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. 2020 Jun;41(6):723-728.
doi: 10.1017/ice.2020.78.

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

Astha Kc  1 , Melissa K Schaefer  1 , Nimalie D Stone  1 , Joseph Perz  1
Affiliations

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

Astha Kc et al. Infect Control Hosp Epidemiol. 2020 Jun.

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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