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J Prim Care Community Health. 2015 Jan;6(1):2-9. doi: 10.1177/2150131914540916. Epub 2014 Jul 7.

Effect of multiple chronic diseases on health care expenditures in childhood.

Author information

1
Mayo Clinic, Rochester, MN, USA.
2
Mayo Clinic, Rochester, MN, USA naessens@mayo.edu.

Abstract

OBJECTIVES:

To examine multiple chronic conditions and related health care expenditures in children.

METHODS:

Retrospective cohort study of all dependents of Mayo Clinic employees aged 0-17 on Jan 1, 2004 with continuous health benefits coverage for 4 years (N=14,727). Chronic conditions, health care utilization, and associated expenditures were obtained from medical and pharmacy claims.

RESULTS:

The most prevalent chronic conditions were asthma/chronic obstructive pulmonary disease (12%), allergic rhinitis (11%), and behavior problems (9%). The most costly conditions were congenital anomalies, asthma/chronic obstructive pulmonary disease, and behavior problems ($9602, $4335, and $5378 annual cost per child, respectively). Annual health care expenditures increased substantially with the number of chronic conditions, and a small proportion of children with multiple chronic conditions accounted for a large proportion of health care costs. In addition, those with multiple chronic conditions were more likely to persist in the top 10th percentile spender group in year-to-year spending.

CONCLUSION:

Children with multiple chronic conditions accounted for a large proportion of health care expenditures. These children were also likely to persist as high spenders in the 4-year time frame. Further research into effective ways to manage the health care delivery for children with multiple chronic conditions is needed.

KEYWORDS:

children; chronic conditions; comorbidities; medical cost; pediatrics

PMID:
25001922
DOI:
10.1177/2150131914540916
[Indexed for MEDLINE]
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