Advance data
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This report describes ambulatory care visits made to physician offices within the United States. Statistics are presented on selected characteristics of the physician's practice, the patient, and the visit. ⋯ During 1997 an estimated 787.4 million visits were made to physician offices in the United States, an overall rate of 3.0 visits per person. One quarter of these visits were made to general and family physicians, which was a significantly higher proportion compared to the other 13 specialties. Persons aged 75 years and over had the highest rate of physician office visits, 6.5 visits per person. Females had a significantly higher rate of visits to physician offices than males overall, as did white persons compared with black persons. Of all visits made to these offices in 1997, approximately 50 percent listed private insurance as the primary expected source of payment, and almost 30 percent were made by patients belonging to a health maintenance organization (HMO). There were an estimated 81.6 million injury-related visits during 1997, or 30.6 visits per 100 persons. Two-thirds of these visits were for unintentional injuries.
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This report describes ambulatory care visits to hospital emergency departments in the United States. Statistics are presented on selected patient and visit characteristics. ⋯ During 1997, an estimated 94.9 million visits were made to hospital emergency departments (ED's) in the United States, about 35.6 visits per 100 persons. Persons 75 years and over had the highest rate of ED visits. There were an estimated 35.1 million injury-related ED visits during 1997, or 13.2 visits per 100 persons. Seventy percent of injury-related ED visits were made by persons under 45 years of age. Injury visit rates were higher for males than females in each age group under 45 years. According to ICD-9-CM classification, about four-fifths of injury visits were unintentional. Almost 72 percent of the ED visits involved medication therapy, with pain relief drugs accounting for almost 30 percent of the medications mentioned. Acute upper respiratory infection was the leading illness-related diagnosis at ED visits.
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Comparative Study
International comparative analysis of injury mortality. Findings from the ICE on injury statistics. International Collaborative Effort on Injury Statistics.
This report investigates international differences in injury mortality rates among 11 of the countries participating in the International Collaborative Effort on Injury Statistics. ⋯ Using these results, the ICE on Injury will be investigating death registration practices in each of the countries to better understand international variation in injury mortality due to reporting or registration procedures.
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This report presents numbers and percents of hospice care current patients and discharges by characteristics of the agencies from which the care was received, patient and discharge characteristics, services provided, types of personnel that provided the services, admission diagnoses, and procedures. ⋯ During 1996, there were an estimated 59,400 patients receiving hospice care services from 1,800 hospices and home health care agencies in the United States. These agencies had 393,200 discharges from hospice care during the year prior to the survey. The agencies tended to be voluntary nonprofit, certified by Medicare and Medicaid, and located in a metropolitan statistical area. About a third were part of a chain or group of agencies and 40 percent were operated by a hospital. Fifty-five percent of the current patients and 50 percent of the discharges were women. Both current patients and discharges tended to be 65 years of age and over, white, married or widowed, lived in a private or semiprivate residence, and had a primary caregiver. The most common diagnoses at admission were malignant neoplasms and heart disease. About a fifth of the patients and discharges had a surgical or diagnostic procedure related to their admission for care. The most common ones were miscellaneous diagnostic and therapeutic procedures.
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This report presents numbers and percents of home health and hospice care agencies, their current patients, and their discharges. Agency characteristics include type of ownership, region, certification, location, and affiliation. Patient and discharge characteristics include age, sex, race, marital status admission diagnoses, and procedures. ⋯ During 1996, there were an estimated 2.5 million current patients and 8.2 million discharges from 13,500 home health and hospice care agencies in the United States. The agencies tended to be proprietary, certified by Medicare and Medicaid as a home health agency, and located in a metropolitan statistical area. Almost half were part of a chain or group of agencies. The home health and hospice care patients and discharges tended to be 65 years of age and over, female, white, and married or widowed. The most common diagnoses for home health care patients were diseases of the circulatory system, and the most common diagnoses for hospice care patients were malignant neoplasms. About a third of the home health care patients and about a fifth of the hospice care patients had a surgical or diagnostic procedure related to their admission for care. The most common procedures for home health care patients were operations on the musculoskeletal system, and for hospice care patients they were miscellaneous diagnostic and therapeutic procedures.