HealthDay News — According to a study published in JAMA, there were considerable increases in personal health care spending in the United States from 1996 to 2013 — with the highest amounts for diabetes, ischemic heart disease and low back and neck pain.

Joseph Dieleman, PhD, from the Institute for Health Metrics and Evaluation in Seattle, and colleagues estimated US spending on personal health care and public health using data from government budgets, insurance claims, facility surveys, household surveys and official US records from 1996 to 2013. 

A total of 183 data sources were used to estimate spending for 155 conditions.

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The researchers found that $30.1 trillion of personal health care spending was disaggregated by 155 conditions, age and sex group, and type of care from 1996 to 2013. 

Diabetes had the highest health care spending in 2013, with an estimated $101.4 billion in spending, including 57.6 and 23.5% spent on pharmaceuticals and ambulatory care, respectively.

The second- and third-highest amount of health care spending was on ischemic heart disease and low back and neck pain, with estimated health care spending of $88.1 and $87.6 billion, respectively.

From 1996 to 2013, personal health care spending increased for 143 of 155 conditions; over the study period, spending on low back and neck pain and diabetes increased the most.

“This information may have implications for efforts to control US health care spending,” the authors write.


Dieleman JL, et al. “US Spending on Personal Health Care and Public Health, 1996-2013.” JAMA. 2016. 316(24) :2627-2646. doi:10.1001/jama.2016.16885

Emanuel EJ. “How Can the United States Spend Its Health Care Dollars Better?” JAMA. 2016. 316(24): 2604-2606. doi:10.1001/jama.2016.16739

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