1472 Minnesota 604 719 782 1040 994 1137 Missouri 658 792 933 1538 1654 1939 Nebraska 389 465 849 1042 804 925 North Dakota 374 464 590 839 789 900 Sooth Dakota 397 508 630 865 875 1017

Southeast 426 543 664 1242 1345 1546 Alabama 363 453 572 1100 1300 1464 Arkansas 289 367 507 788 722 829 Florida 796 996 1205 2567 2652 3046 Georgia 370 461 529 746 Kentucky 343 425 580 973 Louisiana 379 474 622 1337

990 971

1539

1148 1122 1717

Mississippi 366 488 639 1603 Norlh Carolina 370 469 553 896

1995 866

2230 1004

South Garollna 357 551 557 751 810 1017 Tennessee 371 443 578 1109 1128 1304 Virginia 387 489 514 697 West Virginia 321 399 488 731

Southwest 508 619 767 1374

789 809

1403

872 939

1582 Arizona 527 701 820 1433 1336 1480 New Mexico 420 568 645 1113 9n 1110 Oklahoma 396 459 633 1036 1039 1169 Texas 540 647 800 1462 1534 1730

Rock~ Mountain 536 653 785 1304 1356 1539 Coorado 710 870 956 1452 1636 1672 Idaho 390 474 842 1245 1456 1643 Montana 449 564 744 1275 1259 1390 Utah 357 404 576 1137 968 1102 ~omfng 517 594 686 1036

Fa est 735 904 1125 2041 728

2320 833

2814 California 797 980 1219 2206 2484 2797 Nevada 582 741 843 1367 1427 1610 Oregon 577 686 859 1547 Washington 578 891 943 1908 Alaska 394 900 733 809

1707 2414 712

1948 2708 801

Hawaii 437 567 621 898 926 1072 ADDENDA CENSUS REGIONS

New Entand 789 1015 1041 1542 1656 1923 Middle tlantlc 739 930 1086 1957 2157 2488 East North Central 525 611 705 1064 1267 1446 West North Central 584 696 834 1266 1293 1492 South Atlantic 507 pound47 737 1286 1387 1603 East South Central 364 449 587 1158 1284 1461 West South Central 464 561 715 1315 1391 1569 Mountain 522 658 780 1315 1311 1460 Pacific 738 907 1131 2056 2340 2637

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 41

TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

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TableAmiddot18

ExpendlturPer CJta for Drugs and Medtcal Sundries

1966 1969 1972 1976 ton 1978 us Total $2794 $3549 $4461 $5986 $6401 $6940 New England 2637 3381 4303 5656 6014 6511

Connecticut 2901 3727 4763 6272 6670 7222 Maine 2293 2981 3877 5010 5303 5742 Massachusetts 2584 3321 4246 5557 5901 6389 New Hampshire 2278 2875 3578 5331 Rhode Island 2889 3590 4365 5465

5847 5739

6331 6214

Vermont 2375 3083 4002 5304 5650 6117 Mideast 2707 3399 4202 5564 5830 6421

Delaware 3327 4165 5120 6389 6703 7258 District of Columbia Maryland 2738 3487 4400 5876 New Jersey 2787 3474 4242 5847

6271 6289

6790 8809

New York 2624 3312 4123 5398 5730 8204 Penns~lvanla 2803 3219 3885 5329 5726 6200

Great La es 2943 3663 4472 5904 6285 8835 Illinois 3113 3715 4249 5390 5679 6149 Indiana 3067 3902 4915 7009 7603 8232 Michigan 3018 3876 4951 6434 6819 7383 Ohio 2903 3829 4488 5815 6155 6752 Wisconsin 2316 2907 3487 5038 5483 5988

Plains 2888 3374 4146 5422 5760 8238 Iowa 2602 3217 3882 5393 5812 6293 Kansas 2716 3621 4893 5681 5855 6339 Minnesota 2830 3143 3601 4942 5310 5749 Missouri 2865 3582 4396 5712Nebraska 2718 3533 4597 6054

6227 6555 6742

North Dakota 2582 3017 3345 4780 5188 5617 South Dakota 2373 3039 3865 4852 5231 5663

Southeast 2473 3267 4337 6188 6714 7271 Alabama 2187 2985 4210 5965 6461 6995 Arkansas 2294 3089 4234 6391Florida 3204 4002 4901 7032

7136 7614 7727

Georgia 2390 3192 4323 6249 Kentucky 2501 3340 4409 6032 Louisiana 2858 3393 4547 6152

6802 6477 6586

7364 7030 7131

Mississippi 1959 2622 3562 5394 North carolina 2455 3296 4500 8888

5940 7344

6432 7952

South Carolina 2124 2862 3929 5997 6617 7164 Tennessee 2548 3307 4291 6068 6588 7112 Virginia 2229 2927 3866 5654 6172 6682 West VIrginia 2327 3137 4311 5976

Southwest 2867 3670 4662 6372 6438 6841

6970 7406

Arizona 2870 3630 4532 6024 6421 6952 New Mexico 2855 32~0 3988 4925 5151 5577 Oklahoma 2843 3563 4895 8584 7013 7593 Texas 2949 3742 4693 6527 7037 7619

RockTc Mountain 2881 3625 4492 5488 5703 6174 Coorado 2976 3711 4535 5499 5728 6202 Idaho 2931 3842 5063 5942 6139 6647 Montana 2958 3662 4431 5537 5812 6292 Utah 2584 3227 3951 5088 5378 5823 ~omlng 2960 3788 4835 5339

Fa est 3314 4169 5166 6669 5433 70S2

5882 7647

CallfOfnia 3369 4228 5216 6749 7146 7737 Nada 4179 4913 5496 7889 8572 9281 Ore~n 2913 3760 4837 6791 7339 7946 Was ington 3339 4167 5088 6060 6282 6802 Alaska 2316 2968 3777 6271 7066 7651 Hawaii 2701 3762 5424 8200 6364 6890

ADDENDA CENSUS REGIONS NewEnRiand 2637 3381 4303 5858 6014 6511 Middle tlantlc 2848 3314 4071 5464 5839 6323 East North Central 2943 3663 4472 5804 6285 6835 West North Central 2888 3374 4146 5422 5760 6236 South Atlantic 2647 3455 4517 8299 8805 7369 East South Central 2333 3112 4172 5915 640S 6943 West South Central 2765 35~7 4848 6451 6952 7528 Mountain 2911 3652 4503 5888 5992 6494 Pacific 3299 4155 5160 6643 7028 7609

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIOECEMBEA 1982Volumbull 4 Number 2

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 43: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TabloAmiddot18

Expenditurebull Per Capita for Eyegla18H and Appliances

1966 1969 1972 1976 19n 1978 us Total $673 $648 $1081 $1569 $1664 $1860 New England 793 1083 1118 1561

Connecticut 706 957 879 1255 1624 1363

1774 1547

Maine 555 783 1284 1743 1806 1655 Massachusetts 906 1244 1199 1671 1775 1928 New Hampshire 820 817 990 1263 Rhode Island 914 1236 1351 1866

1121 1901

1162 2047

Vermont 495 856 1108 1735 1912 225j Mideast 689 925 947 1328 1368 1508

Delaware 767 976 899 1242 1441 1599 District of Colombia Maryland 838 812 903 1303 New Jersey 650 883 886 1196 New York 693 938 898 1241

1390 1278 1242

1568 1366 1378

Penns~ Ivan Ia 683 9~2 1075 1545 1588 1748 Great La es 696 891 1211 1760 1885 2084

Illinois 825 1059 1410 1945 2094 2252 Indiana 665 amp48 1289 1968 2089 2317 Michigan 577 732 1032 1495 Ohio 676 864 1127 1695

1569 1795

1741 2019

Wisconsin 711 906 1181 1737 1985 2230 Plains 778 983 1330 1879 1982 2253

Iowa 828 1050 1550 2095 2228 2527 Kansas 896 882 1647 2618 2779 3274 Minnesota 830 1029 1075 1541 1622 1783 Missouri 723 908 1080 1492 1571 1725 Nebraska 839 1068 1391 1924 1976 2274 North Dakota 660 885 1754 2442 2512 3160 South Dakota 905 1192 2016 25~ 2758 3173

Southeast 542 676 848 1258 1329 1500 Alabama 453 554 721 1031 1012 1115 Arkansas 418 488 849 1438 1576 1608 Florida 734 899 782 1151 1342 1559 Georgia 557 714 746 1073 Kentucky 606 724 1021 1432 Louisiana 439 507 754 1147

1151 1479 1164

1304 1618 1311

Mississippi 420 516 672 997 North Carolina 483 626 867 1231

1051 1279

1189 1430

South carolina 403 526 847 1328 1429 1635 Tennessee 596 713 1016 1597 1735 1956 VIrginia 565 727 857 1351 West Virginia 583 790 1291 1672

Southwest 586 659 9n 1495

1323 1590 1577

1502 1660 1769

Arizona 655 728 728 984 981 1102 New Mexico 556 660 amp75 1361 1681 1974 Oklahoma 888 765 1054 1661 1803 2055 Texas 554 820 1012 1567 1627 1842

Rockh Mountain 886 990 1095 1575 1699 1943 Coorado 961 1084 963 1431 1609 1861 Idaho 681 792 1251 1693 188e 2109 Montana 919 1116 1689 2512 2409 2858 Utah 808 929 713 1003 1033 1144 wwoming 617 722 1689 2326

Far est 722 842 1381 2037 2682 2219

2961 2480

California 702 824 1428 2082 2240 2504 Nevada 606 672 950 1447 1842 2114

1509 Ore~n 859 1007 2289 Was ington 781 877 1255 1920 Alaska 534 801 867 1893

2494 2192 1505

2762 2454 1604

Hawaii 777 902 906 1363 1661 1892 ADDENDA CENSUS REGIONS

NewEntand 793 1083 1118 1561 1624 1774 Middle tlantic 682 922 952 1329 1360 1494 East North Central 896 891 1211 1760 1885 2084 west North Central 778 983 1330 1879 1982 2253 South Atlantic 602 771 657 1251 1334 1512 East South Central 529 639 679 1301 1360 1515 West South Central 53amp 607 953 1491 1561 1771 Mountain 788 674 978 1400 1539 1761 Pacific 724 846 1390 2050 2227 2489

Tabulated by location of the provider of service

HEALTH CARE FINANCING AEVIEWIDECEMBER 1082Volume 4 Number 2

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 44: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TableAmiddot20

Expenditures Per Capita for Nursing Home Care

1966 1969 1972 1976 1977 1978 us Total $1205 $1890 $3085 $5248 $6010 $6848 New England 1968 2846 4701 8617

Connecticut 1856 2866 4870 9018 9716

10262 10999 11476

Maine 1472 2276 3953 6966 8129 9665 Massachusetts 2246 3171 5212 9539 10596 11724 New Hampshire 1553 2031 3529 4277 Rhode Island 1511 2133 3268 8002

4621 9864

5926 12077

Vermont 1921 2664 3889 7584 8311 9699 Mideast 1110 1761 2772 6320 7046 7855

Delaware 757 1160 2003 4187 5171 5964 District of Columbia Maryland 922 1687 2413 4625 New Jersey 963 1466 2383 4542 New York 1194 1938 3086 6666

son 5099 9248

5569 5593

10076 Penns~lvania 1176 1770 2762 4809 5955 7140

Great La es 1307 2048 3363 5412 6260 7357 Illinois 1263 2004 3266 5200 5971 noo Indiana 1199 1956 3278 5761 6561 7603 Michigan 1268 2098 3452 48~5 Ohio 1203 1760 2749 5108

5666 5985

6381 6922

Wisconsin 1872 2864 5174 7288 8442 9174 Plains 1787 2789 4345 7000 8312 9517

Iowa 2228 3574 5121 8143 9714 11241 Kansas 1792 2569 4138 6579 7843 9203 Minnesota 2215 3313 5504 9381 11237 12564 Missouri 1187 1924 2939 4769 5666 6579 Nebraska 1677 2715 4238 6813 7721 8590 North Dakota 1867 3274 4713 5991 7136 8202 South Dakota 1a48 2998 4900 6907 8103 9879

Southeast 756 1207 2073 3397 3967 4602 Alabama 766 1425 2232 4059 4448 5027 Arkansas 1321 2142 3436 5601 6404 7363 Florida 1090 1450 2461 3317 3644 3911 Georgia 770 1328 2777 3705 Kentucky 902 1373 2330 3978 Louisiana 800 1300 2173 3877

4641 4529 4461

5160 5357 5066

Mississippi 390 672 1500 2912 North carolina 650 1145 1588 2934

3624 3551

4878 4414

South carolina 582 946 1581 2813 3442 4175 Tennessee 564 992 1622 2888 3447 4036 VIrginia 614 905 1634 3056 West VIrginia 336 544 1156 1979

Southwest 1140 1908 3022 4521

3763 2019 5032

4440 2461 5602

Arizona 607 1306 1664 2184 2502 2761 New Mexico 541 895 1468 1657 1972 2340 Oklahoma 1916 3112 4624 5898 6656 7356 Texas 1066 1819 3035 4911 5429 6057

RockYc Mountain 1198 1753 2756 4424 5111 5968 Coorado 1472 2134 3251 5439 6214 7077 Idaho 1182 1682 2527 4631 5238 5760 Montana 1186 1706 3236 4085 5002 5917 Utah amp51 1208 1688 3014 3565 4826 wwoming 645 1232 2335 2434

Far est 1286 2019 3457 4823 2755 5640

2989 6370

California 1252 2058 3439 4690 5512 6257 Nevada 850 1012 1962 2908 3728 4460 Ore~n 1681 2414 3672 5837 Was lngton 1601 2083 4315 6111 Alaska 131 198 855 1868

6690 6940 1631

7724 7839 1214

Hawaii 587 983 1765 2773 3214 3063 ADDENDA CENSUS REGIONS

NewEngtand 1968 2846 4701 8617 Middle tlantic 1145 1794 2846 6620

9716 7371

10999 8240

East North Central 1307 2048 3383 5412 6260 7357 West North Central 1787 2789 4345 7000 8312 9517 South Atlantic 755 1216 2061 3310 3875 4405 East South Central 678 1149 1942 3478 4015 4777 West South Central 1155 1924 3124 4920 5509 6178 Mountain 1001 1508 2310 3479 4043 4693 Pacific 1298 2038 34M 4865 5683 6415

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWIDECEMBEfi1N21Vohame 4 Numb8f 2

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45

Page 45: Personal Health Care Expenditures by State, Selected Years ... · Personal Health Care Expenditures by State, Selected Years 1966-1978 . by Katharine R. Levit . In 1966, spending

TableAmiddot21

Expenditures Per Capita for Other Health Services

1966 1969 1972 1976 1977 1978

US Total $636 $819 $1045 $1625 $1734 $1901 New England 635 847 1143 1837

Connecticut 737 878 1085 1802 2032 2300

2314 2379

Maine 346 513 1095 1838 1801 1967 Massachusetts 588 903 1203 1851 1987 2411 New Hampshire 815 841 1041 1653 Rhode Island 902 903 1115 1948

1607 2080

1935 2321

Vermont 374 563 1107 1992 2056 2238 Mideast 749 948 1305 1975 1982 2147

Delaware 879 1162 1465 2075 1915 2118 District of Columbia Maryland 455 630 1113 1758 New Jersey 663 815 1231 1855 New York 850 1063 1386 2098

1845 1970 1953

2064 2164 2099

Pennsylvania 682 865 1165 1734 Great Lakes 565 741 983 1524

1871 1567

2009 1692

Illinois 661 881 1128 1724 1578 1649 Indiana 489 618 913 1442 1628 1786 Michigan 602 729 941 1438 Ohio 539 692 984 1486

1528 1597

1704 1732

Wisconsin 583 676 785 1384 1477 1568 Plains 454 592 821 1270 1360 1511

Iowa 370 489 704 1180 1285 1446 Kansas 398 498 772 1358 1502 1625 Minnesota 616 713 908 1328 1364 1496 Missouri 455 723 898 1264 1348 1478 Nebraska 442 418 701 1073 1175 1359 North Dakota 271 325 642 1202 1182 1297 South Dakota 320 418 891 1576 1836 2262

Southeast 464 658 881 1387 1522 1686 Alabama 330 534 999 1513 1597 1728 Arttansas 362 709 969 1604 1524 1721 Florida 425 595 778 1206 1319 1469 Georgia 480 753 1025 1500 Kentucky 516 884 1069 1483 Louisiana 305 412 564 865

1696 1541 973

1866 1663 1113

Mississippi 253 565 918 1361 North carolina 548 584 766 1280

1613 1525

1851 1688

South carolina 617 855 962 1907 1915 2084 Tennessee 587 721 874 1483 1578 1700 Virginia 508 638 856 1388 West Virginia 600 892 1121 1642

Southwest 718 909 998 1475

1679 1675 1580

1859 1987 1753

Arizona 515 712 1200 1912 1992 2190 New Mexico 737 879 1264 1798 2002 2361 Oklahoma 982 862 1067 1597 1738 1928 Texas 685 953 924 1339 1431 1577

Rocky Mountain 723 1028 1118 1691 Colorado 1286 1796 1608 2103

2107 2749

2355 3035

Idaho 302 449 616 1082 1108 1197 Montana 340 359 764 1649 1914 2281 Utah 312 473 669 1193 1207 1345 WJJomlng 250 400 1033 1947

Far est 862 1029 1111 1857 3280 2074

3771 2251

california 905 1094 1151 1934 2138 2302 Nevada 755 594 906 1253 1405 1616 Oregon 401 587 774 1224 Washington 672 755 947 1423 Alaska 836 1154 1658 3521

1410 1682 3884

1523 1932 4236

Hawaii 1919 2000 1623 3139 3589 3937 ADDENDA CENSUS REGIONS

NewEnRiand 635 847 1143 1837 2032 2314 Middle tlantic 759 952 1286 1933 1930 2083 East North Central 585 741 963 1524 1567 1692 West North Centralmiddot 454 592 821 1270 1360 1511 South Atlantic 536 718 972 1536 1687 1869 East South Central 440 6~4 964 1470 1580 1724 West South Central 618 814 880 1313 1397 1583 Mountain 684 917 1141 1727 2022 2266 Pacific 884 1037 1116 1870 2089 2266

Tabulated by location of the provider of service

HEALTH CARE FINANCING REVIEWDECEMBER 1982Volume 4 Number 2 45