title: A historical analysis of medical spending growth, 1960-1993.
abstract: About half the growth in real per capita medical spending from 1960 to 1993 and two-thirds of its growth from 1983 to 1993 resulted from either the level or the growth of insurance coverage, chiefly the former. Dividing all factors determining the 1960-1993 growth in real per capita medical spending into two major categories, we find that 70 percent of this growth resulted from cost-increasing advances in medical services induced by insurance coverage levels and spending for noncommercial medical research. Only 30 percent was attributable to standard factors: growth in insurance coverage, changes in age/sex mix, and growth in real per capita disposable income.
authors.affiliation: Health Care Financing Administration (HCFA) Office of Research and Demonstrations, Baltimore, USA.
authors.forename: E A
authors.initials: EA
authors.lastname: Peden
authors.forename: M S
authors.initials: MS
authors.lastname: Freeland
mesh_terms: D003625:Data Collection; D017048:Health Care Costs; D005102:Health Expenditures / Q000266:history*; D049673:History, 20th Century; D006801:Humans; D007348:Insurance, Health / Q000191:economics / Q000266:history; D012109:Research Support as Topic / Q000266:history; D014481:United States