X hits on this document

38 views

0 shares

0 downloads

0 comments

6 / 8

Appendix: Replicating the IOM methodology

T his appendix explains the calculations involved in applying the IOM methodology to more recent estimates of uninsurance and death rates, with the results displayed in table 2 above. To replicate the IOM analysis, we began with estimates for 2000–06 of the total size of the population in each 10-year age band as well as the percentage of individuals in each age group who lacked insurance. We then applied the NCHS death rate estimates to the population estimates from CPS, thereby arriving at an estimated number of total deaths within each age cohort. At that point, we applied the algebra described in the text to ascertain the number of excess deaths attributable to uninsurance. Appendix tables 1 through 6 show the resulting numbers for each age group and year.

Age

U.S. population (millions)

Percent uninsured within age group

Total deaths

Uninsured excess deaths

25–34 35–44 45–54 55–64 Total

38.4 44.0 39.5 25.9 147.8

23.0% 15.9% 12.5% 11.8% 16.1%

40,399 89,590 169,350 249,507 548,846

2,199 3,432 5,147 7,151 17,929

AppeNDIx TABle 2. Estimates of excess deaths among uninsured adults age 25–64 for 2001, based on the IOM methodology

Sources: Urban Institute analysis of March 2002 Current Population Survey; National Center for Health Statistics, final death rates for 2001.

Age

U.S. population (millions)

Percent uninsured within age group

Total deaths

Uninsured excess deaths

25–34 35–44 45–54 55–64 Total

38.5 44.3 38.6 24.7 146.1

21.6% 15.2% 11.6% 12.3% 15.5%

39,086 88,062 164,477 244,701 536,325

2,001 3,232 4,645 7,294 17,171

AppeNDIx TABle 1. IOM estimates of excess deaths in 2000 among uninsured adults age 25–64, updated to reflect revised census bureau estimates of uninsurance

Sources: Urban Institute analysis of March 2001 Current Population Survey; National Center for Health Statistics, final death rates for 2000.

Age

U.S. population (millions)

Percent uninsured within age group

Total deaths

Uninsured excess deaths

25–34 35–44 45–54 55–64 Total

38.9 43.8 40.2 27.4 150.3

24.5% 17.4% 13.3% 11.6% 17.1%

40,347 88,859 172,704 260,743 562,654

2,332 3,699 5,538 7,359 18,928

AppeNDIx TABle 3. Estimates of excess deaths among uninsured adults age 25–64 for 2002, based on the IOM methodology

Sources: Urban Institute analysis of March 2003 Current Population Survey; National Center for Health Statistics, final death rates for 2002.

Note: As explained in the body of the report, the Census Bureau recently released revised estimates of the number of uninsured in 2000. Since the resulting number of uninsured for 2000 is lower than the Census Bureau s estimate at the time of the IOM report, this table s estimated number of excess deaths due to uninsurance is lower than the 18,000 estimate published by IOM.

Uninsured and Dying Because of It: Updating the Institute of Medicine Analysis on the Impact of Uninsurance on Mortality

6

Document info
Document views38
Page views38
Page last viewedSat Jan 21 02:38:35 UTC 2017
Pages8
Paragraphs284
Words5455

Comments