IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0206703.html

Use of healthcare services and expenditure in the US in 2025: The effect of obesity and morbid obesity

Author

Listed:
  • Michele Cecchini

Abstract

Objective: This paper explores the contribution of body-mass index (BMI) categories in shaping past trends of use of healthcare services and associated expenditure in the US and projects results to 2025. Methods: The study uses Medical Expenditure Panel Survey (MEPS) data for 2000–2012, reweighted on National Health and Nutrition Survey (NHANES) data for 1972–2012 and US Census Bureau data, to carry out projections for up to 2025. A combination of logistic regressions and generalized linear models was used to model use and associated expenditure for the following healthcare services: inpatient care (with/without surgery), office-based care, outpatient-care, drug prescription and home health care. Quantile regressions were used to analyse and project BMI levels. Results: 20.5 million individuals will be severely obese in 2025. Normal-weight and overweight individuals have stable trends in use for many healthcare services. Conversely, use of healthcare services in patients in class II and class III obesity will increase substantially. Total healthcare expenditure increases more quickly in the obese population than in normal-weight individuals. Conclusions: Class III obesity (BMI≥40 kg/m2) significantly affects demand and expenditure for all healthcare services. Careful healthcare service planning and implementing effective policy actions to counteract such trends is crucial to meet future demand.

Suggested Citation

  • Michele Cecchini, 2018. "Use of healthcare services and expenditure in the US in 2025: The effect of obesity and morbid obesity," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-14, November.
    • Handle: RePEc:plo:pone00:0206703
    DOI: 10.1371/journal.pone.0206703
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0206703
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0206703&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0206703?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Pierre-Yves Crémieux & Pierre Ouellette & Patrick Petit, 2007. "Do Drugs Reduce Utilisation of Other Healthcare Resources?," PharmacoEconomics, Springer, vol. 25(3), pages 209-221, March.
    2. Michele Cecchini & Franco Sassi, 2015. "Preventing Obesity in the USA: Impact on Health Service Utilization and Costs," PharmacoEconomics, Springer, vol. 33(7), pages 765-776, July.
    3. Ruhm Christopher J, 2007. "Current and Future Prevalence of Obesity and Severe Obesity in the United States," Forum for Health Economics & Policy, De Gruyter, vol. 10(2), pages 1-28, September.
    4. Cawley, John & Meyerhoefer, Chad, 2012. "The medical care costs of obesity: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 31(1), pages 219-230.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Lauren Newmyer & Michelle L. Frisco, 2023. "The Relationship Between Body Weight and Primary Healthcare Visits," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(4), pages 1-22, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. repec:ags:remeag:163038 is not listed on IDEAS
    2. repec:ags:remeag:163036 is not listed on IDEAS
    3. Alston, Julian M. & Okrent, Abigail M. & Parks, Joanna, "undated". "Effects of U.S. Public Agricultural R&D on U.S. Obesity and its Social Costs- Revised," Working Papers 162530, Robert Mondavi Institute Center for Wine Economics.
    4. Julian M. Alston & Joanna P. MacEwan & Abigail M. Okrent, 2016. "Effects of U.S. Public Agricultural R&D on U.S. Obesity and its Social Costs," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 38(3), pages 492-520.
    5. repec:ags:remeag:163039 is not listed on IDEAS
    6. Kristin Kiesel & Mengxin Ji, 2021. "Did state‐mandated restrictions on sugar‐sweetened drinks in California high schools increase soda purchases in school neighborhoods?," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 43(4), pages 1443-1475, December.
    7. repec:ags:remeag:163037 is not listed on IDEAS
    8. Marcel Bilger & Eliza J. Kruger & Eric A. Finkelstein, 2017. "Measuring Socioeconomic Inequality in Obesity: Looking Beyond the Obesity Threshold," Health Economics, John Wiley & Sons, Ltd., vol. 26(8), pages 1052-1066, August.
    9. Zhang, Yuxiang & Liu, Yizao, 2023. "Reducing Added Sugar Intake: The Impact of Updated Nutrition Facts Panel," 2023 Annual Meeting, July 23-25, Washington D.C. 335813, Agricultural and Applied Economics Association.
    10. John Cawley & Davide Dragone & Stephanie Von Hinke Kessler Scholder, 2016. "The Demand for Cigarettes as Derived from the Demand for Weight Loss: A Theoretical and Empirical Investigation," Health Economics, John Wiley & Sons, Ltd., vol. 25(1), pages 8-23, January.
    11. Md. Alauddin Majumder, 2013. "Does Obesity Matter for Wages? Evidence from the United States," Economic Papers, The Economic Society of Australia, vol. 32(2), pages 200-217, June.
    12. Nicola Barban & Elisabetta De Cao & Sonia Oreffice & Climent Quintana-Domeque, 2016. "Assortative Mating on Education: A Genetic Assessment," Working Papers 2016-034, Human Capital and Economic Opportunity Working Group.
    13. Bemile, Esther & Anders, Sven M., 2014. "Linking Diet-Health Behaviour and Obesity using Propensity Score Matching," 2014 International Congress, August 26-29, 2014, Ljubljana, Slovenia 182832, European Association of Agricultural Economists.
    14. Petra Landovská & Martina Karbanová, 2023. "Social costs of obesity in the Czech Republic," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(8), pages 1321-1341, November.
    15. Courtemanche, Charles & Tchernis, Rusty & Zhou, Xilin, 2017. "Parental Work Hours and Childhood Obesity: Evidence Using Instrumental Variables Related to Sibling School Eligibility," IZA Discussion Papers 10739, IZA Network @ LISER.
    16. Stoklosa, Michal & Shuval, Kerem & Drope, Jeffrey & Tchernis, Rusty & Pachucki, Mark & Yaroch, Amy & Harding, Matthew, 2018. "The intergenerational transmission of obesity: The role of time preferences and self-control," Economics & Human Biology, Elsevier, vol. 28(C), pages 92-106.
    17. Rooth, Dan-Olof, 2011. "Work out or out of work -- The labor market return to physical fitness and leisure sports activities," Labour Economics, Elsevier, vol. 18(3), pages 399-409, June.
    18. Wehby, George L. & Courtemanche, Charles J., 2012. "The heterogeneity of the cigarette price effect on body mass index," Journal of Health Economics, Elsevier, vol. 31(5), pages 719-729.
    19. Zarko Kalamov, 2020. "A sales tax is better at promoting healthy diets than the fat tax and the thin subsidy," Health Economics, John Wiley & Sons, Ltd., vol. 29(3), pages 353-366, March.
    20. Bastian, Nathaniel D. & Swenson, Eric R. & Ma, Linlin & Na, Hyeong Suk & Griffin, Paul M., 2017. "Incentive contract design for food retailers to reduce food deserts in the US," Socio-Economic Planning Sciences, Elsevier, vol. 60(C), pages 87-98.
    21. Bansal, S. & Zilberman, D., 2018. "Role of health care expenditure in countering adverse effects of obesity on health: Evidence from global data," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 275941, International Association of Agricultural Economists.
    22. Vasilios Kosteas, 2015. "Physical activity and time preference," International Journal of Health Economics and Management, Springer, vol. 15(4), pages 361-386, December.
    23. Zarko Kalamov, 2021. "Evaluating Marginal Internalities: A New Approach," CESifo Working Paper Series 9476, CESifo.
    24. Francesco Bimbo & Rosaria Viscecchia & Gianluca Nardone, 2013. "L?effetto della "filiera corta" sul livello di obesit? in Italia," Economia agro-alimentare, FrancoAngeli Editore, vol. 15(2), pages 97-110.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0206703. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.