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

Published online by Cambridge University Press:  07 April 2020

Astha KC ,
Melissa K. Schaefer ,
Nimalie D. Stone  and
Joseph Perz
Astha KC*
Affiliation:
US Centers for Disease Control and Prevention, Atlanta, Georgia
Melissa K. Schaefer
Affiliation:
US Centers for Disease Control and Prevention, Atlanta, Georgia
Nimalie D. Stone
Affiliation:
US Centers for Disease Control and Prevention, Atlanta, Georgia
Joseph Perz
Affiliation:
US Centers for Disease Control and Prevention, Atlanta, Georgia
*
Author for correspondence: Astha KC, E-mail: [email protected]
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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.

Type
Original Article
Information
Infection Control & Hospital Epidemiology , Volume 41 , Issue 6 , June 2020 , pp. 723 - 728
Creative Commons
Creative Common License - CCCreative Common License - BY
This work is classified, for copyright purposes, as a work of the U.S. Government and is not subject to copyright protection within the United States.
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

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