Challenges in building disease-based national health accounts

UMMS Affiliation

Department of Quantitative Health Sciences

Publication Date


Document Type



Chronic Disease; Cost of Illness; Data Collection; *Health Care Costs; *Health Expenditures; Health Services Research; Humans; Medicare; *Models, Econometric; United States


Biostatistics | Epidemiology | Health Services Research


BACKGROUND: Measuring spending on diseases is critical to assessing the value of medical care.

OBJECTIVE: To review the current state of cost of illness estimation methods, identifying their strengths, limitations, and uses. We briefly describe the current National Health Expenditure Accounts, and then go on to discuss the addition of cost of illness estimation to the National Health Expenditure Accounts.

CONCLUSION: Recommendations are made for future research aimed at identifying the best methods for developing and using disease-based national health accounts to optimize the information available to policy makers as they struggle with difficult resource allocation decisions.

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Citation: Med Care. 2009 Jul;47(7 Suppl 1):S7-13. Link to article on publisher's site

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Medical care