Characterizing healthcare delivery in the United States using Census Bureau's County Business Patterns (2000-2016)

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Abstract

Background: The US Census Bureau's County Business Patterns (CBP) series provides a unique opportunity to describe the healthcare sector using a single, national data source.Methods: We analyzed CBP data on business establishments in the healthcare industry for 2000-2016 for all 50 states and the District of Columbia. Setting and facility types were defined using the North American Industry Classification System.Results: In 2016, CBP enumerated 707,634 US healthcare establishments (a 34% increase from 2000); 86.5% were outpatient facilities and services followed by long-term care facilities (12.5%) and acute-care facilities (1.0%). Between 2000 and 2016, traditional facilities such as general medical surgical and surgical hospitals (-0.4%) and skilled nursing facilities (+0.1%) decreased or remained flat, while other long-term care and outpatient providers grew rapidly.Conclusion: This analysis highlights the steady growth and increased specialization of the US healthcare sector, particularly in long-term care and outpatient settings.

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Kc, A., Schaefer, M. K., Stone, N. D., & Perz, J. (2020, June 1). Characterizing healthcare delivery in the United States using Census Bureau’s County Business Patterns (2000-2016). Infection Control and Hospital Epidemiology. Cambridge University Press. https://doi.org/10.1017/ice.2020.78

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